NURS 642 EXAM 2 review and key points
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Mitral stenosis murmur - CORRECT ANSWER - Diastolic rumble with opening snap,
Loud S1 murmur, low pitch, mid-diastolic; apical "crescendo RUMBLE"
Mitral regurgitation murmur - CORRECT 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 - CORRECT ANSWER - Systolic "Blowing", rough harsh
murmur at 2nd left ICS (base) usually radiating to the neck
Aortic regurgitation murmur - CORRECT ANSWER - early diastolic murmur-high
pitched "blowing" at 2nd left ICS (base)
CHADSVASC scoring system - CORRECT 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 - CORRECT ANSWER - Score > 2 = get the
patient anticoagulation
- for stroke risk in non-rheumatic afib
HASBLED score Afib bleeding risk - CORRECT 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 - CORRECT 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? - CORRECT 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? - CORRECT ANSWER -
LVAD
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Mitral stenosis murmur - CORRECT ANSWER - Diastolic rumble with opening snap,
Loud S1 murmur, low pitch, mid-diastolic; apical "crescendo RUMBLE"
Mitral regurgitation murmur - CORRECT 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 - CORRECT ANSWER - Systolic "Blowing", rough harsh
murmur at 2nd left ICS (base) usually radiating to the neck
Aortic regurgitation murmur - CORRECT ANSWER - early diastolic murmur-high
pitched "blowing" at 2nd left ICS (base)
CHADSVASC scoring system - CORRECT 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 - CORRECT ANSWER - Score > 2 = get the
patient anticoagulation
- for stroke risk in non-rheumatic afib
HASBLED score Afib bleeding risk - CORRECT 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 - CORRECT 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? - CORRECT 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? - CORRECT ANSWER -
LVAD
