NCLEX Question for auscultates chest sounds that are harsh and cracking, sounding like two pieces of leather being rubbed together

NCLEX Review Question

When the nurse auscultates chest sounds that are harsh and cracking, sounding like two pieces of leather being rubbed together, she records her finding as

a.pleural friction rub.
b.crackles.
c.sonorous wheezes.
d.sibilant wheezes.

Correct Answer: A
pleural friction rub.
Rationale: A pleural friction rub is heard secondary to inflammation and loss of lubricating pleural fluid.

crackles.
Rationale: Crackles are soft, high-pitched, discontinuous popping sounds that occur during inspiration.

sonorous wheezes.
Rationale: Sonorous wheezes are deep, low-pitched rumbling sounds heard primarily during expiration.

sibilant wheezes.
Rationale: Sibilant wheezes are continuous, musical, high-pitched, whistle-like sounds heard during inspiration and expiration.

Posted in: MSN NCLEX