NURS 525 ASSESSMENT:
THORAX AND LUNGS - CE
, 1. A nurse documents fine crack- D
les heard when auscultating
patient's breath sounds. What Crackles, also called rales, are fine, short, interrupted crack-
sounds did the nurse hear? ling sounds heard during the end of inspiration or expiration
and are usually not cleared with coughing. Rhonchi are loud,
A. Loud, low-pitched, coarse low-pitched, rumbling, coarse sounds heard most often dur-
sounds on inspiration ing inspiration or expiration that may be cleared by coughing.
B. Dry, grating sounds on in- Wheezes are high-pitched, continuous musical sounds like a
spiration squeak heard during inspiration or expiration; are usually loud-
C. High-pitched, musical er on expiration; and do not clear with coughing. A pleural fric-
squeaks on expiration tion rub has a dry, grating quality heard best during inspiration;
D. Fine, short, interrupted does not clear with coughing; and is heard loudest over the
crackling sounds at the end of lower lateral anterior surface.
inspiration or expiration
2. When listening to a patient's B
posterior chest, the nurse
hears loud, coarse rumbling Rhonchi, caused by muscular spasm, fluid, or mucus in the
sounds throughout the res- larger airways, often clear or lessen by coughing.
piratory cycle. What action
would the nurse take next?
A. Reposition the patient and
listen again.
B. Ask the patient to cough.
C. Switch to the bell of the
stethoscope.
D. Confirm findings in the an-
terior chest.
3. A 4-month-old patient is ad- A
mitted for respiratory dis-
1/5
THORAX AND LUNGS - CE
, 1. A nurse documents fine crack- D
les heard when auscultating
patient's breath sounds. What Crackles, also called rales, are fine, short, interrupted crack-
sounds did the nurse hear? ling sounds heard during the end of inspiration or expiration
and are usually not cleared with coughing. Rhonchi are loud,
A. Loud, low-pitched, coarse low-pitched, rumbling, coarse sounds heard most often dur-
sounds on inspiration ing inspiration or expiration that may be cleared by coughing.
B. Dry, grating sounds on in- Wheezes are high-pitched, continuous musical sounds like a
spiration squeak heard during inspiration or expiration; are usually loud-
C. High-pitched, musical er on expiration; and do not clear with coughing. A pleural fric-
squeaks on expiration tion rub has a dry, grating quality heard best during inspiration;
D. Fine, short, interrupted does not clear with coughing; and is heard loudest over the
crackling sounds at the end of lower lateral anterior surface.
inspiration or expiration
2. When listening to a patient's B
posterior chest, the nurse
hears loud, coarse rumbling Rhonchi, caused by muscular spasm, fluid, or mucus in the
sounds throughout the res- larger airways, often clear or lessen by coughing.
piratory cycle. What action
would the nurse take next?
A. Reposition the patient and
listen again.
B. Ask the patient to cough.
C. Switch to the bell of the
stethoscope.
D. Confirm findings in the an-
terior chest.
3. A 4-month-old patient is ad- A
mitted for respiratory dis-
1/5
