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NURS 190 Week 3 Quiz –
Respiratory System, Thorax &
Lung Auscultation Q&A (WCU)
NURS 190 Week 3 Quiz study resource for WCU
Physical Assessment. Covers respiratory assessment
including thorax inspection, symmetric chest expansion,
tactile fremitus, percussion sounds (resonance,
dullness, hyperresonance), and normal breath sounds
(tracheal, bronchial, bronchovesicular, vesicular).
Includes adventitious sounds (crackles, wheezes,
rhonchi, stridor) and chest configurations such as barrel
chest and kyphosis.
1. A nurse is assessing a patient's head and documents "normocephalic,
atraumatic." What does this finding indicate?
A. The head is abnormally small
B. The head is normal in size and shape with no signs of injury
C. The head is abnormally large
D. The head has a prominent forehead
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B. The head is normal in size and shape with no signs of injury
Normocephalic means the head is normal in size and shape. Atraumatic means there
are no signs of trauma. Together, NC/AT is the standard documentation for a normal
head assessment .
2. A patient reports a sudden, severe headache that reached maximum intensity
within seconds. This finding is most concerning for:
A. Tension headache
B. Migraine with aura
C. Subarachnoid hemorrhage
D. Cluster headache
C. Subarachnoid hemorrhage
A sudden, severe headache that peaks in intensity within seconds to minutes is called a
"thunderclap headache" and is a red flag for subarachnoid hemorrhage from a
ruptured aneurysm. This requires immediate evaluation .
3. The nurse assesses a patient's facial features and notes a flat, expressionless
face with periorbital edema and thinning of the outer eyebrows. This is most
consistent with:
A. Acromegaly
B. Cushing's syndrome
C. Hypothyroidism (myxedema)
D. Hyperthyroidism (Graves' disease)
C. Hypothyroidism (myxedema)
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Hypothyroidism presents with a dull, expressionless face, periorbital edema, thinning of
the outer third of eyebrows, coarse hair, and dry skin. Hyperthyroidism presents with lid
lag and exophthalmos .
4. A patient reports progressive thickening of the forehead and facial features,
along with enlargement of the hands and feet. This finding is most consistent
with:
A. Acromegaly
B. Cushing's syndrome
C. Hypothyroidism
D. Paget's disease of bone
A. Acromegaly
Acromegaly results from excessive growth hormone in adulthood. Features include
coarsening of facial features (frontal bossing, enlarged nose and lips) and enlargement
of hands and feet .
5. The nurse asks a patient to smile, frown, and puff out both cheeks.
Asymmetry is noted on the left side. This finding suggests dysfunction of which
cranial nerve?
A. CN V (Trigeminal)
B. CN VII (Facial)
C. CN X (Vagus)
D. CN XII (Hypoglossal)
B. CN VII (Facial)
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CN VII controls the muscles of facial expression. Testing includes asking the patient to
smile, frown, close eyes tightly, and puff out cheeks. Asymmetry indicates facial nerve
dysfunction .
6. A patient has right-sided facial drooping after a stroke. The nurse should also
suspect which assessment finding?
A. Epistaxis
B. Rhinorrhea
C. Dysphagia
D. Xerostomia
C. Dysphagia
Dysphagia (difficulty swallowing) may occur with stroke and other neurologic diseases
that affect cranial nerves involved in swallowing (CN IX, X, XII) .
7. The nurse has just completed a lymph node assessment on a healthy 60-year-
old patient. The nurse knows that most lymph nodes in healthy adults are
normally:
A. Shotty
B. Nonpalpable
C. Large, firm, and fixed
D. Rubber, discrete, and mobile
B. Nonpalpable
Most lymph nodes are not palpable in adults. Palpability decreases with age. Normal
nodes, when palpable, feel movable, discrete, soft, and nontender .
NURS 190 Week 3 Quiz –
Respiratory System, Thorax &
Lung Auscultation Q&A (WCU)
NURS 190 Week 3 Quiz study resource for WCU
Physical Assessment. Covers respiratory assessment
including thorax inspection, symmetric chest expansion,
tactile fremitus, percussion sounds (resonance,
dullness, hyperresonance), and normal breath sounds
(tracheal, bronchial, bronchovesicular, vesicular).
Includes adventitious sounds (crackles, wheezes,
rhonchi, stridor) and chest configurations such as barrel
chest and kyphosis.
1. A nurse is assessing a patient's head and documents "normocephalic,
atraumatic." What does this finding indicate?
A. The head is abnormally small
B. The head is normal in size and shape with no signs of injury
C. The head is abnormally large
D. The head has a prominent forehead
,2|Page
B. The head is normal in size and shape with no signs of injury
Normocephalic means the head is normal in size and shape. Atraumatic means there
are no signs of trauma. Together, NC/AT is the standard documentation for a normal
head assessment .
2. A patient reports a sudden, severe headache that reached maximum intensity
within seconds. This finding is most concerning for:
A. Tension headache
B. Migraine with aura
C. Subarachnoid hemorrhage
D. Cluster headache
C. Subarachnoid hemorrhage
A sudden, severe headache that peaks in intensity within seconds to minutes is called a
"thunderclap headache" and is a red flag for subarachnoid hemorrhage from a
ruptured aneurysm. This requires immediate evaluation .
3. The nurse assesses a patient's facial features and notes a flat, expressionless
face with periorbital edema and thinning of the outer eyebrows. This is most
consistent with:
A. Acromegaly
B. Cushing's syndrome
C. Hypothyroidism (myxedema)
D. Hyperthyroidism (Graves' disease)
C. Hypothyroidism (myxedema)
,3|Page
Hypothyroidism presents with a dull, expressionless face, periorbital edema, thinning of
the outer third of eyebrows, coarse hair, and dry skin. Hyperthyroidism presents with lid
lag and exophthalmos .
4. A patient reports progressive thickening of the forehead and facial features,
along with enlargement of the hands and feet. This finding is most consistent
with:
A. Acromegaly
B. Cushing's syndrome
C. Hypothyroidism
D. Paget's disease of bone
A. Acromegaly
Acromegaly results from excessive growth hormone in adulthood. Features include
coarsening of facial features (frontal bossing, enlarged nose and lips) and enlargement
of hands and feet .
5. The nurse asks a patient to smile, frown, and puff out both cheeks.
Asymmetry is noted on the left side. This finding suggests dysfunction of which
cranial nerve?
A. CN V (Trigeminal)
B. CN VII (Facial)
C. CN X (Vagus)
D. CN XII (Hypoglossal)
B. CN VII (Facial)
, 4|Page
CN VII controls the muscles of facial expression. Testing includes asking the patient to
smile, frown, close eyes tightly, and puff out cheeks. Asymmetry indicates facial nerve
dysfunction .
6. A patient has right-sided facial drooping after a stroke. The nurse should also
suspect which assessment finding?
A. Epistaxis
B. Rhinorrhea
C. Dysphagia
D. Xerostomia
C. Dysphagia
Dysphagia (difficulty swallowing) may occur with stroke and other neurologic diseases
that affect cranial nerves involved in swallowing (CN IX, X, XII) .
7. The nurse has just completed a lymph node assessment on a healthy 60-year-
old patient. The nurse knows that most lymph nodes in healthy adults are
normally:
A. Shotty
B. Nonpalpable
C. Large, firm, and fixed
D. Rubber, discrete, and mobile
B. Nonpalpable
Most lymph nodes are not palpable in adults. Palpability decreases with age. Normal
nodes, when palpable, feel movable, discrete, soft, and nontender .
