Advanced Health Assessment Exam 1 Questions and Correct Answers Verified 2025

What is the function of the goblet cells of the lungs? A. To enable the exchange of gases B. To sweep away particulate matter C. To provide space for gas exchange D. To entrap small particulate matter - Correct Ans-D How does the nurse assess for tactile fremitus in a patient? A. By placing the fingertips on the sides of the neck B. By placing the thumb on the spinous process of the patienT C. By placing warmed hands sideways on the posterolateral chest wall D. By placing the palmar base of one hand to touch the patient's chest - Correct Ans-d The student nurse is listing the characteristics of normal breath sounds. Which characteristics of normal breath sounds should the student nurse include? Select all that apply. A. Amplitude B. Depth C. Pitch D. Quality E. Pressure - Correct Ans-A C D The nurse starts to count the ribs of the patient from the angle of Louis. Which statement precisely describes the "angle of Louis"? A. It is continuous with the first rib. B. It marks the top edge of the sternum .C. It is also known as the suprasternal notch .D. It is the articulation of the manubrium and the body of the sternum. - Correct Ans-D The nurse notices that a patient occasionally sighs when breathing. What should the nurse expect to happen as a result of sighing? A. It expands the alveoli. B. It leads to tachypnea. C. It causes hypoventilation. D. It leads to slow breathing. - Correct Ans-A While assessing the tactile fremitus of the patient, the nurse learns that the fremitus is decreased. Which disorder may be diagnosed in the patient? Health Health A. Bronchitis B. Pleural effusion C. Lobar pneumonia D. Pulmonary infarction - Correct Ans-B The nurse is assessing the bronchial breath sounds of a patient. Where should the nurse place the stethoscope? A. Over the trachea and the larynx B. Over the peripheral lung fields C. Posterior between the scapulae D. Anterior near the upper sternum - Correct Ans-A During the chest assessment of a patient, which reference line does the nurse note on the posterior chest wall? A. The midspinal line B. The midaxillary line C. The midsternal line D. The midclavicular line - Correct Ans-A What action should the nurse include when auscultating the anterior chest of a patient for breath sounds? Select all that apply .A. Starts the auscultation at the apices in the supraclavicular areaS B. Auscultates and listens for one full respiration in each location C. Examines one side completely and then examines the other side D. Listens with a stethoscope over the breast in the female patient E. Completes the examination by auscultating down to the sixth rib - Correct Ans-A B E The nurse is caring for a patient with a regular breathing rate of eight breaths per minute. What is the most likely cause for this condition? A. Prolonged bed rest B. Splinting of the chest C. Overdose of stimulants D. Drug-induced depression - Correct Ans-D What assessment finding will the nurse document in a patient with pneumonia? A. A smooth chest expansion B. A lag in the chest expansion C. A palpable grating sensation D. A slight inspiratory variation - Correct Ans-B Increased tactile fremitus would be evident in an individual who has which of the following conditions? A. Emphysema B. Pneumonia C. Crepitus D. Pneumothorax - Correct Ans-B Health Health A common clinical manifestation in a patient with chronic obstructive pulmonary disease (COPD) is :A. periodic breathing patterns .B. pursed-lip breathing. C. unequal chest expansion .D. hyperventilation. - Correct Ans-B Which of the following is not included in the definition of the thoracic cage? A. Sternum B. Ribs C. Costochondral junction D. Diaphragm - Correct Ans-C Inspiration is primarily facilitated by which of the following muscles? A. Diaphragm and rectus abdominis B. Trapezius and sternomastoids C. Internal intercostal and abdominis D. Diaphragm and intercostal - Correct Ans-D Which of the following voice sounds would be a normal finding? A. The voice transmission is distinct and sounds close to the ear. B. The "eeeee" sound is clear and sounds like "eeeee." C. The whispered sound is transmitted clearly. D. Whispered "1-2-3" is audible and distinct. - Correct Ans-B The gradual loss of intra-alveolar septa and a decreased number of alveoli in the lungs of elderly adults cause: A. hyperventilation. B. spontaneous atelectasis. C. decreased surface area for gas exchange. D. decreased dead space. - Correct Ans-C The function of the trachea and bronchi is to: A. transport gases between the environment and the lung parenchyma. B. condense inspired air for better gas exchange. C. moisturize air for optimum respiration. D. increase air turbulence and velocity for maximum gas transport. - Correct Ans-A Stridor is a high-pitched, inspiratory crowing sound commonly associated with: A. upper airway obstruction. B. atelectasis. C. congestive heart failure .D. pneumothorax. - Correct Ans-A Percussion of the chest is: Health Health A. a useful technique for identifying small lesions in lung tissue. B. helpful only in identifying surface alterations of lung tissue. C. is not influenced by the overlying chest muscle and fat tissue. D. normal if a dull note is elicited. - Correct Ans-B Which of the following pairs correctly expresses the relationship to the lobes of the lungs and their anatomic position ?A. Upper lobes—lateral chest B. Upper lobes—posterior chest C. Lower lobes—posterior chest D. Lower lobes—anterior chest - Correct Ans-C An increase in the transverse diameter of the chest cage in a pregnant woman is due to a(n): A. compensatory increase in respiratory parenchyma .B. increase in estrogen. C. increase in surfactant .D. increase in tidal volume. - Correct Ans-B A flat macular hemorrhage is called a(n) :A. purpura. B. ecchymosis. C. petechiae. D. hemangioma. - Correct Ans-A A scooped-out, shallow depression in the skin is called a(n): A. ulcer. B. excoriation. C. fissure. D. erosion. - Correct Ans-D Risk factors that may lead to skin disease and breakdown include: A. loss of protective cushioning of the dermal skin layer. B. decreased vascular fragility. C. a lifetime of environmental trauma. D. increased thickness of the skin. - Correct Ans-C The components of a nail examination include: A. Contour, consistency, and color B. Shape, surface, circulation C. Clubbing, pitting, and grooving D. Texture, toughness, and translucency - Correct Ans-A What term refers to a linear skin lesion that runs along a nerve route? A. Zosteriform B. Annular Health Health C. Dermatome D. Shingles - Correct Ans-A To determine if a dark-skinned patient is pale, the nurse should assess the color of the: A. conjunctivae. B. earlobes. C. palms of the hands. D. skin in the antecubital space. - Correct Ans-A An example of a primary lesion is a(n): A. erosion. B. ulcer .C. urticaria. D. port-wine stain. - Correct Ans-C When taking the health history, the patient complains of pruritus. What is a common cause of this symptom? A. Excessive bruising B. Hyperpigmentation C. Melasma D. Drug reactions - Correct Ans-D A student nurse has been assigned to teach fourth graders about hygiene. While preparing, the student nurse adds information about the sweat glands. Which of the following should be included while discussing this topic? A. There are two types of sweat glands: eccrine glands and sebaceous glands. B. The evaporation of sweat, a dilute saline solution, increases body temperature. C. Eccrine glands produce sweat and are mainly located in the axillae, anogenital area, and navel .D. Newborn infants do not sweat and use compensatory mechanisms to control body temperature. - Correct Ans-D Functions of the skin include: A. production of vitamin C .B. temperature regulation. C. production of new cells by melanocytes. D. secretion of a drying substance called sebum. - Correct Ans-B Select the best description of the secretion of the eccrine glands. A) Thick, milky B) Dilute saline solution C) Protective lipid substance D) Keratin - Correct Ans-B To assess for early jaundice, you will assess: A. sclera and hard palate Health Health B. nail beds C. lips D. all visible skin surfaces - Correct Ans-A Checking for skin temperature is best accomplished by using :A. the palmar surface of the hands B. the ventral surface of the hands C. the fingertips D. the dorsal surface of the hands - Correct Ans-D Assessing a patient's skin turgor is done to assess which clinical finding? A. Edema B. Dehydration C. Vitiligo D. Scleroderma - Correct Ans-B You note a lesion during a skin assessment. Which is the best way to document this finding? A. Raised, irregular lesion the size of a quarter, located on dorsum of left hand B. Open lesion with no drainage or odor, approximately 1/4 inch in diameter C. Pedunculated lesion below left scapula with consistent red color and no drainage or odor D. Dark brown raised lesion, with irregular border, on dorsum of right foot, 3 cm in size, with no drainage - Correct Ans-D You examine the nail beds of a patient. Which finding indicates a normal angle? A. 60 degrees B. 100 degrees C. 160 degrees D. 180 degrees - Correct Ans-C You are assessing capillary refill. The room is warm. Which finding would be considered normal? A. 1 second B. 2 seconds C. 2 to 3 seconds D. Time is not significant as long as color returns - Correct Ans-A During a routine visit, M.B., age 78, asks about small, round, flat, brown macules on the hands. What is your best response after assessing the areas? A. "These re the result of sun exposure and do not require treatment." B. "These are related to exposure to the sun, they may become cancerous." C. "These are the skin tags that occur with agin, No treatment is required. "D. "I'm glad you brought this to my attention. I will arrange for a biopsy." - Correct Ans A Health Health An area of thin shiny skin with decreased visibility of normal skin markings is most likely: A. Lichenification B. Plaque C. Atrophy D. Keloid - Correct Ans-C Flattening of the angle between the nail and its base is: A. Found in subacute bacterial endocarditis B. A description of spoon-shaped nails C. Related to calcium deficiency D. Described as clubbing - Correct Ans-D A configuration of individual lesions arranged in circles or arcs, as occurs with ringworm, is described as a: A. Linear lesion B. Clustered lesion C. Annular lesion D. Gyrate lesion - Correct Ans-C The "A" in the ABCDE rule for skin cancer stands for: A. Accuracy B. Appearance C. Asymmetry D. Attenuated - Correct Ans-C A risk factor for melanoma is: A. Brown eyes B. Darkly pigmented skin C. Skin that freckles or burns before tanning D. Use of sunscreen products - Correct Ans-C Herpes zoster infection (shingles) is characterized by :A. A bacterial cause B. Lesion on only one side of the body; does not cross midline C. Absence of pain or edema D. Pustular, umbilicated lesion - Correct Ans-B The nurse is assessing a patient who has been admitted for liver failure. What finding would the nurse expect? A. Cyanosis B. Flushing C. Rubor D. Jaundice - Correct Ans-D The nurse recognizes which of these persons is at greatest risk for undernutrition? a.5-month-old infant Health Health b.50-year-old woman c.20-year-old college student d..30-year-old hospital administrator - Correct Ans-A When assessing a patient's nutritional status, the nurse recalls that the best definition of optimal nutritional status is sufficient nutrients that: a.Are in excess of daily body requirements. b.Provide for the minimum body needs. c.Provide for daily body requirements but do not support increased metabolic demands. d.Provide for daily body requirements and support increased metabolic demands. - Correct Ans-D The nurse is assessing a 30-year-old unemployed immigrant from an underdeveloped country who has been in the United States for 1 month. Which of these problems related to his nutritional status might the nurse expect to find? a.Obesity b.Hypotension c.Osteomalacia (softening of the bones d.Coronary artery disease - Correct Ans-C For the first time, the nurse is seeing a patient who has no history of nutrition-related problems. The initial nutritional screening should include which activity? a.Calorie count of nutrients b.Anthropometric measures c.Complete physical examination d.Measurement of weight and weight history - Co