As the assessment continues the nurse notes an abnormal swishing sound with auscultation of the carotid artery. The term for this sound is:

bruit

crackle

thrill

Wheeze

Answer and Explanation

The Correct Answer is A

A. Bruit – A bruit is an abnormal swishing sound heard over an artery due to turbulent blood flow, often caused by atherosclerosis or narrowing of the vessel.

B. Crackle – Crackles are abnormal lung sounds caused by fluid in the alveoli, not vascular turbulence.

C. Thrill – A thrill is a palpable vibration over a blood vessel or heart valve, indicating turbulent blood flow but is felt rather than heard.

D. Wheeze – A wheeze is a high-pitched respiratory sound caused by narrowed airways, not vascular abnormalities.

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Correct Answer is B

Explanation

A. Bradycardia – Bradycardia is a slow heart rate below 60 beats per minute.

B. Tachycardia – Tachycardia is defined as a heart rate exceeding 100 beats per minute, which can result from fever, stress, dehydration, or cardiac conditions.

C. Dyspnea – Dyspnea refers to difficulty breathing, not an increased heart rate.

D. Tachypnea – Tachypnea is an abnormally rapid respiratory rate, not a rapid heart rate.

A. the nursing health history B. a body systems review C. the present illness D. a focused review

Correct Answer is A

Explanation

A. The nursing health history – The nursing health history is the first step after collecting biographical data. It includes the chief complaint, past medical history, and social factors affecting health.

B. A body systems review – A body systems review (ROS) is done later in the assessment to gather additional information on each organ system.

C. The present illness – The present illness is part of the nursing health history but is not the first step after verifying biographical data.

D. A focused review – A focused review targets specific concerns rather than serving as the initial step in a comprehensive assessment.

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As the assessment continues the nurse notes an abnormal swishing sound with auscultation of the carotid artery. The term for this sound is:

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Naxlex Comprehensive Predictor Exams

An abnormally rapid heart rate above 100 beats per minute is called:

Correct Answer is B

Explanation

While conducting an assessment of the patient, the nurse recognizes that after verifying biographical data, the initial step is:

Correct Answer is A

Explanation

Auscultation of the heart sounds will result in a lubb-dupp sound when using the bell and the diaphragm of the stethoscope. The lub part of the sound is caused by the:

Short, discrete, interrupted crackling or bubbling adventitious breath sounds heard most commonly on inspiration is termed:

Fluid, cells or other substances that have been slowly discharged from body cells or blood vessels, through small pores or breaks in the cell membrane are called:

The nurse uses a systematic method for collecting data on all body systems including normal functioning and any noted changes. This system is:

Although the signs and symptoms of both infection and inflammation include erythema, edema, and pain, the major difference is that inflammation:

The most frequently used skill in the physical nursing assessment is:

When a disease results in a structural change in an organ that interferes with its functioning, this is a/an:

Which would be included in an assessment of the peripheral vascular system? (select all that apply)