ANCC Medical-Surgical Nursing Exam Prep

Category - Medical-Surgical Nursing Practice Test

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Michelle, a 24-year-old intern, was diagnosed with mitral stenosis. Aside from noticing a murmur during the physical examination, the nurse may also find:

Dyspnea upon exertion
Jugular vein distention
Syncope on exertion
Angina

Explanation

Answer - B - Mitral stenosis results in enlargement of the left atrium which over time, increased pulmonary pressure and jugular vein distention. Dyspnea on exertion and syncope on exertion are associated with aortic valve abnormalities (choices A and C). Angina is associated with aortic stenosis (Choice D).

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