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

bruits

tympany

crackles

Thrill

Answer and Explanation

The Correct Answer is C

A. Bruits – Bruits are abnormal vascular sounds heard over arteries, often due to turbulence from a narrowed vessel.

B. Tympany – Tympany is a drum-like sound produced during percussion over areas filled with air, such as the stomach.

C. Crackles – Crackles (rales) are discontinuous, bubbling breath sounds often heard on inspiration. They are associated with conditions like pneumonia, heart failure, and pulmonary fibrosis.

D. Thrill – A thrill is a palpable vibration over an artery or heart valve, indicating turbulent blood flow.

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Correct Answer is A

Explanation

A. Assess for level of consciousness and orientation – Level of consciousness (LOC) and orientation are crucial in evaluating neurological status, overall health, and potential signs of deterioration. This assessment provides immediate information about the patient’s cognitive function and responsiveness.

B. Check for pitting edema – Assessing for pitting edema is important but is not the first priority unless the patient has signs of fluid overload or heart failure.

C. Assess the skin – Skin assessment is essential but should be performed after ensuring the patient's neurological stability.

D. Listen to lung sounds – While lung auscultation is an important part of the assessment, it follows after assessing consciousness and orientation.

A. jaundice B. erythema C. ecchymosis D. Fetid

Correct Answer is A

Explanation

A. Jaundice – Jaundice results from elevated bilirubin levels, commonly due to liver disease, hemolysis, or bile duct obstruction. The yellow discoloration is most noticeable in the sclera.

B. Erythema – Erythema refers to redness of the skin, often due to inflammation or increased blood flow.

C. Ecchymosis – Ecchymosis refers to bruising caused by blood leakage under the skin.

D. Fetid – Fetid refers to a foul odor, not a discoloration of tissues.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse has been assigned to care for a 62 year-old man. After introducing herself to the patient and explaining that she will be performing a nursing assessment, what is the first area to be assessed after taking vital signs?

Correct Answer is A

Explanation

When the color of the sclera is yellow due to bilirubin that infiltrates all tissues of the body it is called:

Correct Answer is A

Explanation

The main reason that auscultation precedes palpation of the abdomen is to:

The profuse secretion of sweat associated with an elevated body temperature, certain disease conditions, physical exertion, exposure to heat and mental or emotional stress is termed:

The protective response of body tissues to irritation, injury or pathogens is:

A nurse is checking a client's bowel sounds. At which of the following times should the nurse auscultate the client's abdomen?

A nurse is collecting data from a patient who has dehydration. Which findings should the nurse expect?

There are four categories of factors that increase the individual's vulnerability to developing a disease. These categories are genetic, physiological, age and lifestyle. These factors are called:

The patient has been found to have edema of the lower extremities. The nurse is assessing whether or not it is pitting and to what degree. After pressing the skin against a bony prominence for 5 seconds, the nurse identifies 4+ pitting edema because the rebound time is:

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