UPDATE 2026
When auscultating breath sounds, the nurse should: - Answers compare side to side
proceeding from top to bottom.
The nurse is teaching a client how to perform a testicular self-examination. The nurse
tells the client which of the following? - Answers "Contact your health care provider
if you feel a painless pea-sized nodule."
While auscultating heart sounds, the nurse documents that S2 is best heard at the base.
This sound (S2) correlates with closure of which of the following? - Answers Aortic
and pulmonic valves
To auscultate the client's lung fields, the nurse uses a systematic pattern comparing: -
Answers side to side.
A nurse should perform the abdominal assessment using which of the following
sequences? - Answers Inspection, auscultation, percussion, and palpation
In assessing the client's lungs, the nurse notes that the lungs are normal upon
percussion. This means that the nurse detected: - Answers resonance.
Which of the following is not assessed when performing palpation of the thorax and
lungs? - Answers Breath sounds
In assessing the client's lungs the nurse hears adventitius breath sounds that are high-
pitched, continuous musical sounds, such as a squeak heard continuously during
inspiration or expiration, usually louder on expiration. These adventitious breath
sounds are known as: - Answers wheezes.
Wheezes are adventitious breath sounds that are high-pitched, continuous musical
sounds, such as a squeak heard continuously during inspiration or expiration.
Pleural friction rub - Answers has a dry, grating quality and is heard best during
inspiration.
During palpation of the breast, the client is instructed to extend an arm over her head,
and a small pillow or folded towel is placed under her shoulder to: - Answers spread
the tissue more evenly over the chest wall for easier palpation.
All of the following are expected changes of the breast tissue after menopause except
- Answers Clear discharge from nipples
Crackles/rales - Answers Fine, coarse popping sounds produced by sudden opening
of collapsed alveol
Hyperresonance - Answers Percussion sound heard over air-filled lung tissue
Vesicular sounds - Answers Inspiration > expiration, softer, and lower-pitched
Wheezes - Answers High-pitched whistling, musical sounds produced by narrowed
airways
Bronchovesicular sounds - Answers Expiration = inspiration, medium pitch, and
intensity
Pleural friction rub - Answers Grating sound produced by inflamed moving pleura
Bronchial sounds - Answers Expiration > inspiration, loud and high-pitched, and
heard over trachea
Resonance - Answers The expected percussion sound over the thorax
So that breast tissue will be spread evenly over the chest wall during an examination,
the nurse asks the client to lie supine with: - Answers the ipsilateral arm behind the
head.
The nurse should assist the client to a sitting position to provide the best position to
examine which of the following? - Answers Lungs