The nurse is discussing the blood flow pattern of the heart. The nurse should recognize which of the following as the accurate blood flow pattern of the heart?
Aorta-Right atrium-right ventricle-pulmonary vein-lungs- pulmonary artery left atrium-left ventricle
vena cava-right atrium-right ventricle-pulmonary vein-lungs- pulmonary artery-left atrium-left ventricle
vena cava→ right atrium-right ventricle-pulmonary artery-lungs- pulmonary vein-left atrium-left ventricle
Aorta-right atrium-right ventricle-lungs-pulmonary vein-left atrium-left ventricle- vena cava
The Correct Answer is C
In this sequence:
Vena cava brings deoxygenated blood from the body into the right atrium.
Blood flows from the right atrium to the right ventricle through the tricuspid valve.
The right ventricle pumps blood into the pulmonary artery to the lungs.
In the lungs, blood is oxygenated and returns to the heart via the pulmonary veins into the left atrium.
From the left atrium, blood moves to the left ventricle through the bicuspid (mitral) valve.
The left ventricle then pumps oxygenated blood into the body through the aorta.
This sequence represents the systemic and pulmonary circulation of the heart.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. When bronchial breath sounds are auscultated in the trachea.
Auscultating bronchial breath sounds in the trachea is a normal finding, as the trachea is close to the upper airway, and this is where bronchial sounds are normally heard. However, if these sounds are heard in the peripheral lung fields, it can indicate an abnormal condition.
B. When the client is experiencing excessive sneezing from a tree pollen allergy.
Excessive sneezing due to allergies would not typically result in increased breath sounds. Allergies may cause nasal congestion, but they don't directly lead to increased breath sounds.
C. When the client is resting in bed and not experiencing respiratory issues.
If a client is at rest and not experiencing any respiratory issues, breath sounds should typically be normal. There would be no reason to expect increased breath sounds in this scenario.
D. When the bronchial tree is obstructed by secretions.
Increased breath sounds, such as wheezing or rhonchi, can be auscultated when there is an obstruction in the bronchial tree due to secretions, narrowing of the airways, or other causes. These sounds are typically abnormal and indicate an issue with air movement through the airways.
Correct Answer is C
Explanation
A. Discuss that a light will be directed at the neck to observe for pulsations of the artery:
This choice is incorrect. Directing light at the neck is not a standard method for assessing carotid artery pulsations. The carotid artery is usually assessed by palpation to feel the pulse rather than visual observation.
B. Instruct the client to take a deep breath and "hold" while the nurse briefly auscultates:
This choice is incorrect. Auscultation is typically not used to assess carotid artery pulsations. Palpation (feeling the pulse) is the primary method used for this assessment.
C. Demonstrate that both arteries will be palpated simultaneously to compare amplitude:
This choice is correct. Palpating both carotid arteries simultaneously allows the nurse to compare the amplitude (strength) of the pulses. This comparison helps in assessing the symmetry of the pulses and ensures there are no significant differences between the two sides, which could indicate vascular abnormalities.
D. Show the client the diaphragm of the stethoscope that will be placed on the neck:
This choice is incorrect. The diaphragm of the stethoscope is not typically used for palpating pulses. Palpation involves using the fingertips to feel the pulse and assess its strength and regularity.
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