ExamTopics Logo
Mail Usteam@examtopics.com
Menu
Test-Prep Discussions
exam questions

Exam NCLEX-RN All Questions

View all questions & answers for the NCLEX-RN exam
Go to Exam

Exam NCLEX-RN topic 1 question 74 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 74
Topic #: 1
[All NCLEX-RN Questions]

In a client with chest trauma, the nurse needs to evaluate mediastinal position. This can best be done by:

  • A. Auscultating bilateral breath sounds
  • B. Palpating for presence of crepitus
  • C. Palpating for trachial deviation
  • D. Auscultating heart sounds
Show Suggested Answer Hide Answer
Suggested Answer: C 🗳️
(A) No change in the breath sounds occurs as a direct result of the mediastinal shift. (B) Crepitus can occur owing to the primary disorder, not to the mediastinal shift. (C) Mediastinal shift occurs primarily with tension pneumothorax, but it can occur with very large hemothorax or pneumothorax. Mediastinal shift causes trachial deviation and deviation of the hearts point of maximum impulse. (D) No change in the heart sounds occurs as a result of the mediastinal shift.
by Pom_24 at Feb. 22, 2024, 9:09 p.m.

Comments

Chosen Answer:
This is a voting comment (?). It is better to Upvote an existing comment if you don't have anything to add.
Submit Cancel
Pom_24
7 months, 2 weeks ago
Answer C
upvoted 1 times
...
Community vote distribution
A (35%)
C (25%)
B (20%)
Other
Most Voted
A voting comment increases the vote count for the chosen answer by one.

Upvoting a comment with a selected answer will also increase the vote count towards that answer by one. So if you see a comment that you already agree with, you can upvote it instead of posting a new comment.

SaveCancel
exam
Someone Bought Contributor Access for:
DP-900
Sydney, 1 minute ago