A nurse expects to hear which percussion sounds over muscles and tissues?

Flatness.

Dullness.

Tympany.

Resonance.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Flatness is the percussion sound typically heard over muscles and solid tissues. It is characterized by a high-pitched, soft sound, which indicates that the underlying tissue is denser and less air-filled compared to lungs.

Choice B rationale

Dullness is heard over solid organs such as the liver or spleen but not typically over muscles.

Choice C rationale

Tympany is a drum-like sound heard over areas filled with gas, such as the stomach or intestines.

Choice D rationale

Resonance is heard over air-filled lungs and not over muscles and solid tissues.

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Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

An elliptical chest configuration is considered a normal shape for the thorax. This configuration allows for optimal lung expansion and function. Deviations from this shape, such as a barrel chest, might indicate underlying pulmonary conditions.

Choice B rationale

Eupnea refers to normal, unlabored breathing, which is an expected finding during a respiratory assessment. It indicates that the individual is not experiencing respiratory distress and that their respiratory rate, rhythm, and effort are within normal limits.

Choice C rationale

Resonance is a normal percussion sound heard over healthy lung tissue. It indicates that the underlying lung areas are filled with air, which is a positive sign of healthy lung function.

Choice D rationale

Inspiratory wheezing, a high-pitched whistling sound during breathing, is typically indicative of narrowed or obstructed airways, often associated with conditions such as asthma or chronic obstructive pulmonary disease, and is not considered a normal finding.

A. The nurse will understand the unaffected ear will show lateralization to the Weber's test. B. Place the activated tuning fork to the mid skull and ask if the patient can hear it louder in either ear. C. Place the activated tuning fork to the patient's mastoid bone first then place over air. D. Place the activated tuning fork to the client's ear over the mastoid bone then activate it again over the air.

Correct Answer is B

Explanation

Choice A rationale

Lateralization to the unaffected ear in Weber's test actually indicates sensorineural hearing loss in the affected ear. This choice is incorrect as it doesn’t describe the correct procedure for the test.

Choice B rationale

The Weber's test involves placing an activated tuning fork in the midline of the skull and asking the patient if the sound is heard more loudly in either ear. This helps determine if there is lateralization, which is key in diagnosing the type of hearing loss. Thus, this is the correct procedure for the test.

Choice C rationale

Placing the tuning fork on the mastoid bone and then over air is actually part of the Rinne test, not the Weber test. This choice is, therefore, incorrect for the Weber test.

Choice D rationale

Similar to Choice C, this process describes the Rinne test, which compares air conduction and bone conduction of sound. This is not the correct method for performing Weber’s test.

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A nurse expects to hear which percussion sounds over muscles and tissues?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following are considered normal findings for assessment of the respiratory system? Select all that apply.

Correct Answer is ["A","B","C"]

Explanation

The nurse plans to assess the client's hearing.What action should the nurse take when performing the Weber's test?

Correct Answer is B

Explanation

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