Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A. Murmur
Mitral valve regurgitation typically presents with a murmur, which is a characteristic sound associated with the backflow of blood into the left atrium during systole.
B. S3 and S4
S3 and S4 are not typical heart sounds and do not relate to mitral valve regurgitation.
C. Click
A click is typically associated with mitral valve prolapse, not mitral valve regurgitation.
D. Friction rub
A friction rub is typically associated with pericarditis, not mitral valve regurgitation.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Rn Nsg 232 Proctored Exam Med Surg. Take the full exam now
Full Explanation
Rationale:
A. Mitral valve regurgitation typically presents with a murmur, which is a characteristic sound associated with the backflow of blood into the left atrium during systole.
B. S3 and S4 are not typical heart sounds and do not relate to mitral valve regurgitation.
C. A click is typically associated with mitral valve prolapse, not mitral valve regurgitation.
D. A friction rub is typically associated with pericarditis, not mitral valve regurgitation.
Similar Questions
The nurse asks a client who is about to have a cardiac catheterization about any allergies. The client states, "I always get a rash when I eat shellfish." Which of the following is the priority nursing action?
A. Notify the provider of the client's allergy.
Notifying the provider of the client's allergy is the priority to ensure that appropriate precautions are taken during the cardiac catheterization.
B. Notify the dietary department of the client's allergy.
Notifying the dietary department is not necessary in this situation.
C. Ask the client if any other foods cause such a reaction.
Asking about other foods is important but not the priority at this time.
D. Attach a wrist band indicating the client's allergy
Attaching a wristband indicating the allergy may be done later but is not the priority at this time.
Full Explanation
Rationale:
A. Notifying the provider of the client's allergy is the priority to ensure that appropriate precautions are taken during the cardiac catheterization.
B. Notifying the dietary department is not necessary in this situation.
C. Asking about other foods is important but not the priority at this time.
D. Attaching a wristband indicating the allergy may be done later but is not the priority at this time.
A nurse is caring for a client who is receiving intravenous heparin therapy for deep vein thrombosis. The nurse evaluates for side effects of this drug by observing for:
A. Petechiae
Petechiae are small, pinpoint red or purple spots on the skin that may indicate bleeding or thrombocytopenia, which can be a side effect of heparin therapy.
B. Slowing pulse rate
Slowing pulse rate is not typically associated with heparin therapy.
C. Confusion
Confusion is not typically associated with heparin therapy.
D. Pruritus
Pruritus (itching) is not typically associated with heparin therapy.
Full Explanation
Rationale:
A. Petechiae are small, pinpoint red or purple spots on the skin that may indicate bleeding or thrombocytopenia, which can be a side effect of heparin therapy.
B. Slowing pulse rate is not typically associated with heparin therapy.
C. Confusion is not typically associated with heparin therapy.
D. Pruritus (itching) is not typically associated with heparin therapy.
A nurse is caring for a client post transcatheter aortic valve replacement (TAVR). During the first cardiac rehabilitation session, the client tells the nurse, "I do not need to be here. I am feeling so much better, I can do this at home". Which of the following is the appropriate nursing response?
A. "The cardiac rehab program, can help you safely return to an active lifestyle."
Encouraging the client to participate in the cardiac rehab program is important for recovery and returning to an active lifestyle.
B. "Your doctor is the expert, and would only recommend what is best for you."
Acknowledging the doctor's expertise is important, but it does not address the client's concerns.
C. "It's normal to feel that way at first, but once you learn the routine, you'll enjoy it."
This statement may minimize the client's concerns and is not the best response.
D. "Cardiac Rehab will help you get back to normal"
This statement is not specific and may not address the client's concerns.
Full Explanation
Rationale:
A. Encouraging the client to participate in the cardiac rehab program is important for recovery and returning to an active lifestyle.
B. Acknowledging the doctor's expertise is important, but it does not address the client's concerns.
C. This statement may minimize the client's concerns and is not the best response.
D. This statement is not specific and may not address the client's concerns.