NUR 2214 FINAL EXAM SCRIPT 2026 QUESTIONS WITH SOLUTIONS GRADED A+

NUR 2214 FINAL EXAM SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+

◉ M1 slightly _____ T1 but can usually be heard _____ as ______.
Answer: precedes;


fused;


one sound


◉ S1 is heard loudest at the.... Answer: apex


◉ S2. Answer: closure of semilunar valves


end of systole


◉ components of S2. Answer: aortic (A2)


pulmonic (P2)


◉ A2 slightly _____ P2. Answer: precedes

,◉ S2 is heard loudest at the.... Answer: base


◉ S1 is _____ than S2. Answer: lower pitched


◉ types of splits in heart sounds. Answer: fixed


paradoxical


◉ fixed split. Answer: unaffected by respiration; the split is always
there


◉ paradoxical split. Answer: sounds fuse on inspiration and split on
expiration


◉ S3. Answer: ventricular gallop


vibrations from resistant ventricular filling during protodiastole


◉ S3 occurs immediately after.... Answer: S2


◉ S4. Answer: atrial gallop

,vibrations from resistant ventricular filling at presystole


◉ S4 occurs just before.... Answer: S1


◉ S3 occurs with.... Answer: heart failure


volume overload


◉ S4 occurs with.... Answer: CAD


◉ a systolic murmur can be seen in _____ where as a diastolic
murmur always indicates _____. Answer: a healthy heart or heart
disease;


heart disease


◉ CV subjective assessment. Answer: Chest pain?
Dyspnea?
Orthopnea?
Cough?
Fatigue?

, Cyanosis/pallor?
Edema?
Nocturia?
Past CV history?
Family CV history?
Cardiac risk factors


◉ cyanosis and pallor occur with _____ as a result of _____. Answer: MI
or low CO;


decreased tissue perfusion


◉ risk factors for CAD. Answer: elevated cholesterol, BP, blood sugar


diabetes


obesity


smoking


low activity