NADN 2110 STUDENT REVIEW- ASSESSMENT UPDATED
ACTUAL QUESTIONS AND CORRECT ANSWERS
Question:
1. A nurse is taking the history of a client with silicosis. The nurse assesses whether the client wears which
of the following items during periods of exposure to silica particles? a Mask b Gown c Gloves d Eye
protection
Answer:
Correct answer A Rationale: Silicosis results from chronic, excessive inhalation of particles of free
crystalline silica dust. The client should wear a mask to limit inhalation of this substance, which can cause
restrictive lung disease after years of exposure.
Question:
2. A nurse performs an admission assessment on a client with a diagnosis of tuberculosis. The nurse
reviews the results of which diagnostic test that will confirm this diagnosis?
a. Chest x-ray
b. Bronchoscopy
c. Sputum culture
d. Tuberculin skin test
Answer:
Correct answer C Rationale: Tuberculosis is definitively diagnosed through culture and isolation of
Mycobacterium tuberculosis. A presumptive diagnosis is made based on a tuberculin skin test, a sputum
smear that is positive for acid-fast bacteria, a chest x-ray, and histological evidence of granulomatous
disease on biopsy.
Question:
3. A nurse is assessing a patient with chronic airflow limitation and notes that the client has a "barrel
chest." The nurse interprets that the client has which of the following forms of chronic airflow limitation.
a. Emphysema
b. Bronchial asthma
c. Chronic obstructive bronchitis
d. Bronchial asthma and bronchitis
Answer:
Correct answer
A. Rationale: The client with emphysema has hyperinflation of the alveoli and flattening of the diaphragm.
These lead to increased anteroposterior diameter, referred to as barrel chest. The client also has dyspnea
with prolonged expiration and has hyperresonant lungs to percussion.
Question:
4. A client has experienced pulmonary embolism. A nurse assesses for which symptom, which is most
commonly reported?
a. Hot, flushed feeling
b. Sudden chills and fever
c. Chest pain that occurs suddenly
d. Dyspnea when deep breaths are taken
, Answer:
Correct Answer C Rationale: The most common initial symptom in pulmonary embolism is chest pain that
is sudden in onset.
Question:
5. A nurse is assessing the respiratory status of a client who has suffered a fractured rib. The nurse would
expect to note which of the following?
a. Slow deep respirations
b. Rapid deep respirations
c. Paradoxical respirations
d. Pain, especially with inspiration
Answer:
Correct Answer D. Rationale: Rib fractures are a common injury, especially in the older client, and result
from a blunt injury or fall. Typical signs and symptoms include pain and tenderness localized at the
fracture site and exacerbated by inspiration and palpation, shallow respirations, splinting or guarding the
chest protectively to minimize chest movement, and possible bruising at the fracture site. Paradoxical
respirations are seen with flail chest.
Question:
6. After conducting the health interview, the nurse begins to measure the client's vital signs. The nurse is
collecting:
A. Subjective data
B. Constant data
C. Objective data
D. Secondary data
Answer:
Correct Answer C. Rationale: Objective data is that which is measured by a professional nurse. It is used to
validate subjective data. Secondary data is from secondary, not primary, sources. Constant data is that
which will not change, such as age and race.
Question:
7. After completing the health history of a health assessment, the nurse begins to ask more questions about
specific information. This portion of the health assessment is
A. Interpretation of findings
B. Documentation follow up
C. Focused interview
D. Physical assessment
Answer:
Correct Answer C. Rationale: The focused interview is used to clarify points, obtain missing information,
and to follow up on verbal and nonverbal clues identified in the health history. A prepared set of questions
is not used.
ACTUAL QUESTIONS AND CORRECT ANSWERS
Question:
1. A nurse is taking the history of a client with silicosis. The nurse assesses whether the client wears which
of the following items during periods of exposure to silica particles? a Mask b Gown c Gloves d Eye
protection
Answer:
Correct answer A Rationale: Silicosis results from chronic, excessive inhalation of particles of free
crystalline silica dust. The client should wear a mask to limit inhalation of this substance, which can cause
restrictive lung disease after years of exposure.
Question:
2. A nurse performs an admission assessment on a client with a diagnosis of tuberculosis. The nurse
reviews the results of which diagnostic test that will confirm this diagnosis?
a. Chest x-ray
b. Bronchoscopy
c. Sputum culture
d. Tuberculin skin test
Answer:
Correct answer C Rationale: Tuberculosis is definitively diagnosed through culture and isolation of
Mycobacterium tuberculosis. A presumptive diagnosis is made based on a tuberculin skin test, a sputum
smear that is positive for acid-fast bacteria, a chest x-ray, and histological evidence of granulomatous
disease on biopsy.
Question:
3. A nurse is assessing a patient with chronic airflow limitation and notes that the client has a "barrel
chest." The nurse interprets that the client has which of the following forms of chronic airflow limitation.
a. Emphysema
b. Bronchial asthma
c. Chronic obstructive bronchitis
d. Bronchial asthma and bronchitis
Answer:
Correct answer
A. Rationale: The client with emphysema has hyperinflation of the alveoli and flattening of the diaphragm.
These lead to increased anteroposterior diameter, referred to as barrel chest. The client also has dyspnea
with prolonged expiration and has hyperresonant lungs to percussion.
Question:
4. A client has experienced pulmonary embolism. A nurse assesses for which symptom, which is most
commonly reported?
a. Hot, flushed feeling
b. Sudden chills and fever
c. Chest pain that occurs suddenly
d. Dyspnea when deep breaths are taken
, Answer:
Correct Answer C Rationale: The most common initial symptom in pulmonary embolism is chest pain that
is sudden in onset.
Question:
5. A nurse is assessing the respiratory status of a client who has suffered a fractured rib. The nurse would
expect to note which of the following?
a. Slow deep respirations
b. Rapid deep respirations
c. Paradoxical respirations
d. Pain, especially with inspiration
Answer:
Correct Answer D. Rationale: Rib fractures are a common injury, especially in the older client, and result
from a blunt injury or fall. Typical signs and symptoms include pain and tenderness localized at the
fracture site and exacerbated by inspiration and palpation, shallow respirations, splinting or guarding the
chest protectively to minimize chest movement, and possible bruising at the fracture site. Paradoxical
respirations are seen with flail chest.
Question:
6. After conducting the health interview, the nurse begins to measure the client's vital signs. The nurse is
collecting:
A. Subjective data
B. Constant data
C. Objective data
D. Secondary data
Answer:
Correct Answer C. Rationale: Objective data is that which is measured by a professional nurse. It is used to
validate subjective data. Secondary data is from secondary, not primary, sources. Constant data is that
which will not change, such as age and race.
Question:
7. After completing the health history of a health assessment, the nurse begins to ask more questions about
specific information. This portion of the health assessment is
A. Interpretation of findings
B. Documentation follow up
C. Focused interview
D. Physical assessment
Answer:
Correct Answer C. Rationale: The focused interview is used to clarify points, obtain missing information,
and to follow up on verbal and nonverbal clues identified in the health history. A prepared set of questions
is not used.
