NUR631 Midterm Exam Prep Test
NUR631 Midterm Exam Prep Test Bank 1
Latest / NUR 631 Advanced Health
Assessment Newest Midterm Exam Prep Test
Bank with 300+ Questions and Correct
Answers
The diaphragm of the stethoscope held firmly against the chest is the correct way to
auscultate breath sounds. The patient should be instructed to breathe through his or her
mouth, a little deeper than usual, but not to hyperventilate. (Bates, p323)
You can tell that you hear bronchovesicular sounds by the:
A) soft, low pitch sound you hear over most of both lung. The inspiratory sounds last longer
than the expiratory sounds.
B) very loud and relatively high pitch of the sounds heard over the trachea in the neck
A+ TEST BANK 1
, NUR631 Midterm Exam Prep Test
C) inspiratory and expiratory sounds are equal in duration and pitch is intermediate. Sounds
are heard in the 1st and 2nd interspaces anteriorly and between the scapulae
D) crepitus palpated at the costochrondral junctions –
Correct Answer :C) inspiratory and expiratory sounds are equal in duration and pitch is
intermediate. Sounds are heard in the 1st and 2nd interspaces anteriorly and between the
scapulae
Bronchovesicular breath sounds are heard in the 1st and 2nd interspaces anteriorly and
between the scapulae. They are intermediate in intensity. Inspiration to expiration periods are
equal. Inspiration and expiration are equal. (Bates, p324)
The NP knows that normal newborn lung sounds:
A) are harsh and loud in the upper airway of the infant because the stethoscope is closer to
the origin of the sounds
B) are vesicular
C) are easily auscultated without the stethoscope
D) are quiet in the infant compared to the adult –
Correct Answer :A) are harsh and loud in the upper airway of the infant because the
stethoscope is closer to the origin of the sounds
Fine crackles are commonly heard in the immediate newborn period as a result of the opening
of the airways and learning of fluid. Persistent fine crackles would be noticed with pneumonia,
bronchiolitis, or atelectasis. (Bates, p 831)
During an assessment of an adult, the nurse practitioner has noted abnormally located
bronchovesicular breath sounds and asks the patient to say "ee" which sounds like "a." Which
of the following is true?
A+ TEST BANK 2
, NUR631 Midterm Exam Prep Test
A) The NP suspects the patient has had a pneumothorax.
B) The NP suspects the patient is in the early phases of COPD.
C) The NP documents that there is positive egophony and he/she becomes highly suspicious
of pneumonia.
D) The NP concludes that there is only a low likelihood that the patient has pneumonia. –
Correct Answer :C) The NP documents that there is positive egophony and he/she becomes
highly suspicious of pneumonia.
If "ee" sounds like "a" then egophony is present and it could be a sign of pneumonia. (Bates,
p327).
A teenage patient comes to the emergency room with complaints of an "inability to breathe
and a sharp pain in my left chest." Your assessment findings include the following: Cyanosis,
tachypnea, tracheal deviation to the right, decreased tactile fremitus on the left,
hyperresonance on the left, and decreased breath sounds on the left. This description is
consistent with:
A) acute pneumonia
B) an asthmatic attack
C) a pneumothorax
D) bronchitis –
Correct Answer :C) a pneumothorax
With a pneumothorax, free air in the pleural space causes partial or complete lung collapse. If
the pneumothorax is large then tachypnea and cyanosis are seen. Unequal chest expansion,
decreased or absent tactile fremitus, tracheal deviation to the unaffected side, decreased
chest expansion, hyperresonnant percussion tones, and decreased or absent breath sounds
are found with the presence of a pneumothorax. (Bates, p 340)
A+ TEST BANK 3
, NUR631 Midterm Exam Prep Test
The diameter of the PMI is approximately:
A) 1-2.5 cm in diameter and any larger is evidence of mitral valve prolapse
B) 1-2.5 cm in diameter and any larger is evidence of left ventricular hypertrophy
C) .5-1 cm in diameter and any larger is evidence supporting left ventricular hypertrophy
D) .5-1 cm in diameter and any larger is evidence of mitral valve prolapse –
Correct Answer :B) 1-2.5 cm in diameter and any larger is evidence of left ventricular
hypertrophy
(Bates p 344)
The direction of blood flow through the heart is best described by which of the following?
A) Aorta - R atrium - R ventricle - lungs - pulmonary vein - L atrium - L ventricle - vena cava
B) R atrium - R ventricle - pulmonary vein - lungs - pulmonary artery - L atrium - L ventricle
C) R atrium - R ventricle - pulmonary artery - lungs - pulmonary vein - L atrium - L ventricle
D) Vena cava - R atrium - R ventricle - lungs - pulmonary artery- L atrium - L ventricle –
Correct Answer :C) R atrium - R ventricle - pulmonary artery - lungs - pulmonary vein - L atrium
- L ventricle
Returning blood from the body empties into the R atrium and flows into the R ventricle, then
goes to the lungs through the pulmonary artery. The lungs oxygenate the blood and it is then
returned to the L atrium by the pulmonary vein. It goes from there to the L ventricle and then
out to the body through the aorta (Bates, pg 345)
When listening to heart sounds, the nurse knows that the valve closures that can be heard for
S2 is:
A) pulmonic
A+ TEST BANK 4
NUR631 Midterm Exam Prep Test Bank 1
Latest / NUR 631 Advanced Health
Assessment Newest Midterm Exam Prep Test
Bank with 300+ Questions and Correct
Answers
The diaphragm of the stethoscope held firmly against the chest is the correct way to
auscultate breath sounds. The patient should be instructed to breathe through his or her
mouth, a little deeper than usual, but not to hyperventilate. (Bates, p323)
You can tell that you hear bronchovesicular sounds by the:
A) soft, low pitch sound you hear over most of both lung. The inspiratory sounds last longer
than the expiratory sounds.
B) very loud and relatively high pitch of the sounds heard over the trachea in the neck
A+ TEST BANK 1
, NUR631 Midterm Exam Prep Test
C) inspiratory and expiratory sounds are equal in duration and pitch is intermediate. Sounds
are heard in the 1st and 2nd interspaces anteriorly and between the scapulae
D) crepitus palpated at the costochrondral junctions –
Correct Answer :C) inspiratory and expiratory sounds are equal in duration and pitch is
intermediate. Sounds are heard in the 1st and 2nd interspaces anteriorly and between the
scapulae
Bronchovesicular breath sounds are heard in the 1st and 2nd interspaces anteriorly and
between the scapulae. They are intermediate in intensity. Inspiration to expiration periods are
equal. Inspiration and expiration are equal. (Bates, p324)
The NP knows that normal newborn lung sounds:
A) are harsh and loud in the upper airway of the infant because the stethoscope is closer to
the origin of the sounds
B) are vesicular
C) are easily auscultated without the stethoscope
D) are quiet in the infant compared to the adult –
Correct Answer :A) are harsh and loud in the upper airway of the infant because the
stethoscope is closer to the origin of the sounds
Fine crackles are commonly heard in the immediate newborn period as a result of the opening
of the airways and learning of fluid. Persistent fine crackles would be noticed with pneumonia,
bronchiolitis, or atelectasis. (Bates, p 831)
During an assessment of an adult, the nurse practitioner has noted abnormally located
bronchovesicular breath sounds and asks the patient to say "ee" which sounds like "a." Which
of the following is true?
A+ TEST BANK 2
, NUR631 Midterm Exam Prep Test
A) The NP suspects the patient has had a pneumothorax.
B) The NP suspects the patient is in the early phases of COPD.
C) The NP documents that there is positive egophony and he/she becomes highly suspicious
of pneumonia.
D) The NP concludes that there is only a low likelihood that the patient has pneumonia. –
Correct Answer :C) The NP documents that there is positive egophony and he/she becomes
highly suspicious of pneumonia.
If "ee" sounds like "a" then egophony is present and it could be a sign of pneumonia. (Bates,
p327).
A teenage patient comes to the emergency room with complaints of an "inability to breathe
and a sharp pain in my left chest." Your assessment findings include the following: Cyanosis,
tachypnea, tracheal deviation to the right, decreased tactile fremitus on the left,
hyperresonance on the left, and decreased breath sounds on the left. This description is
consistent with:
A) acute pneumonia
B) an asthmatic attack
C) a pneumothorax
D) bronchitis –
Correct Answer :C) a pneumothorax
With a pneumothorax, free air in the pleural space causes partial or complete lung collapse. If
the pneumothorax is large then tachypnea and cyanosis are seen. Unequal chest expansion,
decreased or absent tactile fremitus, tracheal deviation to the unaffected side, decreased
chest expansion, hyperresonnant percussion tones, and decreased or absent breath sounds
are found with the presence of a pneumothorax. (Bates, p 340)
A+ TEST BANK 3
, NUR631 Midterm Exam Prep Test
The diameter of the PMI is approximately:
A) 1-2.5 cm in diameter and any larger is evidence of mitral valve prolapse
B) 1-2.5 cm in diameter and any larger is evidence of left ventricular hypertrophy
C) .5-1 cm in diameter and any larger is evidence supporting left ventricular hypertrophy
D) .5-1 cm in diameter and any larger is evidence of mitral valve prolapse –
Correct Answer :B) 1-2.5 cm in diameter and any larger is evidence of left ventricular
hypertrophy
(Bates p 344)
The direction of blood flow through the heart is best described by which of the following?
A) Aorta - R atrium - R ventricle - lungs - pulmonary vein - L atrium - L ventricle - vena cava
B) R atrium - R ventricle - pulmonary vein - lungs - pulmonary artery - L atrium - L ventricle
C) R atrium - R ventricle - pulmonary artery - lungs - pulmonary vein - L atrium - L ventricle
D) Vena cava - R atrium - R ventricle - lungs - pulmonary artery- L atrium - L ventricle –
Correct Answer :C) R atrium - R ventricle - pulmonary artery - lungs - pulmonary vein - L atrium
- L ventricle
Returning blood from the body empties into the R atrium and flows into the R ventricle, then
goes to the lungs through the pulmonary artery. The lungs oxygenate the blood and it is then
returned to the L atrium by the pulmonary vein. It goes from there to the L ventricle and then
out to the body through the aorta (Bates, pg 345)
When listening to heart sounds, the nurse knows that the valve closures that can be heard for
S2 is:
A) pulmonic
A+ TEST BANK 4
