NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answers with Rationale | Latest 2023/2024 | Rasmussen College

NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answers with Rationale | Latest 2023/2024 | Rasmussen College Which of these statements is true regarding the vertebra prominens? a. it is the spinous process of C7 b. it is nonpalpable in most individuals c. it is opposite the interior border of the scapula c. it is located next to the manubrium of the sternum - ANSWER a. it is the spinous process of C7 When performing a respiratory assessment on a patient, the nurse notices a costal angle of approximately 90 degrees. What should the nurse recognize about this finding? a. observed in patients with kyphosis b. indicative of pectus excavatum c. a normal finding in a healthy adult d. an expected finding in a patient with a barrel chest - ANSWER c. a normal finding in a healthy adult When assessing a patient's lungs, what should the nurse recall about the left lung? a. consists of two lobes b. is divided by the horizontal fissure c. primarily consists of an upper lobe on the posterior chest d. is shorted than the right lung because of the underlying stomach - ANSWER a. consists of two lobes Which statement about the apices of the lungs is true? a. are at the level of the second rib anteriorly b. extend 3 to 4 cm about the inner third of the clavicles c. are located at the sixth rib anteriorly and the eighth rib laterally d. rest on the diaphragm at the fifth intercostal space in the midclavicular line - ANSWER b. extend 3 to 4 cm about the inner third of the clavicles Where does the trachea bifurcate on the anterior chest? a. costal angle b. sternal angle c. xiphoid process d. suprasternal notch - ANSWER b. sternal angle During an assessment, the nurse knows that expected assessment findings in the normal adult lung include which findings? a. adventitious sounds and limited chest expansion b. muffled voice sounds and symmetric tactile fremitus c. increased tactile fremitus and dull percussion tones d. absent voice sounds and hyperresonant percussion tones - ANSWER b. muffled voice sounds and symmetric tactile fremitus What are the primary muscles of respiration? a. diaphragm and intercostals b. sternomastoids and scaleni c. trapezii and rectus abdominis d. external obliques and pectoralis major - ANSWER a. diaphragm and intercostals A 65 year old patient with a history of heart failure comes to the clinic stating "I keep waking up from sleep with shortness of breath". Which action by the nurse is most appropriate? a. obtain a detailed health history of the patient's allergies and a history of asthma b. tell the patient to sleep on his or her right side to facilitate ease of respirations c. assess for other signs and symptoms of paroxysmal nocturnal dyspnea d. assure the patient that paroxysmal nocturnal dyspnea is normal and will probably resolve within the next week - ANSWER c. assess for other signs and symptoms of paroxysmal nocturnal dyspnea When assessing tactile fremitus, the nurse recalls that it is normal to feel tactile fremitus most intensely over which location? a. between the scapulae b. third intercostal space. MCL c. over the lower lobes, posterior side d. fifth intercostal space, midaxillary line - ANSWER a. between the scapulae 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? a. is caused by moisture in the alveoli b. it caused by sounds generated from the larynx c. reflects the blood flow through the pulmonary arteries d. indicates that air is present in the subcutaneous tissues - ANSWER b. it caused by sounds generated from the larynx