Test-Taking Tip

Key words in the question stem are: best place and mitral.

Content Area: Adult Health, Cardiovascular; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/System Specific Assessments

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Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]

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Answer 1 is correct because the murmur associated with mitral regurgitation would be best heard at the apex, which is the 5th intercostal space, left midclavicular line. Answer 2 is incorrect because this is the tricuspid area. Although the murmur associated with mitral regurgitation would be audible in this area, it would be best heard at the apex. Answer 3 is incorrect because it is the pulmonic area: the second intercostal space, left sternal border. Although the murmur associated with mitral regurgitation may be audible throughout the precordium, pulmonic and aortic valve dysfunction would be best heard in this area. Answer 4 is incorrect because it is the aortic area: the second intercostal space, right sternal border. Although the murmur associated with mitral regurgitation may be audible throughout the precordium, aortic valve dysfunction would be best heard in this area.

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