NR 509 Week 5 Quiz / NR509 Week 5 Quiz (2019): Advanced Physical Assessment: Chamberlain (Already graded A)

NR 509 Week 5 Quiz / NR509 Week 5 Quiz (Latest): Advanced Physical Assessment: Chamberlain NR 509 Advanced Physical Assessment Quiz 5 / NR509 Advanced Physical Assessment Quiz 5 (Latest): Chamberlain NR 509 Week 5 Advanced Physical Assessment Quiz / NR509 Week 5 Advanced Physical Assessment Quiz (Latest): Chamberlain Question 1. A woman in her 26th week of pregnancy states that she is “not really short of breath” but feels that she is aware of her breathing and the need to breathe. What is the nurse’s best reply? “The diaphragm becomes fixed during pregnancy, making it difficult to take in a deep breath.” “The increase in estrogen levels during pregnancy often causes a decrease in the diameter of the rib cage and makes it difficult to breathe.” “What you are experiencing is normal. Some women may interpret this as shortness of breath, but it is a normal finding and nothing is wrong.” “This is normal as the fetus grows because of the increased oxygen demand on the mother’s body and results in an increased respiratory rate.” Question 2. A mother brings her 3-month-old infant to the clinic for evaluation of a cold. She tells the nurse that he 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 nurse’s next action should be to assure the mother that these are normal symptoms of a cold. recognize that these are serious signs and contact the physician. ask the mother if the infant has had trouble with feedings. perform a complete cardiac assessment because these are probably signs of early heart failure. Question 3. When performing a respiratory assessment on a patient, the nurse notices a costal angle of approximately 90 degrees. This characteristic is seen in patients with kyphosis. indicative of pectus excavatum. a normal finding in a healthy adult. an expected finding in a patient with a barrel chest. Question 4. During a morning assessment, the nurse notices that the patient’s sputum is frothy and pink. Which condition could this finding indicate? Croup Tuberculosis Viral infection Pulmonary edema Question 5. A patient has been admitted to the emergency department with a possible medical diagnosis of pulmonary embolism. The nurse expects to see which assessment findings related to this condition? Absent or decreased breath sounds Productive cough with thin, frothy sputum Chest pain that is worse on deep inspiration, dyspnea Diffuse infiltrates with areas of dullness upon percussion Question 6. During auscultation of the lungs of an adult patient, the nurse notices the presence of bronchophony. The nurse should assess for signs of which condition? Airway obstruction Emphysema Pulmonary consolidation Asthma Question 7. An adult patient with a history of allergies comes to the clinic complaining of wheezing and difficulty in breathing when working in his yard. The assessment findings include tachypnea, use of accessory neck muscles, prolonged expiration, intercostal retractions, decreased breath sounds, and expiratory wheezes. The nurse interprets that these assessment findings are consistent with asthma. atelectasis. lobar pneumonia. heart failure. Question 8. Which of these statements is true regarding the vertebra prominens? The vertebra prominens is the spinous process of C7. usually not palpable in most individuals. opposite the interior border of the scapula. located next to the manubrium of the sternum. Question 9. The nurse knows that auscultation of fine crackles would most likely be noticed in a healthy 5-year-old child. a pregnant woman. the immediate newborn period. association with a pneumothorax. Question 10. During a cardiac assessment on a 38-year-old patient in the hospital for “chest pain,” the nurse finds the following: jugular vein pulsations 4 cm above sternal angle when he is elevated at 45 degrees, blood pressure 9860 mm Hg, heart rate 130 beats per minute, ankle edema, difficulty in breathing when supine, and an S3 on auscultation. Which of these conditions best explains the cause of these findings? Fluid overload Atrial septal defect Myocardial infarction Heart failure Question 11. During an assessment of a healthy adult, where would the nurse expect to palpate the apical impulse? Third left intercostal space at the midclavicular line Fourth left intercostal space at the sternal border Fourth left intercostal space at the anterior axillary line Fifth left intercostal space at the midclavicular line Question 12. The direction of blood flow through the heart is best described by which of these? Vena cava right atrium right ventricle lungs pulmonary artery left atrium left ventricle Right atrium right ventricle pulmonary artery lungs pulmonary vein left atrium left ventricle Aorta right atrium right ventricle lungs pulmonary vein left atrium left ventricle vena cava Right atrium right ventricle pulmonary vein lungs pulmonary artery left atrium left ventricle Question 13. In assessing the carotid arteries of an older patient with cardiovascular disease, the nurse would palpate the artery in the upper one third of the neck. listen with the bell of the stethoscope to assess for bruits. palpate both arteries simultaneously to compare amplitude. instruct patient to take slow deep breaths during auscultation. Question 14. A 45-year-old man is in the clinic for a routine physical. During the history, the patient states he’s been having difficulty sleeping. “I’ll be sleeping great and then I wake up and feel like I can’t get my breath.” The nurse’s best response to this would be “When was your last electrocardiogram?” “It’s probably because it’s been so hot at night.” “Do you have any history of problems with your heart?” “Have you had a recent sinus infection or upper respiratory infection?” Question 15. A 25-year-old woman in her fifth month of pregnancy has a blood pressure of 10070 mm Hg. In reviewing her previous exam, the nurse notes that her blood pressure in her second month was 12480 mm Hg. In evaluating this change, what does the nurse know to be true? This is the result of peripheral vasodilatation and is an expected change. Because of increased cardiac output, the blood pressure should be higher this time. This is not an expected finding because it would mean a decreased cardiac output. This would mean a decrease in circulating blood volume, which is dangerous for the fetus. Question 16. While counting the apical pulse on a 16-year-old patient, the nurse notices an irregular rhythm. His rate speeds up on inspiration and slows on expiration. What would be the nurse’s response? Talk with the patient about his intake of caffeine. Perform an electrocardiogram after the examination. No further response is needed because this is normal. Refer the patient to a cardiologist for further testing. Question 17. During the precordial assessment on an patient who is 8 months pregnant, the nurse palpates the apical impulse at the fourth left intercostal space lateral to the midclavicular line. This finding would indicate right ventricular hypertrophy. increased volume and size of the heart as a result of pregnancy. displacement of the heart from elevation of the diaphragm. increased blood flow through the internal mammary artery. Question 18. A 67-year-old patient states that he recently began to have pain in his left calf when climbing the 10 stairs to his apartment. This pain is relieved by sitting for about 2 minutes; then he is able to resume his activities. The nurse interprets that this patient is most likely experiencing claudication. sore muscles. muscle cramps. venous insufficiency. Question 19. A patient has a positive Homans’ sign. The nurse knows that a positive Homans’ sign may indicate venous insufficiency. deep vein thrombosis. severe edema. problems with arterial circulation. Question 20. When using a Doppler ultrasonic stethoscope, the nurse recognizes venous flow when which sound is heard? Low humming sound Regular “lub, dub” pattern Swishing, whooshing sound Steady, even, flowing sound Question 21. During an assessment, the nurse uses the “profile sign” to detect pitting edema. early clubbing. symmetry of the fingers. insufficient capillary refill. Question 22. The nurse is reviewing risk factors for venous disease. Which of these situations best describes a person at highest risk for development of venous disease? Woman in her second month of pregnancy Person who has been on bed rest for 4 days Person with a 30-year, 1-pack-per-day smoking history Elderly person taking anticoagulant medication Question 23. Which of these veins is responsible for most of the venous return in the arm? Deep Ulnar Subclavian Superficial Question 24. A patient has been diagnosed with venous stasis. Which of these findings would the nurse most likely observe? A unilateral cool foot Thin, shiny, atrophic skin Pallor of the toes and cyanosis of the nail beds A brownish discoloration to the skin of the lower leg Question 25. The nurse is describing a weak, thready pulse on the documentation flow sheet. Which statement is correct? “Easily palpable, pounds under the fingertips.” “Greater than normal force, then collapses suddenly.” “Hard to palpate, may fade in and out, easily obliterated by pressure.” “Rhythm is regular, but force varies with alternating beats of large and small amplitude.”