# During a respiratory assessment, the nurse hears the sound in the recording. Which description should the nurse document?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=604456&lang=en  
> language: en  
> subject: Medical Emergencies  
> category: PA

## Question

During a respiratory assessment, the nurse hears the sound in the recording. Which description should the nurse document?

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🎧Respiratory auscultation recording

Use headphones if available. You may replay the recording.

1

Soft vesicular breath sounds over the peripheral lung fields

✕

2

Continuous musical wheezing, most prominent during expiration

✕

3

Discontinuous inspiratory crackles

✕

4

A harsh upper-airway sound consistent with stridor

✕

## Explanation

The recording demonstrates a continuous musical wheeze. Wheezing is produced by airflow through narrowed airways and is commonly more prominent during expiration.

## In-depth explanation

Quick answer
Document continuous musical wheezing, most prominent during expiration.
Clinical reasoning
The recording is continuous and musical. Wheezing may occur with several conditions, so the assessment should describe the sound and phase instead of naming a disease from audio alone.
Audio attribution
James Heilman, MD; noise-reduced derivative by Natural Philo · CC-BY-SA-3.0
**Sources**
- NCBI Bookshelf — Nursing Skills: Respiratory Assessment

- Audio source and license record

## Key concepts

- **Wheeze** — A continuous musical breath sound produced by airflow through narrowed airways.
- **Expiration** — The phase of breathing during which air moves out of the lungs.

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