Which general survey question focuses on the common "fifth vital sign"?

"When was the last time you experienced a fever?"

"Do you consider yourself a happy person?"

"Do you monitor your blood pressure regularly?"

"Are you experiencing any pain right now?"

Answer and Explanation

The Correct Answer is D

A. "When was the last time you experienced a fever?": This question pertains to the assessment of body temperature, which is part of the vital signs but not the "fifth vital sign."

B. "Do you consider yourself a happy person?": This question focuses on emotional well-being, not the "fifth vital sign."

C. "Do you monitor your blood pressure regularly?": This pertains to blood pressure monitoring, which is one of the vital signs but not the "fifth vital sign."

D. "Are you experiencing any pain right now?": Pain is often referred to as the "fifth vital sign" and is assessed to understand a patient's overall health and comfort.

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Correct Answer is A

Explanation

A. Vesicular: Vesicular breath sounds are normal and are heard over most of the lung fields. They are soft and low-pitched.

B. Tracheal: Tracheal breath sounds are harsh and high-pitched, typically heard over the trachea rather than over most of the lung fields.

C. Bronchial: Bronchial breath sounds are loud and high-pitched, usually heard over the trachea and larynx, not over most lung areas.

D. Bronchovesicular: These sounds are heard between the sternum and the interscapular area but are not as commonly heard over most of the lung fields compared to vesicular sounds.

A. Wheezes B. Rhonchi C. Coarse crackles (rales) D. No sound

Correct Answer is C

Explanation

A. Wheezes: Wheezes are high-pitched sounds usually associated with airway constriction, such as in asthma, not specifically lobar pneumonia.

B. Rhonchi: Rhonchi are low-pitched, snoring sounds associated with secretions in the airways and may be present in pneumonia but are not the most characteristic finding.

C. Coarse crackles (rales): Coarse crackles or rales are bubbling, crackling sounds heard when air moves through fluid in the airways, which is typical in pneumonia due to the presence of alveolar fluid.

D. No sound: Absence of sound is not expected in pneumonia; adventitious sounds like crackles are usually present.

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Which general survey question focuses on the common "fifth vital sign"?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to auscultate the lung sounds of a young adult. Which sound will the nurse expect to hear over most of the client's lungs?

Correct Answer is A

Explanation

A senior patient is being admitted due to lobar pneumonia to the med-surgical floor. When auscultating, the nurse would expect to listen to which of the following adventitious breath sounds?

Correct Answer is C

Explanation

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