Fundamentals CMS Midterm Questions And AnswersA 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 ClickB. MurmurC. Third heart soundD. Pericardial friction rub Correct Ans - D) Pericardial friction rubA nurse is obtaining the blood pressure in a client's lower extremity. Which of the following action should the nurse take?A. Auscultate for the blood presure at the dorsalis pedis artery.B. Measure the blood pressure with the client sitting on the side of the bed.C. Place the cuff 7.6cm (3in) above the popliteal artery.D. Place the bladder of the cuff over the posterior aspect of the thigh. Correct Ans - D) place the bladder of the cuff over the posterior aspect of the thighA charge nurse is teaching adult cardiopulmonary resusciation (CPR) to a group of newly licensed nurses. Which of the following actions should the charge nurse teach as the first response in CPR?A. Call for assisstanceB. Begin Chest compressionsC. Confirm unresponsiveness.D. Give rescue breaths.