NURS 642 EXAM 2 Review And Key Points Latest
Exam 2025-2026 Questions and Correct Answers
Graded A+
Mitral stenosis murmur - answer--Diastolic rumble with opening snap, Loud S1 murmur, low
pitch, mid-diastolic; apical "crescendo RUMBLE"
Mitral regurgitation murmur - answer--Systolic, S3 with systolic murmur at 5th ICS MCL (apex);
may radiate to base or left axilla, musical blowing or high pitch. This is heard in Mitral Valve
prolapse.
Aortic stenosis murmur - answer--Systolic "Blowing", rough harsh murmur at 2nd left ICS (base)
usually radiating to the neck
Aortic regurgitation murmur - answer--early diastolic murmur-high pitched "blowing" at 2nd left
ICS (base)
CHADSVASC scoring system - answer--C: CHF — 1
H: HTN — 1
A: Age ≥ 75 years — 2
D: DM — 1
S2: Stroke/TIA prior— 2
V: Vascular disease (prior MI, PAD, aortic plaque) — 1
, A: age 65-74 years — 1
S: sex category, female — 1
CHADSVASC scoring system score card - answer--Score > 2 = get the patient anticoagulation
- for stroke risk in non-rheumatic afib
HASBLED score Afib bleeding risk - answer--Hypertension (SBP>160) - 1
Abnormal liver or renal function - 1 point each (2 poss)
Stroke - 1
Bleeding (major bleeding Hx) - 1
Labile INRs on Warfarin - 1
Elderly (>65 yo) - 1
Drugs or alcohol - 1 point each (2 poss)
HASBLED - answer--Predicts 1 yr risk of major bleeding for initiation of anticoagulation for Afib
score ≥3 "high risk"
A 56 y/o male patient has symptoms consistent with cholecystitis. Which of the following DDx
should be considered? - answer--Acute gastritis
A patient with a dilated cardiomyopathy is on the transplant list for a heart. The patients EF has
fallen to 22%. The patient may benefit from what device? - answer--LVAD
Exam 2025-2026 Questions and Correct Answers
Graded A+
Mitral stenosis murmur - answer--Diastolic rumble with opening snap, Loud S1 murmur, low
pitch, mid-diastolic; apical "crescendo RUMBLE"
Mitral regurgitation murmur - answer--Systolic, S3 with systolic murmur at 5th ICS MCL (apex);
may radiate to base or left axilla, musical blowing or high pitch. This is heard in Mitral Valve
prolapse.
Aortic stenosis murmur - answer--Systolic "Blowing", rough harsh murmur at 2nd left ICS (base)
usually radiating to the neck
Aortic regurgitation murmur - answer--early diastolic murmur-high pitched "blowing" at 2nd left
ICS (base)
CHADSVASC scoring system - answer--C: CHF — 1
H: HTN — 1
A: Age ≥ 75 years — 2
D: DM — 1
S2: Stroke/TIA prior— 2
V: Vascular disease (prior MI, PAD, aortic plaque) — 1
, A: age 65-74 years — 1
S: sex category, female — 1
CHADSVASC scoring system score card - answer--Score > 2 = get the patient anticoagulation
- for stroke risk in non-rheumatic afib
HASBLED score Afib bleeding risk - answer--Hypertension (SBP>160) - 1
Abnormal liver or renal function - 1 point each (2 poss)
Stroke - 1
Bleeding (major bleeding Hx) - 1
Labile INRs on Warfarin - 1
Elderly (>65 yo) - 1
Drugs or alcohol - 1 point each (2 poss)
HASBLED - answer--Predicts 1 yr risk of major bleeding for initiation of anticoagulation for Afib
score ≥3 "high risk"
A 56 y/o male patient has symptoms consistent with cholecystitis. Which of the following DDx
should be considered? - answer--Acute gastritis
A patient with a dilated cardiomyopathy is on the transplant list for a heart. The patients EF has
fallen to 22%. The patient may benefit from what device? - answer--LVAD
