Pharmacology CMS
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Pharmacology CMS Final Test Exam 
& Elaborate Answers 
 
1.A nurse is assessing the heart sounds of a client who has developed chest pain 
that becomes worse with inspiration. The nurse auscultates a high-pitched 
scratching sound during both systole and diastole with the diaphragm of the 
stethoscope positioned at the left sternal border. Which of the following heart sounds 
should the nurse document? 
A. Audible Click 
B. Murmur 
C. Third heart sound 
D. Pericardial friction rub - ANSWER ...
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Pharmacology CMS Final Test Exam 
& Elaborate Answers 
 
1.A nurse is assessing the heart sounds of a client who has developed chest pain 
that becomes worse with inspiration. The nurse auscultates a high-pitched 
scratching sound during both systole and diastole with the diaphragm of the 
stethoscope positioned at the left sternal border. Which of the following heart sounds 
should the nurse document? 
A. Audible Click 
B. Murmur 
C. Third heart sound 
D. Pericardial friction rub - ANSWER ...