ACCN CCRN EXAM WITH 100% CORRECT
VERIFIED ANSWERS GRADED A+
CERTIFIED 2025-2026
S1i"lub"i-
icorrectianswerclosureiofiAVi(mitralianditricuspid)ivalves
marksitheiendiofidiastoleianditheibeginningiofisystole
SYSTOLE
S2i"dub"i-
icorrectianswerclosureiofitheiseminari(pulmoniciandiaortic)i
valves
marksitheiendiofisystoleianditheibeginningiofidiastole
DIASTOLE
systolicimurmur
"lub....ishhhhb.....dub"i-
icorrectianswersemilunarivalvesiareiOPENiduringisystole
-iaorticistenosis
-pulmonicistenosis
AVivalvesiareiCLOSEDiduringisystole
-imitraliinsufficiencyi(willicausesilarge,igiantiV-
wavesionitheipulmonaryiarteryiocclusionipressureitracingiifit
heipatientihasiaipulmonaryiarteryicatheter)
-itricuspidiinsufficiency
diastolicimurmur
"lub......idub.......shhhhb"i-
icorrectianswersemilunarivalvesiareiCLOSEDiduringidiastole
-iaorticiinsufficiency
-ipulmoniciinsufficiency
AVivalvesiareiOPENiduringidiastole
1
-
imitralistenosisi(associateiwithiatrialifibrillationidueitoiatrial
ienlargementithatioccursioveritime)
-itricuspidistenosis
wheniareitheiAVivalvesiOPENiandisemilunarivalvesiCLOSEDi-
icorrectianswerdiastole
wheniareitheiAVivalvesiCLOSEDianditheisemilunarivalvesiOP
ENi-icorrectianswersystole
abnormaliheartisoundsiiniadultsi-
icorrectianswerS3i(occursiearlyiinidiastole,irightiafteriS2)
S4i(occursirightibeforeiS1)
pericardialifrictionirubi(d/tipericarditis)
murmursi(valvularidisease)
whaticausesiS3i-icorrectianswerpulmonaryihypertension
coripulmonalei(rightisidediheartifailure)
mitral,iaorticioritricuspidiinsufficiencies
whaticausesiS4i-
icorrectianswercausesibyiatrialicontractioniofibloodiintoiaino
ncompliantiventricle
associateiwithimyocardialiischemia,iinfarction,ihypertensio
n,iventricleihypertrophyiandiaorticistenosis
normalipuleipressurei-icorrectianswer40-60immHgi(systolic-
diastolic=pulseipressure)
narrowingipulseipressurei-
icorrectiansweraidecreaseiinisystolicibloodipressureiwithilittl
eichangeiorievenianiincreaseiinidiastolicibloodipressure
mostiofteniseeniwithihypovolemiaioriaisevereidropiinicardiaci
output
2