NCLEX RN Prioritization Questions - Nurselytic

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NCLEX RN Prioritization Questions Questions

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Question 1 of 5

When auscultating the patient's lungs during a shift assessment on a patient admitted in the early phase of heart failure, which finding would the nurse most likely hear?

Correct Answer: C

Rationale: In the early phase of heart failure, fine crackles are likely to be heard upon auscultation of the lungs. Fine crackles are characterized as discontinuous, high-pitched sounds of short duration heard on inspiration. Rhonchi are continuous rumbling, snoring, or rattling sounds mainly on expiration, which are often associated with airway secretions. Coarse crackles are a series of long-duration, discontinuous, low-pitched sounds during inspiration, typically indicating fluid in the alveoli. Wheezes are continuous high-pitched musical sounds on inspiration and expiration, commonly heard in conditions like asthma or chronic obstructive pulmonary disease (COP
D).
Therefore, the correct choice is C, as it describes the expected lung sounds in a patient with early heart failure.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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