When auscultating a client's heart sounds, the nurse hears a louder S2 when listening at the 2nd intercostal space right sternal border. The nurse determines that this finding is consistent with the closure of which heart valves?

Pulmonic and tricuspid

Mitral and aortic

Aortic and pulmonic

Tricuspid and mitral

Answer and Explanation

The Correct Answer is C

A. Pulmonic and tricuspid: The tricuspid valve's closure is not primarily audible at the 2nd intercostal space right sternal border; it is better heard at the lower left sternal border.

B. Mitral and aortic: The mitral valve is best heard at the apex of the heart, not the 2nd intercostal space right sternal border.

C. Aortic and pulmonic: The 2nd intercostal space right sternal border is the area where the aortic and pulmonic valves are auscultated. The louder S2 here indicates the closure of these valves, with the aortic valve being the primary source of sound in this area.

D. Tricuspid and mitral: These valves are best heard at other locations, with the tricuspid valve near the lower left sternal border and the mitral valve at the apex.

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Correct Answer is ["A","B","C","D"]

Explanation

A. Smoking: Smoking is a major risk factor for peripheral vascular disease as it contributes to vascular damage and atherosclerosis.

B. Diabetes: Diabetes increases the risk of peripheral vascular disease by contributing to endothelial dysfunction and atherosclerosis.

C. Elevated Cholesterol Levels: High cholesterol levels contribute to the formation of atherosclerotic plaques in peripheral vessels.

D. Hypertension: High blood pressure can lead to damage of blood vessels and increase the risk of peripheral vascular disease.

A. Flexible sigmoidoscopy B. Double contrast barium enema C. Fecal occult blood test D. Upper endoscopy E. Colonoscopy

Correct Answer is ["A","B","C","E"]

Explanation

A. Flexible sigmoidoscopy: This test is recommended for colorectal cancer screening and can detect abnormalities in the lower part of the colon.

B. Double contrast barium enema: This test is used in colorectal cancer screening to provide images of the colon and rectum.

C. Fecal occult blood test: This test detects hidden blood in the stool, which can be an early sign of colorectal cancer.

D. Upper endoscopy: This test examines the upper gastrointestinal tract, not used for colorectal cancer screening.

E. Colonoscopy: This test is a primary screening method for colorectal cancer, allowing for direct visualization and biopsy of the colon.

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When auscultating a client's heart sounds, the nurse hears a louder S2 when listening at the 2nd intercostal space right sternal border. The nurse determines that this finding is consistent with the closure of which heart valves?

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Naxlex Comprehensive Predictor Exams

While the nurse is assessing a 56-year-old male with concerns about his peripheral vascular health, the nurse would educate the patient about which risk factors that can influence his peripheral vascular system? (Select all that apply)

Correct Answer is ["A","B","C","D"]

Explanation

The nurse knows screening test(s) for colorectal cancer detection according to recommendations from the American Cancer Society (2018) includes? (Select all that apply.)

Correct Answer is ["A","B","C","E"]

Explanation

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When assessing for appendicitis, what signs might the nurse look for? (Select all that apply.)

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When auscultating a client's heart sounds, the nurse hears a louder S2 when listening at the 2nd intercostal space right sternal border. The nurse determines that this finding is consistent with the closure of which heart valves?

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