Adventitious breath sounds that have a whistling or sighing sound due to narrowing of the lumen of a respiratory passage are termed:

bruits

crackles

wheezing

Turgor

Answer and Explanation

The Correct Answer is C

A. Bruits – Bruits are vascular sounds caused by turbulent blood flow, typically heard over arteries.

B. Crackles – Crackles (rales) are discontinuous, crackling breath sounds caused by fluid in the alveoli, often heard in pneumonia or heart failure.

C. Wheezing – Wheezing is a high-pitched, whistling sound heard during breathing, usually caused by narrowed airways due to asthma, bronchitis, or allergic reactions.

D. Turgor – Turgor refers to skin elasticity and is used to assess hydration status, not lung sounds.

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Correct Answer is B

Explanation

A. Erythema. – Erythema is redness caused by increased blood flow, not blood leakage into tissues.

B. Ecchymosis. – Ecchymosis, commonly known as a bruise, results from blood leaking into the subcutaneous tissue due to trauma or coagulation disorders.

C. Fetid. – Fetid describes a foul odor, not a skin discoloration.

D. Sallow. – Sallow refers to a yellowish or pale complexion, often due to anemia or illness, not blood extravasation.

A. peripheral pulses that can be assessed include brachial radial, ulnar femoral, popliteal, dorsalis pedis and posterior tibia B. assess the radial pulse rate by counting the pulsations for 60 seconds C. On a person with good cardiac function and distal perfusion, capillary refill should take less than 6 seconds D. the strength of the pulse can be measured using the following scale: 0, 1+, 2+ and 3+

Correct Answer is ["A"]

Explanation

A. Peripheral pulses that can be assessed include brachial, radial, ulnar, femoral, popliteal, dorsalis pedis, and posterior tibial. – These are key arterial pulse points used to assess circulation and vascular health.

B. Assess the radial pulse rate by counting the pulsations for 60 seconds. – Counting for a full minute provides the most accurate heart rate measurement, especially if irregularities are present.

C. On a person with good cardiac function and distal perfusion, capillary refill should take less than 6 seconds. – Normal capillary refill time (CRT) is ≤2 seconds. A refill time >2 seconds suggests poor perfusion.

D. The strength of the pulse can be measured using the following scale: 0, 1+, 2+, and 3+. –. The standard pulse grading scale ranges from 0 to 4+.

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Adventitious breath sounds that have a whistling or sighing sound due to narrowing of the lumen of a respiratory passage are termed:

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Naxlex Comprehensive Predictor Exams

Discoloration of an area of the skin or mucous membranes caused by extravasation of blood into subcutaneous tissue is termed:

Correct Answer is B

Explanation

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

Correct Answer is ["A"]

Explanation

An abnormally slow heart rate, below 60 beats per minute is called:

The nurse is collecting data during an initial assessment. The patient tells the nurse, "i have a tremendous headache and my stomach is upset." These findings are called:

Redness or inflammation of the skin or mucous membranes resulting from dilation and congestion of superficial capillaries is termed:

An abnormal rapid rate of breathing seen in many disease conditions is called:

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

The study of all factors involved in the development of the disease or the cause of the disease is termed:

An abnormal accumulation of fluid in the interstitial spaces is described as:

When performing a physical examination of the patient, the nurse uses a technique that is particularly useful in identifying areas of tenderness. This technique is: