HESI PATHOPHYSIOLOGY FNP V 2 / PATHOPHYSIOLOGY H E S I FNP R E A L 100 PRACTICE QUESTIONS AND ANSWERS

HESI PATHOPHYSIOLOGY FNP V 2 / PATHOPHYSIOLOGY H E S I FNP R E A L 100 PRACTICE QUESTIONS AND ANSWERS 1. Upon admission assessment, the nurse hears a murmur located at the fifth intercostal space, midclavicular line. The client asks, “What does that mean?” The nurse will base her answer on which of the following physiologic principles? A) “You have been exposed to an infection that went into your blood stream.” B) “You have a heart valve that is diseased.” C) “You heart has been pumping your blood so hard, that the pressure has damaged your valves.” D) “Your heart has enlarged, so naturally your valves had to enlarge as well.” Ans: B Feedback: Turbulence is often accompanied by vibrations of the blood and surrounding cardiovascular structures. Some of these vibrations are in the audible range and can be heard using a stethoscope. For example, a heart murmur results from turbulent flow through a diseased heart valve. The other distractors are not feasible.