A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which adventitious breath sounds?

Wheezes

Crackles

Rhonchi

Stridor

Answer and Explanation

The Correct Answer is A

A. Wheezes are continuous high-pitched sounds that occur during expiration (or sometimes inspiration) and are common in conditions like asthma due to narrowed airways.

B. Crackles are discontinuous sounds often described as popping or crackling and are not typically high-pitched.

C. Rhonchi are low-pitched, snoring-like sounds caused by the obstruction of larger airways and are not characterized as high-pitched.

D. Stridor is a high-pitched sound usually associated with upper airway obstruction and is not typically heard with asthma.

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Free Nursing Study Resources

Correct Answer is F

Explanation

A. This is the correct answer as conjunctivitis, commonly known as pink eye, is characterized by redness, swelling, and discharge from the eye, which is likely what the image shows.

B. Cataracts typically present as clouding of the lens of the eye, leading to blurred vision but do not present with redness or discharge like conjunctivitis.

C. This condition often involves increased intraocular pressure and can lead to vision loss, but it does not usually cause the symptoms depicted in the image of conjunctivitis.

D. This is primarily associated with central vision loss and does not produce the external symptoms of redness or discharge typical of conjunctivitis.

A. VII B. X C. I D. II

Correct Answer is A

Explanation

Rationale:

A. Cranial nerve VII (facial nerve) is not primarily responsible for hearing; however, it does have some sensory function in the ear region. The primary cranial nerve responsible for hearing is cranial nerve VIII (vestibulocochlear), which is not listed among the options.

B. Cranial nerve X (vagus nerve) is primarily involved in autonomic functions and does not directly relate to hearing.

C. Cranial nerve I (olfactory nerve) is responsible for the sense of smell.

D. Cranial nerve II (optic nerve) is responsible for vision.

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A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which adventitious breath sounds?

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Naxlex Comprehensive Predictor Exams

Which abnormality is depicted in the image below?

Correct Answer is F

Explanation

When hearing is evaluated, which cranial nerve is being tested?

Correct Answer is A

Explanation

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