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. Pruritus. – Pruritus refers to itching, not redness or inflammation.

B. Erythema. – Erythema describes redness of the skin or mucous membranes due to capillary dilation, commonly seen in infections, sunburn, or allergic reactions.

C. Turgor. – Turgor refers to skin elasticity and is used to assess hydration status. It does not indicate redness or inflammation.

D. Exudate. – Exudate refers to fluid drainage from wounds or infections, not skin redness.

A. After palpating the abdomen B. After checking for kidney tenderness C. Before percussing the abdomen D. Before inspecting the abdomen.

Correct Answer is C

Explanation

A. After palpating the abdomen – Palpation may alter bowel sounds by stimulating peristalsis, leading to inaccurate findings.

B. After checking for kidney tenderness – Checking for kidney tenderness (costovertebral angle tenderness) is unrelated to bowel auscultation and should not precede it.

C. Before percussing the abdomen – Auscultation should be done before percussion and palpation to avoid artificially stimulating bowel sounds.

D. Before inspecting the abdomen – Inspection should always come before auscultation to visually assess the abdomen for distension, symmetry, and discoloration before listening.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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

Correct Answer is C

Explanation

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

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

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:

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

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

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:

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