Question

The nurse is assessing an 87-year-old African American male patient brought to the emergency department for mental status changes, intermittent loss of consciousness, tachycardia, and pallor. There is concern for papillary muscle rupture. Which of these findings on the cardiac exam would the nurse immediately report to the health care providers?

new holosystolic murmur noted from the apex radiating to the axilla
continuous venous humming noted in the supraclavicular area
diffuse pulmonary rales
capillary refill of 4 seconds

Accepted Answer

new holosystolic murmur noted from the apex radiating to the axilla

Answer

continuous venous humming noted in the supraclavicular area

Answer

capillary refill of 4 seconds

Answer

diffuse pulmonary rales

Question 4 - Cardiovascular Practice Test for the CCRN