NURS 631 ADVANCED HEALTH ASSESSMENT TEST 1
2025/2026 QUESTIONS AND CORRECT ANSWERS
GRADED A+ D’YOUVILLE UNIVERSITY LATEST
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.
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.
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?
A. Bronchitis
B. Pleural effusion
,C. Lobar pneumonia
D. Pulmonary infarction
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
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
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
ABE
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
D
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
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
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
ACD
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
2025/2026 QUESTIONS AND CORRECT ANSWERS
GRADED A+ D’YOUVILLE UNIVERSITY LATEST
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.
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.
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?
A. Bronchitis
B. Pleural effusion
,C. Lobar pneumonia
D. Pulmonary infarction
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
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
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
ABE
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
D
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
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
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
ACD
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
