Nokea
You have just completed auscultation of the patient's lungs. The sounds that you heard were sort of rattling; however, they cleared when the patient coughed. What term accurately describes what you heard?
- A. Crackles
- B. Rhonchi
- C. Wheezes
- D. Pleural friction rub
- E. Stridor
Correct Answer: B
Rationale: Rhonchi are rattling sounds that often clear with coughing, indicating mucus in the larger airways.
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Which lobe(s) of the lungs is(are) accessible for auscultation only posteriorly and laterally?
- A. The left upper lobe
- B. The left lower lobe
- C. The right upper lobe
- D. The right middle lobe
- E. The right lower lobe
Correct Answer: B,E
Rationale: The left and right lower lobes are accessible posteriorly and laterally due to their anatomical position.
When you assessed the radial pulse and the apical pulse of one of your patients, you noted that one of the pulses was slower than the other one. Which one of the following describes the assessment finding that you obtained?
- A. The radial pulse was faster than the apical pulse
- B. The apical pulse was faster than the radial pulse
- C. The radial pulse was slower than the apical pulse
- D. The apical pulse was slower than the radial pulse
Correct Answer: C
Rationale: A pulse deficit occurs when the radial pulse is slower than the apical pulse due to weak or missed peripheral pulses.
Which lobe(s) of the lungs is(are) accessible for auscultation both anteriorly and posteriorly?
- A. The left upper lobe
- B. The left lower lobe
- C. The right upper lobe
- D. The right middle lobe
- E. The right lower lobe
Correct Answer: A,C
Rationale: The left and right upper lobes can be auscultated anteriorly and posteriorly due to their position in the chest.
Describe the assessments that should be performed in relation to these limited data.
- A. Skin turgor, mucous membrane moisture, pressure ulcer risk
- B. Capillary refill, weight, urine output
- C. Edema, skin integrity, mobility
- D. All of the above
Correct Answer: D
Rationale: For a dehydrated, bedridden patient, assess skin turgor, mucous membranes, pressure ulcer risk, capillary refill, weight, urine output, edema, skin integrity, and mobility.
At which of the following locations can you best hear the sound of the aortic valve?
- A. Just to the left of the sternum in the 3rd intercostal space
- B. To the left of the sternum in the 5th intercostal space in the midclavicular line
- C. Just to the right of the sternum in the 2nd intercostal space
- D. Just to the right of the sternum in the 4th intercostal space
Correct Answer: C
Rationale: The aortic valve is best heard at the right 2nd intercostal space near the sternum.