PHARM NUR 210 GALEN EXAM 2 FINAL
SCRIPT PAPER 2026 VERIFIED SOLUTIONS
FULL CONTENT
◉The nurse is examining a 62-year-old man and notes that he has
bilateral gynecomastia. The nurse should explore his health history
for which related conditions? Select all that apply.
a. Malnutrition
b. Hyperthyroidism
c. Type 2 diabetes mellitus
d. Liver disease
e. History of alcohol abuse
Answer: ANS: B, D, E
◉Which of these statements is true regarding the vertebra
prominens? The vertebra prominens is:
a. The spinous process of C7.
b. Usually nonpalpable in most individuals.
c. Opposite the interior border of the scapula.
d. Located next to the manubrium of the sternum.
Answer: A
,◉When performing a respiratory assessment on a patient, the nurse
notices a costal angle of approximately 90 degrees. This
characteristic is:
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
◉During an examination of the anterior thorax, the nurse is aware
that the trachea bifurcates anteriorly at the:
a. Costal angle.
b. Sternal angle.
c. Xiphoid process.
d. Suprasternal notch.
Answer: B
◉During an assessment, the nurse knows that expected assessment
findings in the normal adult lung include the presence of:
a. Adventitious sounds and limited chest expansion.
b. Increased tactile fremitus and dull percussion tones.
c. Muffled voice sounds and symmetric tactile fremitus.
d. Absent voice sounds and hyperresonant percussion tones.
,Answer: C
◉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?
a. Obtaining a detailed health history of the patients allergies and a
history of asthma
b. Telling the patient to sleep on his or her right side to facilitate ease
of respirations
c. Assessing for other signs and symptoms of paroxysmal nocturnal
dyspnea
d. Assuring the patient that paroxysmal nocturnal dyspnea is normal
and will probably resolve within the next week
Answer: C
◉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.
a. Side-to-side
b. Top-to-bottom
c. Posterior-to-anterior
d. Interspace-by-interspace
Answer: A
, ◉When auscultating the lungs of an adult patient, the nurse notes
that low-pitched, soft breath sounds are heard over the posterior
lower lobes, with inspiration being longer than expiration. The
nurse interprets that these sounds are:
a. Normally auscultated over the trachea.
b. Bronchial breath sounds and normal in that location.
c. Vesicular breath sounds and normal in that location.
d. Bronchovesicular breath sounds and normal in that location.
Answer: C
◉The nurse is auscultating the chest in an adult. Which technique is
correct?
a. Instructing the patient to take deep, rapid breaths
b. Instructing the patient to breathe in and out through his or her
nose
c. Firmly holding the diaphragm of the stethoscope against the chest
d. Lightly holding the bell of the stethoscope against the chest to
avoid friction
Answer: C
◉auscultating the chest in an adult. Which technique is correct?
a. Instructing the patient to take deep, rapid breaths
b. Instructing the patient to breathe in and out through his or her
nose
SCRIPT PAPER 2026 VERIFIED SOLUTIONS
FULL CONTENT
◉The nurse is examining a 62-year-old man and notes that he has
bilateral gynecomastia. The nurse should explore his health history
for which related conditions? Select all that apply.
a. Malnutrition
b. Hyperthyroidism
c. Type 2 diabetes mellitus
d. Liver disease
e. History of alcohol abuse
Answer: ANS: B, D, E
◉Which of these statements is true regarding the vertebra
prominens? The vertebra prominens is:
a. The spinous process of C7.
b. Usually nonpalpable in most individuals.
c. Opposite the interior border of the scapula.
d. Located next to the manubrium of the sternum.
Answer: A
,◉When performing a respiratory assessment on a patient, the nurse
notices a costal angle of approximately 90 degrees. This
characteristic is:
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
◉During an examination of the anterior thorax, the nurse is aware
that the trachea bifurcates anteriorly at the:
a. Costal angle.
b. Sternal angle.
c. Xiphoid process.
d. Suprasternal notch.
Answer: B
◉During an assessment, the nurse knows that expected assessment
findings in the normal adult lung include the presence of:
a. Adventitious sounds and limited chest expansion.
b. Increased tactile fremitus and dull percussion tones.
c. Muffled voice sounds and symmetric tactile fremitus.
d. Absent voice sounds and hyperresonant percussion tones.
,Answer: C
◉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?
a. Obtaining a detailed health history of the patients allergies and a
history of asthma
b. Telling the patient to sleep on his or her right side to facilitate ease
of respirations
c. Assessing for other signs and symptoms of paroxysmal nocturnal
dyspnea
d. Assuring the patient that paroxysmal nocturnal dyspnea is normal
and will probably resolve within the next week
Answer: C
◉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.
a. Side-to-side
b. Top-to-bottom
c. Posterior-to-anterior
d. Interspace-by-interspace
Answer: A
, ◉When auscultating the lungs of an adult patient, the nurse notes
that low-pitched, soft breath sounds are heard over the posterior
lower lobes, with inspiration being longer than expiration. The
nurse interprets that these sounds are:
a. Normally auscultated over the trachea.
b. Bronchial breath sounds and normal in that location.
c. Vesicular breath sounds and normal in that location.
d. Bronchovesicular breath sounds and normal in that location.
Answer: C
◉The nurse is auscultating the chest in an adult. Which technique is
correct?
a. Instructing the patient to take deep, rapid breaths
b. Instructing the patient to breathe in and out through his or her
nose
c. Firmly holding the diaphragm of the stethoscope against the chest
d. Lightly holding the bell of the stethoscope against the chest to
avoid friction
Answer: C
◉auscultating the chest in an adult. Which technique is correct?
a. Instructing the patient to take deep, rapid breaths
b. Instructing the patient to breathe in and out through his or her
nose
