Evolve HESI Practice Exam

During a shift change, what aspect of the patient should be reported regarding abnormal heart sounds?

1. The level of consciousness of the patient

2. The expected rhythm of the patient’s heart

3. The location and characteristics of the heart sounds

4. The patient’s previous medical history

The correct answer is: The location and characteristics of the heart sounds

The correct choice highlights the importance of communicating specific clinical findings related to the patient’s heart sounds during a shift change. Abnormal heart sounds can be indicative of underlying cardiac issues and can significantly influence patient care and treatment decisions. Reporting the location and characteristics of these heart sounds enables the incoming nurse to evaluate the patient’s cardiovascular status more effectively and make informed decisions about the necessary interventions or further assessments. For instance, if the heart sounds are described as murmur, bruit, or gallop, this information can help guide the clinical team in prioritizing additional diagnostics, monitoring, or potential treatments. This level of detail is critical for ensuring continuity of care and addressing any urgent concerns related to the patient's cardiovascular condition. Communicating other aspects, such as the level of consciousness, expected heart rhythm, or the patient's previous medical history, while important, does not provide the same immediate and actionable insight regarding the patient's current heart status. Understanding the characteristics of the abnormal heart sounds is essential for determining the appropriate nursing actions and interventions moving forward.