During a respiratory physical assessment, the nurse directs the patient to say and repeat the letter E for the transmitted voice sounds assessment. The nurse by auscultation hears the letter A instead of E. This is known as:

Egophony

normal voice transmission.

Air filled lungs

Bronchophony

Answer and Explanation

The Correct Answer is A

A. Egophony: Egophony is a type of abnormal voice sound transmission where the letter "E" is heard as an "A" when auscultated through a stethoscope. This can indicate underlying lung pathology, such as consolidation or infection, that alters the way sounds are transmitted through the lung tissue.
B. Normal voice transmission: Normal voice transmission would involve hearing the letter "E" clearly and accurately as the patient says it, without distortion. The presence of an "A" sound indicates an abnormal finding, not a normal one.
C. Air-filled lungs: Air-filled lungs typically transmit voice sounds clearly and normally. If the sound changes to an "A," this suggests a pathology that alters sound transmission, rather than indicating simply air-filled lungs.
D. Bronchophony: Bronchophony refers to the increased clarity of spoken sounds heard through the stethoscope over areas of lung consolidation, but it does not specifically describe the transformation of the letter "E" to "A." The specific change in sound transmission described here is characteristic of egophony.

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

Explanation

A. Weber test: The Weber test is used to assess hearing by placing a vibrating tuning fork on the center of the forehead. It helps evaluate lateralization of sound and can indicate whether hearing loss is conductive or sensorineural. This test is pertinent for assessing CN VIII, which is responsible for hearing.
B. Magazine: This option is not relevant to the assessment of CN VIII. A magazine is not used in evaluating hearing or vestibular function. The appropriate assessments for CN VIII focus on hearing and balance.
C. Rinne test: The Rinne test involves placing a vibrating tuning fork on the mastoid bone and then near the ear canal to compare air conduction (AC) and bone conduction (BC) of sound. This test helps differentiate between conductive and sensorineural hearing loss and is directly related to assessing CN VIII.
D. Whispered voice test: This test involves the nurse whispering numbers or words while occluding one ear and assessing the client's ability to hear and repeat them. It is a simple way to assess hearing ability and thus evaluates the function of CN VIII.

A. Monthly B. Quarterly C. Bimonthly D. Weekly

Correct Answer is A

Explanation

A) Monthly: Performing testicular self-examination (TSE) monthly is recommended to help men become familiar with the normal size and feel of their testicles. Regular self-examinations increase the likelihood of detecting any abnormalities early, which is crucial for effective treatment if testicular cancer or other issues are detected.
B) Quarterly: Quarterly self-examination is less frequent than recommended. Monthly self-examination provides a more consistent and routine approach to checking for any changes in the testicles, which is essential for early detection of potential issues.
C) Bimonthly: Bimonthly self-examination would be less frequent than recommended. Monthly self-examination is considered more effective in maintaining awareness of changes in testicular health and detecting any abnormalities early.
D) Weekly: Weekly self-examination is more frequent than necessary. Monthly examination is sufficient to familiarize oneself with the normal state of the testicles and to notice any unusual changes that may require further investigation.

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During a respiratory physical assessment, the nurse directs the patient to say and repeat the letter E for the transmitted voice sounds assessment. The nurse by auscultation hears the letter A instead of E. This is known as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

How would the nurse assess CN VIII Acoustic, vestibulocochlear: Select all that Apply

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

Explanation

A nurse teaches a male client how to perform testicular self-examination when the client's history reveals that he does not do it. The nurse would instruct the client to perform the self-examination at which frequency?

Correct Answer is A

Explanation

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During a respiratory physical assessment, the nurse directs the patient to say and repeat the letter E for the transmitted voice sounds assessment. The nurse by auscultation hears the letter A instead of E. This is known as: