Nrsg 105 Exam Practice 3-Questions with
complete solutions
Lungs are less elastic and distensible, which decreases their ability to collapse and recoil.
The nurse is assessing the lungs of an older adult. Which of these changes are normal in the
respiratory system of the older adult?
"What you are experiencing is normal. Some women may interpret this as shortness of
breath, but it is a normal finding and nothing is wrong."
A woman in her 26th week of pregnancy states that she is "not really short of breath" but feels
that she is aware of her breathing and the need to breathe. What is the nurse's best reply?
Tuberculosis.
A 35-year-old recent immigrant is being seen in the clinic for complaints of a cough that is
associated with rust-colored sputum, low-grade afternoon fevers, and night sweats for the past 2
months. The nurse's preliminary analysis, based on this history, is that this patient may be
suffering from:
Shortness of breath, orthopnea, paroxysmal nocturnal dyspnea, and ankle edema
A 70-year-old patient is being seen in the clinic for severe exacerbation of his heart failure.
Which of these findings is the nurse most likely to observe in this patient?
Postnasal drip or sinusitis.
A patient comes to the clinic complaining of a cough that is worse at night but not as bad during
the day. The nurse recognizes that this cough may indicate:
,Pulmonary edema
During a morning assessment, the nurse notices that the patient's sputum is frothy and pink.
Which condition could this finding indicate?
Listening to at least one full respiration in each location
During auscultation of breath sounds, the nurse should correctly use the stethoscope in which of
the following ways?
Chest pain that is worse on deep inspiration and dyspnea
A patient has been admitted to the emergency department with a possible medical diagnosis of
pulmonary embolism. The nurse expects to see which assessment findings related to this
condition?
Crepitus
During palpation of the anterior chest wall, the nurse notices a coarse, crackling sensation over
the skin surface. On the basis of these findings, the nurse suspects:
Atelectatic crackles that do not have a pathologic cause.
The nurse is auscultating the lungs of a patient who had been sleeping and notices short,
popping, crackling sounds that stop after a few breaths. The nurse recognizes that these breath
sounds are:
Hypoventilation
, A patient has been admitted to the emergency department for a suspected drug overdose. His
respirations are shallow, with an irregular pattern, with a rate of 12 respirations per minute. The
nurse interprets this respiration pattern as which of the following?
Friction rub
A patient with pleuritis has been admitted to the hospital and complains of pain with breathing.
What other key assessment finding would the nurse expect to find upon auscultation?
Voice sounds are faint, muffled, and almost inaudible when the patient whispers "one, two,
three" in a very soft voice.
When the patient speaks in a normal voice, the examiner can hear a sound but cannot
exactly distinguish what is being said.
As the patient says a long "ee-ee-ee" sound, the examiner also hears a long "ee-ee-ee"
sound.
The nurse is assessing voice sounds during a respiratory assessment. Which of these findings
indicates a normal assessment?
Pericardium.
The sac that surrounds and protects the heart is called the:
Right atrium right ventricle pulmonary artery lungs pulmonary vein left atrium left
ventricle
The direction of blood flow through the heart is best described by which of these?
The atria contract toward the end of diastole and push the remaining blood into the
ventricles.
complete solutions
Lungs are less elastic and distensible, which decreases their ability to collapse and recoil.
The nurse is assessing the lungs of an older adult. Which of these changes are normal in the
respiratory system of the older adult?
"What you are experiencing is normal. Some women may interpret this as shortness of
breath, but it is a normal finding and nothing is wrong."
A woman in her 26th week of pregnancy states that she is "not really short of breath" but feels
that she is aware of her breathing and the need to breathe. What is the nurse's best reply?
Tuberculosis.
A 35-year-old recent immigrant is being seen in the clinic for complaints of a cough that is
associated with rust-colored sputum, low-grade afternoon fevers, and night sweats for the past 2
months. The nurse's preliminary analysis, based on this history, is that this patient may be
suffering from:
Shortness of breath, orthopnea, paroxysmal nocturnal dyspnea, and ankle edema
A 70-year-old patient is being seen in the clinic for severe exacerbation of his heart failure.
Which of these findings is the nurse most likely to observe in this patient?
Postnasal drip or sinusitis.
A patient comes to the clinic complaining of a cough that is worse at night but not as bad during
the day. The nurse recognizes that this cough may indicate:
,Pulmonary edema
During a morning assessment, the nurse notices that the patient's sputum is frothy and pink.
Which condition could this finding indicate?
Listening to at least one full respiration in each location
During auscultation of breath sounds, the nurse should correctly use the stethoscope in which of
the following ways?
Chest pain that is worse on deep inspiration and dyspnea
A patient has been admitted to the emergency department with a possible medical diagnosis of
pulmonary embolism. The nurse expects to see which assessment findings related to this
condition?
Crepitus
During palpation of the anterior chest wall, the nurse notices a coarse, crackling sensation over
the skin surface. On the basis of these findings, the nurse suspects:
Atelectatic crackles that do not have a pathologic cause.
The nurse is auscultating the lungs of a patient who had been sleeping and notices short,
popping, crackling sounds that stop after a few breaths. The nurse recognizes that these breath
sounds are:
Hypoventilation
, A patient has been admitted to the emergency department for a suspected drug overdose. His
respirations are shallow, with an irregular pattern, with a rate of 12 respirations per minute. The
nurse interprets this respiration pattern as which of the following?
Friction rub
A patient with pleuritis has been admitted to the hospital and complains of pain with breathing.
What other key assessment finding would the nurse expect to find upon auscultation?
Voice sounds are faint, muffled, and almost inaudible when the patient whispers "one, two,
three" in a very soft voice.
When the patient speaks in a normal voice, the examiner can hear a sound but cannot
exactly distinguish what is being said.
As the patient says a long "ee-ee-ee" sound, the examiner also hears a long "ee-ee-ee"
sound.
The nurse is assessing voice sounds during a respiratory assessment. Which of these findings
indicates a normal assessment?
Pericardium.
The sac that surrounds and protects the heart is called the:
Right atrium right ventricle pulmonary artery lungs pulmonary vein left atrium left
ventricle
The direction of blood flow through the heart is best described by which of these?
The atria contract toward the end of diastole and push the remaining blood into the
ventricles.
