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NSG 460 Exam 1 – Complete Questions & Answers Study Guide

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Prepare for NSG 460 Exam 1 with this comprehensive study guide. Access verified questions, detailed answers, and practice exercises to strengthen your understanding of advanced nursing concepts and boost exam performance.

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Left sternal border, 2nd intercostal space
Pulmonic valve area
Separates the right ventricle and pulmonary artery




Left sternal border, 4th intercostal space
Tricupsid valve area
Separates the left atrium and ventricle




MCL, 5th intercostal space
Mitral valve area
Separates right atrium from right ventricles




- Do in the same order every time
Exam approach - Establish good report with patients
- Do with confidence




AV valves (mitral and tricuspid)
What valves close with S1? Beginning of systole
*heard best at apex




Semilunar valves (aortic and pulmonic)
What valves close with S2? End of systole
*Heard best at base




When aortic valve closes significantly earlier than
Split S2
pulmonic valve




Occurs when ventricles are resistant to filling
S3 during early rapid filing phase
*Associated with CHF




Occurs at end of diastole, at pre-systole, when
S4 ventricle is resistant to filling
* associated with uncontrolled HTN, and HF



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