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NSG 3160 Exam 3 ACTUAL QUESTIONS AND DETAILED SOLUTIONS JUST RELEASED.pdf

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When performing a respiratory assessment on a patient, the nurse notices a costal angle of approximately 90
degrees. This characteristic is:


A normal finding in a healthy adult.

3 multiple choice options



When assessing a patients lungs, the nurse recalls that the left lung:


Consists of two lobes.

3 multiple choice options

,Which statement about the apices of the lungs is true? The apices of the lungs:


Extend 3 to 4 cm above the inner third of the clavicles.

3 multiple choice options




During an examination of the anterior thorax, the nurse is aware that the trachea bifurcates anteriorly at the:


Sternal angle

3 multiple choice options




During an assessment, the nurse knows that expected assessment findings in the normal adult lung include the
presence of:


Muffled voice sounds and symmetric tactile fremitus.

3 multiple choice options




The primary muscles of respiration include the:


Diaphragm and intercostals.

3 multiple choice options

,A 65-year-old patient with a history of heart failure comes to the clinic with complaints of being awakened
from sleep with shortness of breath. Which action by the nurse is most appropriate?


Assessing for other signs and symptoms of paroxysmal nocturnal dyspnea

3 multiple choice options




When assessing tactile fremitus, the nurse recalls that it is normal to feel tactile fremitus most intensely over
which location?


Between the scapulae

3 multiple choice options




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? Tactile fremitus:


Is caused by sounds generated from the larynx.

3 multiple choice options



Tactile Fremitus is what?


Palpable vibration

, During percussion, the nurse knows that a dull percussion note elicited over a lung lobe most likely results
from:


Increased density of lung tissue.

3 multiple choice options




The nurse is observing the auscultation technique of another nurse. The correct method to use when
progressing from one auscultatory site on the thorax to another is _______ comparison.


Side-to-side

3 multiple choice options

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