When auscultating the lungs of an adult patient, the nurse notes that low-pitched, soft breath sounds are heard over the posterior lower lobes, with inspiration being longer than expiration. The nurse interprets that these sounds are:

Normally auscultated over the trachea.

Vesicular breath sounds and normal in that location.

Bronchial breath sounds and normal in that location.

Bronchovesicular breath sounds and normal in that location.

Answer and Explanation

The Correct Answer is B

A.   Normally auscultated over the trachea refers to bronchial breath sounds, which are louder and higher-pitched and heard over the trachea, not the lower lungs.
B.   Vesicular breath sounds and normal in that location are low-pitched and soft, heard over the peripheral lung fields, and normal for the lower lobes.
C.   Bronchial breath sounds and normal in that location would be expected near the trachea and bronchi, not over the peripheral lung fields.
D.   Bronchovesicular breath sounds and normal in that location are typically heard over the major bronchi, not the posterior lower lobes.

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Correct Answer is D

Explanation

A. Top-to-bottom comparison is not the best method for auscultation. A more systematic approach is needed.
B. Posterior-to-anterior comparison does not apply to all auscultation areas, and a consistent method across the thorax is preferred.
C. Interspace-by-interspace comparison involves comparing sounds across different intercostal spaces but is not a method for transitioning between sites.
D. Side-to-side comparison ensures the nurse is assessing both sides of the thorax equally and systematically, which is the correct approach.

A. 2nd intercostal space right of the sternal border B. 5th intercostal space medial to mid-clavicular line C. 2nd intercostal space left of the sternal border. D. 4-5th intercostal space left of the sternal border.

Correct Answer is A

Explanation

A. 2nd intercostal space right of the sternal border is the correct location for auscultating the aortic valve.
B. 5th intercostal space medial to the mid-clavicular line is the location for the mitral valve.
C. 2nd intercostal space left of the sternal border is the location for auscultating the pulmonic valve.
D. 4-5th intercostal space left of the sternal border is where the tricuspid valve is auscultated.

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When auscultating the lungs of an adult patient, the nurse notes that low-pitched, soft breath sounds are heard over the posterior lower lobes, with inspiration being longer than expiration. The nurse interprets that these sounds are:

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Naxlex Comprehensive Predictor Exams

The nurse is observing the auscultation technique of a student nurse. What is the correct method to use when progressing from one auscultatory site on the thorax to another?

Correct Answer is D

Explanation

A nurse is auscultating the aortic area and knows it is in which of the following areas:

Correct Answer is A

Explanation

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