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

apnea

orthopnea

dyspnea

Tachypnea

Answer and Explanation

The Correct Answer is D

A. Apnea – Apnea refers to the temporary cessation of breathing, not rapid breathing.

B. Orthopnea – Orthopnea is difficulty breathing while lying flat, not an increased respiratory rate.

C. Dyspnea – Dyspnea is the sensation of difficult or labored breathing, not necessarily rapid breathing.

D. Tachypnea – Tachypnea is an abnormally fast respiratory rate, often seen in conditions like fever, anxiety, or respiratory distress.

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Correct Answer is A

Explanation

A. The nursing health history – The nursing health history is the first step after collecting biographical data. It includes the chief complaint, past medical history, and social factors affecting health.

B. A body systems review – A body systems review (ROS) is done later in the assessment to gather additional information on each organ system.

C. The present illness – The present illness is part of the nursing health history but is not the first step after verifying biographical data.

D. A focused review – A focused review targets specific concerns rather than serving as the initial step in a comprehensive assessment.

A. bruits B. tympany C. crackles D. Thrill

Correct Answer is C

Explanation

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

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

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

Correct Answer is C

Explanation

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?

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A nursing assessment is a process of collecting data to establish a database. The information contained in the database is the basis for:

The patient was admitted with a complaint of abdominal pain. Later the nurse observed the patient demonstrating dyspnea. This change in condition required an assessment called:

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