A 70-year-old male complains of ringing in the ears. The nurse describes this as:

Tinnitus

Xerostomia

Myopia

Anosmia

Answer and Explanation

The Correct Answer is A

The nurse would describe this as tinnitus, which is a sensation of hearing sound when no external sound is present. Tinnitus is commonly described as ringing in the ears, but can also be perceived as buzzing, humming, hissing, or other sounds. Tinnitus can be caused by a variety of factors, including age-related hearing loss, exposure to loud noises, ear infections, certain medications, and underlying medical conditions such as high blood pressure, thyroid disorders, or head and neck injuries. It is important for the patient to see a healthcare provider to determine the underlying cause and appropriate treatment.

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Correct Answer is B

Explanation

Auscultating breath sounds is an essential component of a respiratory assessment. The following breath sounds can be heard during auscultation: Vesicular, Bronchial, Bronchovesicular, Crackles, Wheezes, and Rhonchi.

Vesicular sounds at the apex of the lungs (a) and vesicular sounds at the base of the lungs on the posterior chest (c) are normal findings. Vesicular sounds are soft and low-pitched, heard during inspiration, and are indicative of air moving through small airways and alveoli. The vesicular sounds are louder at the base of the lungs, where there is more alveolar tissue.

Rhonchi that disappear with coughing (d) can be normal or abnormal findings. Rhonchi are low-pitched, continuous sounds that are heard during inspiration and expiration. They are produced by the movement of air through narrowed or obstructed airways. If the rhonchi disappear with coughing, it may indicate that the airway has cleared.

Wheezes on inspiration (b) are abnormal findings and require prompt follow-up. Wheezes are high-pitched, whistling sounds heard during inspiration and expiration. They are indicative of air moving through narrowed airways and can be a sign of an underlying respiratory condition such as asthma, chronic obstructive pulmonary disease (COPD), or bronchitis. Prompt follow-up is necessary to diagnose and manage the underlying condition.

A. Sensory system B. Peripheral acuity C. Cranial nerves D. Motor system

Correct Answer is D

Explanation

The motor system refers to the parts of the nervous system that control voluntary movements, including the muscles, nerves, and brain. Rapid alternating movements are movements that require the coordination of multiple muscle groups, such as tapping fingers or rotating the wrist. By observing the patient's ability to perform these movements, the nurse can assess the integrity and function of the motor system.

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A 70-year-old male complains of ringing in the ears. The nurse describes this as:

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Naxlex Comprehensive Predictor Exams

Which of the following would be considered an abnormal finding and require prompt follow up when auscultating breath sounds?

Correct Answer is B

Explanation

When assessing the patient’s ability to perform rapid altering movements, the nurse is observing the:

Correct Answer is D

Explanation

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