ATI RN Fundamentals Exam 2 | Nurselytic

Questions 46

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ATI RN Fundamentals Exam 2 Questions

Extract:


Question 1 of 5

The nurse is auscultating heart sounds on a client and hears an extra sound late in diastole, just before the S1. How should the nurse document this finding?

Correct Answer: A

Rationale: The correct answer is A: The third heart sound (S3). This sound occurs in early diastole and is associated with rapid ventricular filling. Hearing an extra sound late in diastole, just before S1, indicates an S3 sound. A friction rub (
B) is typically heard in pericarditis and is a scratching, grating sound. The fourth heart sound (
C) occurs in late diastole, just before S1. A split second heart sound S2 (
D) refers to a split S2 sound, which is normal and occurs during inspiration.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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