College of Nursing | Exam Q&A | Latest Update | Graded A+
1. Current estimates indicate that among U.S. women, the risk for development
of breast cancer by the age of 80 years is
1 in 8
1 in 50
1 in 25
1 in 15
2. What anatomical features should a nurse observe during the anterior chest
inspection of an adult?
Symmetry of the chest wall
Skin color changes
Breath sounds
Presence of wheezing
3. A teenage patient comes to the emergency department with complaints of
an inability to breathe and a sharp pain in the left side of his chest. The
assessment findings include tachypnea, decreased tactile fremitus on the left,
and decreased breath sounds on the left. What do these findings suggest?
Pneumonia
Early COPD
Asthma
Pneumothorax
,4. A 62 year-old woman comes to the clinic with a history of COPD. Which
assessment finding would you be most likely to observe?
Pectus Excavatum
Barrel chest
Scoliosis
Kyphosis
5. Which statement is true regarding bronchovesicular breath sounds?
similar to bronchial sounds except that they are shorter in duration.
expected near the major airways.
musical in quality
usually pathological
6. During a respiratory assessment, if a patient presents with a dull percussion
note over the right lower lung lobe, what condition might you suspect?
Asthma exacerbation
Normal lung function
Pneumonia or pleural effusion
Chronic obstructive pulmonary disease
7. During the exam of a 70 y/o man, you note gynecomastia. You would:
Refer for a biopsy
Review the meds for drugs that have gynecomastia as a side effect
Refer for a mammogram
Proceed with the exam since this is a normal part of the aging process
,8. A patient has been admitted to the emergency department for a suspected
drug overdose. His respirations are shallow, with an irregular pattern, with a
rate of 12 per minute. The nurse interprets this respiration pattern as which of
the following?
Bradypnea
Chronic obstructive breathing
Hypoventilation
Cheyne-Stokes respirations
9. Dull percussion notes elected over the left lower lobe of the posterior lung
are most likely due to:
underlying bony structures
hyperinflation of the lung tissue
expected changes with pneumothorax
increased density of lung tissue
10. Why is it important to observe for retraction or lag in movement during a
breast examination?
It helps to assess the size of the breasts.
It allows for a better aesthetic evaluation of the breasts.
It is a standard procedure that does not have clinical significance.
Observing for retraction or lag in movement can indicate
underlying issues such as malignancy or other abnormalities.
11. Describe the importance of colostrum in the early stages of breastfeeding.
, Colostrum is primarily composed of water and does not provide
significant nutrients.
Colostrum is only produced after the first month of pregnancy.
Colostrum is rich in antibodies and nutrients that help protect
newborns and support their immune system.
Colostrum is a type of formula that is used when breastfeeding is not
possible.
12. Describe the significance of identifying bronchovesicular breath sounds
during a respiratory assessment.
Bronchovesicular breath sounds are always a sign of respiratory
distress.
Bronchovesicular breath sounds are only heard in patients with
pneumonia.
Bronchovesicular breath sounds indicate normal airflow in the
major bronchi and can help differentiate between normal and
abnormal lung conditions.
Bronchovesicular breath sounds indicate a blockage in the airways.
13. Describe how chronic obstructive pulmonary disease (COPD) affects lung
function and the typical findings during a respiratory assessment.
COPD causes increased lung capacity and reduced respiratory rate.
COPD leads to obstructed airflow, resulting in symptoms like
shortness of breath and wheezing during assessment.
COPD primarily affects the heart, not the lungs.
COPD has no impact on lung function or assessment findings.