Here are some NCLEX-style questions based on bronchophony, egophony, and whispered pectoriloquy:

1. Question 1: A nurse is assessing a patient with suspected pneumonia. During auscultation, the nurse asks the patient to say “ninety-nine.” The nurse hears the words clearly through the stethoscope. What should the nurse document?

   • A) Normal bronchial sounds
   • B) Bronchophony
   • C) Egophony
   • D) Whispered pectoriloquy

   Correct Answer: B) Bronchophony
   Rationale: Bronchophony is characterized by clear transmission of spoken words when auscultating over consolidated lung tissue, suggesting possible pneumonia.

2. Question 2: The nurse is performing a respiratory assessment on a patient. When the patient is asked to say "E," the nurse notes that it sounds like "A" through the stethoscope. What should the nurse conclude from this finding?

   • A) Normal lung function
   • B) Egophony
   • C) Bronchophony
   • D) Whispered pectoriloquy

   Correct Answer: B) Egophony
   Rationale: Egophony is indicated when the "E" sound is heard as "A," often suggesting the presence of fluid or consolidation in the lungs.

3. Question 3: During a clinical rotation, a nursing student is assessing lung sounds. The instructor asks the student to perform whispered pectoriloquy. Which of the following indicates a positive finding?

   • A) The student cannot hear the whispers.
   • B) The whispers are faint and distant.
   • C) The whispers are clear and distinct.
   • D) The patient is unable to whisper.

   Correct Answer: C) The whispers are clear and distinct.
   Rationale: A positive whispered pectoriloquy test occurs when whispered sounds are transmitted clearly through the stethoscope, suggesting consolidation.

4. Question 4: What could a nurse suspect if bronchophony is detected during a respiratory assessment?

   • A) Normal lung function
   • B) Asthma exacerbation
   • C) Lobar pneumonia
   • D) Acute bronchitis

   Correct Answer: C) Lobar pneumonia
   Rationale: The presence of bronchophony typically indicates lung consolidation, which is often associated with conditions like lobar pneumonia.

These questions provide practice on assessing voice sounds during a respiratory examination and understanding the implications of abnormal findings, which is essential for NCLEX preparation. If you want more questions or specific topics, feel free to ask!