NUR631-ADVANCED HEALTH ASSESSMENT TEST
1|2025-2026|80 QUESTIONS AND
ANSWERS|GRADED A+:- D’youville university
The nurse knows that a normal finding when assessing the respiratory system
of an older adult is:
A. Increased thoracic expansion
B. Decreased mobility of the thorax
C. Decreased anteroposterior diameter
D. Bronchovesicular breath sounds throughout lungs
B. Decreased mobility of the thorax
Costal cartilage becomes calcified with aging
Which of these statements in true regarding the vertebra prominens? The
vertebra promenens is:
A. The spinous process of c7
B. Usually nonpalpable in most individuals
C. Opposite the interior border of the scapula
D. Located next to the manubrium of the sternum
A - spinous process of c7, landmark for counting ribs posteriorally
When performing a resp assessment on a pt, the nurse notices a costal angle of
approx. 90 degrees. This characteristic is:
,A. Observed in pts with kyphosis
B. Indicative of pecus excavatum
C. A normal finding in a healthy adult
D. An expected finding in a pt with barrel chest
C. A normal finding in a healthy adult
When assessing a pt's lungs, the nurse recalls that the left lung:
A. Consists of two lobes
B. Is divided by the hoizontal fissure
C. Primarilly consists of an upper lobe on the posterior chest
D. Is shorter than the right lung because of the underlying stomach.
A. Consists of two lobes
Which statement abut the apices of the lungs is true?
A. Are at the level of the second rib anteriorly
B. Extend 3-4cm above the inner third of the clavicles
C. Are located at the sixth rib anteriorly and eight rib laterally
D. Rest on the diaphragm at the fifth ics in the midclavicular line
B. Extend 3-4cm above the inner third of the clavicles
,During an exam of the anterior thorax, the nurse is aware that the trachea
bifurcates anteriorly at the:
A. Costal angle
B. Sternal angle
C. Xiphoid process
D. Suprasternal notch
B. Sternal angle
During an assessment, the nurse knows that expected assessment findings in
the normal adult lung include the presence of:
A. Adventitious sounds and limited chest expansion
B. Increased tactile fremitus and dull percussion notes
C. Muffled voice sounds and symmetric tactile fremitus
D. Absent voice sounds and hyperresonant percussion tones
C. Muffled voice sounds and symmetric tactile fremitus
The primary muscle of respiration include:
A. Diaphragm and intercostals
B. Sternomastoids and scaleni
C. Trapezii and rectus abdominus
D. External obliques and pectoralis major
A. Diaphragm and intercostals
, A 65 year-old pt with a hx of chf comes to the clinic with compaints of being
awakened from sleep with sob, which action by the nurse is most appropriate?
A. Obtain a detailed hhx of pt allergies and hx of asthma
B. Telling the pt to sleep on his or her right side to facilitate ease of
respirations
C. Assessing for other s/s of paroxysmal noctural dyspnea
D. Assuring the pt that paroxsymal nocturnal dyspnea is normal and will
probable resolve within the next week
C. Assessing for other s/s of paroxysmal noctural dyspnea
When assessing tactile fremitus, the nurse recalls that it is normal to feel
tactile fremitus most intensely over which location?
A. B/w the scapulae
B. 3rd ics, mcl
C. 5th ics, mal
D. Over the lower lobes, posterior side
A. B/w the scapulae (and around sternum)
The nurse is reviewing the technique of palpating for tactile fremitus with a
new graduate. Which statement by the graduate nurse reflects a correct
understanding of tactile fremitus?
1|2025-2026|80 QUESTIONS AND
ANSWERS|GRADED A+:- D’youville university
The nurse knows that a normal finding when assessing the respiratory system
of an older adult is:
A. Increased thoracic expansion
B. Decreased mobility of the thorax
C. Decreased anteroposterior diameter
D. Bronchovesicular breath sounds throughout lungs
B. Decreased mobility of the thorax
Costal cartilage becomes calcified with aging
Which of these statements in true regarding the vertebra prominens? The
vertebra promenens is:
A. The spinous process of c7
B. Usually nonpalpable in most individuals
C. Opposite the interior border of the scapula
D. Located next to the manubrium of the sternum
A - spinous process of c7, landmark for counting ribs posteriorally
When performing a resp assessment on a pt, the nurse notices a costal angle of
approx. 90 degrees. This characteristic is:
,A. Observed in pts with kyphosis
B. Indicative of pecus excavatum
C. A normal finding in a healthy adult
D. An expected finding in a pt with barrel chest
C. A normal finding in a healthy adult
When assessing a pt's lungs, the nurse recalls that the left lung:
A. Consists of two lobes
B. Is divided by the hoizontal fissure
C. Primarilly consists of an upper lobe on the posterior chest
D. Is shorter than the right lung because of the underlying stomach.
A. Consists of two lobes
Which statement abut the apices of the lungs is true?
A. Are at the level of the second rib anteriorly
B. Extend 3-4cm above the inner third of the clavicles
C. Are located at the sixth rib anteriorly and eight rib laterally
D. Rest on the diaphragm at the fifth ics in the midclavicular line
B. Extend 3-4cm above the inner third of the clavicles
,During an exam of the anterior thorax, the nurse is aware that the trachea
bifurcates anteriorly at the:
A. Costal angle
B. Sternal angle
C. Xiphoid process
D. Suprasternal notch
B. Sternal angle
During an assessment, the nurse knows that expected assessment findings in
the normal adult lung include the presence of:
A. Adventitious sounds and limited chest expansion
B. Increased tactile fremitus and dull percussion notes
C. Muffled voice sounds and symmetric tactile fremitus
D. Absent voice sounds and hyperresonant percussion tones
C. Muffled voice sounds and symmetric tactile fremitus
The primary muscle of respiration include:
A. Diaphragm and intercostals
B. Sternomastoids and scaleni
C. Trapezii and rectus abdominus
D. External obliques and pectoralis major
A. Diaphragm and intercostals
, A 65 year-old pt with a hx of chf comes to the clinic with compaints of being
awakened from sleep with sob, which action by the nurse is most appropriate?
A. Obtain a detailed hhx of pt allergies and hx of asthma
B. Telling the pt to sleep on his or her right side to facilitate ease of
respirations
C. Assessing for other s/s of paroxysmal noctural dyspnea
D. Assuring the pt that paroxsymal nocturnal dyspnea is normal and will
probable resolve within the next week
C. Assessing for other s/s of paroxysmal noctural dyspnea
When assessing tactile fremitus, the nurse recalls that it is normal to feel
tactile fremitus most intensely over which location?
A. B/w the scapulae
B. 3rd ics, mcl
C. 5th ics, mal
D. Over the lower lobes, posterior side
A. B/w the scapulae (and around sternum)
The nurse is reviewing the technique of palpating for tactile fremitus with a
new graduate. Which statement by the graduate nurse reflects a correct
understanding of tactile fremitus?
