NSG 3160 EXAM 3 QUESTIONS AND CORRECT
ANSWERS| LATEST UPDATE
Which statement is true regarding the vertebra prominens? The vertebra
prominens is:
The spinous process of C7.
When performing a respiratory assessment on a patient, the nurse notices a
costal angle of approximately 90 degrees. This characteristic is:
A normal finding in a healthy adult.
When assessing a patients lungs, the nurse recalls that the left lung:
Consists of two lobes.
Which statement about the apices of the lungs is true? The apices of the lungs:
Extend 3 to 4 cm above the inner third of the clavicles.
During an examination of the anterior thorax, the nurse is aware that the
trachea bifurcates anteriorly at the:
Sternal angle
,During an assessment, the nurse knows that expected assessment findings in
the normal adult lung include the presence of:
Muffled voice sounds and symmetric tactile fremitus.
The primary muscles of respiration include the:
Diaphragm and intercostals.
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?
Assessing for other signs and symptoms of paroxysmal nocturnal dyspnea
When assessing tactile fremitus, the nurse recalls that it is normal to feel tactile
fremitus most intensely over which location?
Between the scapulae
The nurse is reviewing the technique of palpating for tactile fremitus with a new
graduate. Which statement by the graduate nurse reflects a correct
understanding of tactile fremitus? Tactile fremitus:
Is caused by sounds generated from the larynx.
Tactile Fremitus is what?
,Palpable vibration
During percussion, the nurse knows that a dull percussion note elicited over a
lung lobe most likely results from:
Increased density of lung tissue.
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.
Side-to-side
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:
Vesicular breath sounds and normal in that location.
The nurse is percussing over the lungs of a patient with pneumonia. The nurse
knows that percussion over an area of atelectasis in the lungs will reveal:
Dullness
The nurse is auscultating the chest in an adult. Which technique is correct?
, Firmly holding the diaphragm of the stethoscope against the chest
During auscultation of the lungs, the nurse expects decreased breath sounds to
be heard in which situation?
When the bronchial tree is obstructed
The nurse knows that a normal finding when assessing the respiratory system of
an older adult is:
Decreased mobility of the thorax.
A mother brings her 3-month-old infant to the clinic for evaluation of a cold. She
tells the nurse that he has had a runny nose for a week. When performing the
physical assessment, the nurse notes that the child has nasal flaring and sternal
and intercostal retractions. The nurses next action should be to:
Recognize that these are serious signs, and contact the physician.
When assessing the respiratory system of a 4-year-old child, which of these
findings would the nurse expect?
Presence of bronchovesicular breath sounds in the peripheral lung fields
When inspecting the anterior chest of an adult, the nurse should include which
assessment?
ANSWERS| LATEST UPDATE
Which statement is true regarding the vertebra prominens? The vertebra
prominens is:
The spinous process of C7.
When performing a respiratory assessment on a patient, the nurse notices a
costal angle of approximately 90 degrees. This characteristic is:
A normal finding in a healthy adult.
When assessing a patients lungs, the nurse recalls that the left lung:
Consists of two lobes.
Which statement about the apices of the lungs is true? The apices of the lungs:
Extend 3 to 4 cm above the inner third of the clavicles.
During an examination of the anterior thorax, the nurse is aware that the
trachea bifurcates anteriorly at the:
Sternal angle
,During an assessment, the nurse knows that expected assessment findings in
the normal adult lung include the presence of:
Muffled voice sounds and symmetric tactile fremitus.
The primary muscles of respiration include the:
Diaphragm and intercostals.
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?
Assessing for other signs and symptoms of paroxysmal nocturnal dyspnea
When assessing tactile fremitus, the nurse recalls that it is normal to feel tactile
fremitus most intensely over which location?
Between the scapulae
The nurse is reviewing the technique of palpating for tactile fremitus with a new
graduate. Which statement by the graduate nurse reflects a correct
understanding of tactile fremitus? Tactile fremitus:
Is caused by sounds generated from the larynx.
Tactile Fremitus is what?
,Palpable vibration
During percussion, the nurse knows that a dull percussion note elicited over a
lung lobe most likely results from:
Increased density of lung tissue.
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.
Side-to-side
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:
Vesicular breath sounds and normal in that location.
The nurse is percussing over the lungs of a patient with pneumonia. The nurse
knows that percussion over an area of atelectasis in the lungs will reveal:
Dullness
The nurse is auscultating the chest in an adult. Which technique is correct?
, Firmly holding the diaphragm of the stethoscope against the chest
During auscultation of the lungs, the nurse expects decreased breath sounds to
be heard in which situation?
When the bronchial tree is obstructed
The nurse knows that a normal finding when assessing the respiratory system of
an older adult is:
Decreased mobility of the thorax.
A mother brings her 3-month-old infant to the clinic for evaluation of a cold. She
tells the nurse that he has had a runny nose for a week. When performing the
physical assessment, the nurse notes that the child has nasal flaring and sternal
and intercostal retractions. The nurses next action should be to:
Recognize that these are serious signs, and contact the physician.
When assessing the respiratory system of a 4-year-old child, which of these
findings would the nurse expect?
Presence of bronchovesicular breath sounds in the peripheral lung fields
When inspecting the anterior chest of an adult, the nurse should include which
assessment?
