NUR 220 EXAM 2 EVALUATION ACTUAL
ASSESSMENT STUDY SHEET 2026 GRADED
A+.
⫸ During inspection of the respiratory system the nurse documents
which finding as abnormal?
1. Skin color consistent with patient's race
2. 1:2 ratio of anteroposterior to lateral diameter
3. Respiratory rate of 20 breaths per minute
4. Patient leaning forward with arms braced on the knees. Answer: 4.
Patient leaning forward with arms braced on the knees
⫸ A patient has an infection of the terminal bronchioles and alveoli
that involves the right lower lobe of the lung. Which abnormal
findings are expected?
1. Dyspnea with diminished breath sounds bilaterally
2. Asymmetric chest expansion and rhonchi on the right side
3. Fever and tachypnea with crackles over the right lower lobe
4. Prolonged expiration with an occasional wheeze in the right lower
lobe. Answer: 3. Fever and tachypnea with crackles over the right
lower lobe
,⫸ On auscultation of a patient's lungs, the nurse hears a low-pitched,
coarse, loud, and low snoring sound. Which term does the nurse use
to document this finding?
1. Rhonchi
2. Wheeze
3. Crackles
4. Pleural friction rub. Answer: 1. Rhonchi
⫸ A nurse finds the patient's AP diameter of the chest to be the same
as the lateral diameter. Based on this finding, what additional data
would the nurse anticipate?
1. Bronchial breath sounds in the posterior thorax
2. Decrease in respiratory rate
3. Decreased breath sounds on auscultation
4. Complaint of sharp chest pain on inspiration. Answer: 3. Decreased
breath sounds on auscultation
⫸ How does the nurse palpate the chest for tenderness, bulges, and
symmetry?
1. Uses the fist of the dominant hand to gently tap the anterior, lateral,
and posterior chest, comparing one side with another
2. Uses the ulnar surface of one hand to palpate the anterior, posterior,
and lateral chest, comparing one side with another
, 3. Uses the tips of the fingers to palpate the skin over the chest and
the alignment of vertebrae
4. Uses the palmar surface of fingers of both hands to feel the texture
of the skin over the chest and the alignment of vertebrae. Answer: 4.
Uses the palmar surface of fingers of both hands to feel the texture of
the skin over the chest and the alignment of vertebrae
⫸ Which breath sounds are expected over the posterior chest of an
adult?
1. Vesicular
2. Bronchovesicular
3. Bronchial
4. Bronchoalveolar. Answer: 1. Vesicular
⫸ Narrowing of the bronchi creates which adventitious sound?
1. Wheeze
2. Crackles
3. Rhonchi
4. Pleural friction rub. Answer: 1. Wheeze
⫸ A nurse is auscultating the lungs of a healthy female patient and
hears crackles on inspiration. What action can the nurse take to ensure
this is an accurate finding?
ASSESSMENT STUDY SHEET 2026 GRADED
A+.
⫸ During inspection of the respiratory system the nurse documents
which finding as abnormal?
1. Skin color consistent with patient's race
2. 1:2 ratio of anteroposterior to lateral diameter
3. Respiratory rate of 20 breaths per minute
4. Patient leaning forward with arms braced on the knees. Answer: 4.
Patient leaning forward with arms braced on the knees
⫸ A patient has an infection of the terminal bronchioles and alveoli
that involves the right lower lobe of the lung. Which abnormal
findings are expected?
1. Dyspnea with diminished breath sounds bilaterally
2. Asymmetric chest expansion and rhonchi on the right side
3. Fever and tachypnea with crackles over the right lower lobe
4. Prolonged expiration with an occasional wheeze in the right lower
lobe. Answer: 3. Fever and tachypnea with crackles over the right
lower lobe
,⫸ On auscultation of a patient's lungs, the nurse hears a low-pitched,
coarse, loud, and low snoring sound. Which term does the nurse use
to document this finding?
1. Rhonchi
2. Wheeze
3. Crackles
4. Pleural friction rub. Answer: 1. Rhonchi
⫸ A nurse finds the patient's AP diameter of the chest to be the same
as the lateral diameter. Based on this finding, what additional data
would the nurse anticipate?
1. Bronchial breath sounds in the posterior thorax
2. Decrease in respiratory rate
3. Decreased breath sounds on auscultation
4. Complaint of sharp chest pain on inspiration. Answer: 3. Decreased
breath sounds on auscultation
⫸ How does the nurse palpate the chest for tenderness, bulges, and
symmetry?
1. Uses the fist of the dominant hand to gently tap the anterior, lateral,
and posterior chest, comparing one side with another
2. Uses the ulnar surface of one hand to palpate the anterior, posterior,
and lateral chest, comparing one side with another
, 3. Uses the tips of the fingers to palpate the skin over the chest and
the alignment of vertebrae
4. Uses the palmar surface of fingers of both hands to feel the texture
of the skin over the chest and the alignment of vertebrae. Answer: 4.
Uses the palmar surface of fingers of both hands to feel the texture of
the skin over the chest and the alignment of vertebrae
⫸ Which breath sounds are expected over the posterior chest of an
adult?
1. Vesicular
2. Bronchovesicular
3. Bronchial
4. Bronchoalveolar. Answer: 1. Vesicular
⫸ Narrowing of the bronchi creates which adventitious sound?
1. Wheeze
2. Crackles
3. Rhonchi
4. Pleural friction rub. Answer: 1. Wheeze
⫸ A nurse is auscultating the lungs of a healthy female patient and
hears crackles on inspiration. What action can the nurse take to ensure
this is an accurate finding?
