As the assessment continues the nurse notes an abnormal swishing sound with auscultation of the carotid artery. The term for this sound is:

bruit

crackle

thrill

Wheeze

Answer and Explanation

The Correct Answer is A

A. Bruit – A bruit is an abnormal swishing sound heard over an artery due to turbulent blood flow, often caused by atherosclerosis or narrowing of the vessel.

B. Crackle – Crackles are abnormal lung sounds caused by fluid in the alveoli, not vascular turbulence.

C. Thrill – A thrill is a palpable vibration over a blood vessel or heart valve, indicating turbulent blood flow but is felt rather than heard.

D. Wheeze – A wheeze is a high-pitched respiratory sound caused by narrowed airways, not vascular abnormalities.

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Correct Answer is B

Explanation

A. Bradycardia – Bradycardia is a slow heart rate below 60 beats per minute.

B. Tachycardia – Tachycardia is defined as a heart rate exceeding 100 beats per minute, which can result from fever, stress, dehydration, or cardiac conditions.

C. Dyspnea – Dyspnea refers to difficulty breathing, not an increased heart rate.

D. Tachypnea – Tachypnea is an abnormally rapid respiratory rate, not a rapid heart rate.

A. nursing assessment B. nursing interview C. health history D. review of systems

Correct Answer is D

Explanation

A. Nursing assessment – A nursing assessment is the broader process of gathering patient information, including subjective and objective data, but does not specifically refer to a body system review.

B. Nursing interview – A nursing interview is a method used to gather subjective data from the patient, but it does not systematically review all body systems.

C. Health history – A health history includes past medical conditions, surgeries, and family history but does not systematically assess all body systems.

D. Review of systems – The review of systems (ROS) is a structured approach where the nurse systematically collects data about normal function and any changes in each body system.

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As the assessment continues the nurse notes an abnormal swishing sound with auscultation of the carotid artery. The term for this sound is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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

Correct Answer is D

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?

During the nursing interview, several histories are taken. The history that involves data concerning habits and lifestyle patterns is called:

Free flow or withdrawal of fluids from a wound or a cavity is termed:

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

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:

The most frequently used skill in the physical nursing assessment is:

The nurse is obtaining a history of the patient's present illness. The PQRST system is being used for the interview. In this system the R is:

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