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NUR 524 Exam 2 Questions and Correct
m m m m m m m
Answers | Latest Update m m m
Normal mPMI? mIn mcardiome galy?
5th m in tercostal m space
m In mCardiomegaly mdisplaced mtomthemleft
Whatmshould myou mtellmyourmpatientmtomdomwhen massessing mformcarotidmbruits?
breath
S1
ofmAVm valves m wh en m ven tricu lar m pressu re m exceeds m atrial m pressu res m a
tmbegin n in g m of msystole
m Correspon ds m with m pu lse
m Best mh eard matmapex
S2
ofm semilu n ar m valves
m Normally m splitm becau se m Aortic m valve m closes m before m Pu lmon ic m valve
m Closurem pressurem on m leftm ism 80mmHgm comparedm tom 10m on m right
~m1m~mforminquirymmailmmem@
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m Normal mformsplitmtomwidenmduringminspiration md/tmincreasedmRVmfilling m fromm n e
gative min trath oracic mpressu re
S3
from mrapidmtomslow mventricular mfilling minmearly mdiastole. mMaymbemnormal m
in mch ildren
Bestmheardmwith mbell
Can mbemcaused mbympoormsystolic mdysfunction mormpoor m myocardial mcontracility msuch masmCHF
S4
late m diastolic m sou n d m cau sed m bym forcible m atrial m con traction m in m them presen ce
m of mdecreased mven tricu lar mcomplian ce
Bestmheardmwith mbell m(Highermpitch m than mS3)
Caused mbymdiastolicmdysfunction mormpoorm myocardial mrelaxation m (Compliance) msuch masmin m recur
rentmMI,muncontrolledmHTN
PathologicmWidem Splitm S2
h eard m in m pu lmon ic m region
RVmvolumemoverload msuch masmASD,mandmis musuallymfixedmwith mnomdifference min minspiration mormexpir
ation
RVmoutflow m ob stru ction m su ch m asm pulmon a rym sten osis
~m1m~mforminquirymmailmmem@
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Delayed mRVmdepolarization msuch mas mcomplete mRBBB
PathologicmNarrowmSplitmS2
HTN m asm valvem closesm earlierm d/tm high m pulmonarym resistance
Mild-moderate maorticmstenosis masmclosure mof mvalve mis mdelayed
Path ologicm Sin glem S2
occu r m ifm on e m SLm valve m ism missin g m (Pu lmon ary/Aortic m a tresia m orm tru n cu m
smarteriosu s)
Ifmboth mvalvesmclose m simulatenouslymas min m Pulmonary mHTN m with mequalmpulmonary mandmaortic mpr
essuresmORmin mdouble moutletmsinglemventricle mOR min mlarge mVSD mwith mequalmventricular mpressures
Paradoxicalm splitm S2
bym pulmonarym valvem closurem beforem aorticm valvem closure;m Greaterm wit
h mexpiration
Occursmin m severem a orticmsten osis
Whatmaremthemmostmcommon mtypesmofmdegenerative mvalvularmheartmdisease
sten osis m andm mitral m regu rgitation
~m1m~mforminquirymmailmmem@
, BestmGrades |mMustmPass |mLatestmUpdate |mCorrectmAnswers |m2024 2025
/
IntensitymGradesmofmmurmurs
1:m F ain tly m h eard m with m steth oscope, m requ ires m special m atten tion m tom hear
gradem2:mSoftmbutmreadilymdetectablem
Gradem3:mProminentmbutmnotmloudmGr
adem4:mLoudmwith mpalpablemthrill mGr
adem5:mVerymloud
Gradem6:mAudible mwithoutmusemofmstethoscope
Whatmdeterminesmthemfrequencymofmammurmur
flow m rates
Lowermandmslowermflowm-
>mLowermpitchmHighermandmfastermflow
->mHighermpitch
m
Murmu rm configuration
ofm mu rmu r m with m respectm tom its m au dibility
Crescen do ,m decrescen do ,m flat,m orm crescen d o-de crescen do
Duration mofmmurmurs
of msystole mormdiastole
/
NUR 524 Exam 2 Questions and Correct
m m m m m m m
Answers | Latest Update m m m
Normal mPMI? mIn mcardiome galy?
5th m in tercostal m space
m In mCardiomegaly mdisplaced mtomthemleft
Whatmshould myou mtellmyourmpatientmtomdomwhen massessing mformcarotidmbruits?
breath
S1
ofmAVm valves m wh en m ven tricu lar m pressu re m exceeds m atrial m pressu res m a
tmbegin n in g m of msystole
m Correspon ds m with m pu lse
m Best mh eard matmapex
S2
ofm semilu n ar m valves
m Normally m splitm becau se m Aortic m valve m closes m before m Pu lmon ic m valve
m Closurem pressurem on m leftm ism 80mmHgm comparedm tom 10m on m right
~m1m~mforminquirymmailmmem@
, BestmGrades |mMustmPass |mLatestmUpdate |mCorrectmAnswers |m2024 2025
/
m Normal mformsplitmtomwidenmduringminspiration md/tmincreasedmRVmfilling m fromm n e
gative min trath oracic mpressu re
S3
from mrapidmtomslow mventricular mfilling minmearly mdiastole. mMaymbemnormal m
in mch ildren
Bestmheardmwith mbell
Can mbemcaused mbympoormsystolic mdysfunction mormpoor m myocardial mcontracility msuch masmCHF
S4
late m diastolic m sou n d m cau sed m bym forcible m atrial m con traction m in m them presen ce
m of mdecreased mven tricu lar mcomplian ce
Bestmheardmwith mbell m(Highermpitch m than mS3)
Caused mbymdiastolicmdysfunction mormpoorm myocardial mrelaxation m (Compliance) msuch masmin m recur
rentmMI,muncontrolledmHTN
PathologicmWidem Splitm S2
h eard m in m pu lmon ic m region
RVmvolumemoverload msuch masmASD,mandmis musuallymfixedmwith mnomdifference min minspiration mormexpir
ation
RVmoutflow m ob stru ction m su ch m asm pulmon a rym sten osis
~m1m~mforminquirymmailmmem@
, BestmGrades |mMustmPass |mLatestmUpdate |mCorrectmAnswers |m2024 2025
/
Delayed mRVmdepolarization msuch mas mcomplete mRBBB
PathologicmNarrowmSplitmS2
HTN m asm valvem closesm earlierm d/tm high m pulmonarym resistance
Mild-moderate maorticmstenosis masmclosure mof mvalve mis mdelayed
Path ologicm Sin glem S2
occu r m ifm on e m SLm valve m ism missin g m (Pu lmon ary/Aortic m a tresia m orm tru n cu m
smarteriosu s)
Ifmboth mvalvesmclose m simulatenouslymas min m Pulmonary mHTN m with mequalmpulmonary mandmaortic mpr
essuresmORmin mdouble moutletmsinglemventricle mOR min mlarge mVSD mwith mequalmventricular mpressures
Paradoxicalm splitm S2
bym pulmonarym valvem closurem beforem aorticm valvem closure;m Greaterm wit
h mexpiration
Occursmin m severem a orticmsten osis
Whatmaremthemmostmcommon mtypesmofmdegenerative mvalvularmheartmdisease
sten osis m andm mitral m regu rgitation
~m1m~mforminquirymmailmmem@
, BestmGrades |mMustmPass |mLatestmUpdate |mCorrectmAnswers |m2024 2025
/
IntensitymGradesmofmmurmurs
1:m F ain tly m h eard m with m steth oscope, m requ ires m special m atten tion m tom hear
gradem2:mSoftmbutmreadilymdetectablem
Gradem3:mProminentmbutmnotmloudmGr
adem4:mLoudmwith mpalpablemthrill mGr
adem5:mVerymloud
Gradem6:mAudible mwithoutmusemofmstethoscope
Whatmdeterminesmthemfrequencymofmammurmur
flow m rates
Lowermandmslowermflowm-
>mLowermpitchmHighermandmfastermflow
->mHighermpitch
m
Murmu rm configuration
ofm mu rmu r m with m respectm tom its m au dibility
Crescen do ,m decrescen do ,m flat,m orm crescen d o-de crescen do
Duration mofmmurmurs
of msystole mormdiastole
