ASCORERS STUVIA m
ADVANCED HEALTH ASSESSMENT: TEST 1 QUESTIONS
m m m m m m
WITH COMPLETE SOLUTIONS m m
What is the function of the goblet cells of the lungs?
m m m m m m m m m m
A. To enable the exchange of gases
m m m m m m
B. To sweep away particulate matter
m m m m m
C. To provide space for gas exchange
m m m m m m
D. To entrap small particulate matter
m m m m m mmmmm ANS: D mm
How does the nurse assess for tactile fremitus in a patient?
m m m m m m m m m m
A. By placing the fingertips on the sides of the neck
m m m m m m m m m m
B. By placing the thumb on the spinous process of the patienT
m m m m m m m m m m m
C. By placing warmed hands sideways on the posterolateral ch
m m m m m m m m m
est wall
m
D. By placing the palmar base of one hand to touch the patient
m m m m m m m m m m m m
's chest ANS: d
m mmmmm mm
The student nurse is listing the characteristics of normal breat
m m m m m m m m m
h sounds. Which characteristics of normal breath sounds shoul
m m m m m m m m
d the student nurse include? Select all that apply.
m m m m m m m m
A. Amplitude
m
B. Depth
m
C. Pitch
m
,ASCORERS STUVIA m
D. Quality
m
E. Pressure
m mmmmm ANS: A C D mm m m
The nurse starts to count the ribs of the patient from the angle
m m m m m m m m m m m m
mof Louis. Which statement precisely describes the "angle of Lo
m m m m m m m m m
uis"?
A. It is continuous with the first rib.
m m m m m m m
B. It marks the top edge of the sternum
m m m m m m m m
.C. It is also known as the suprasternal notch
m m m m m m m m
.D. It is the articulation of the manubrium and the body of the
m m m m m m m m m m m m m
sternum. ANS: D mmmmm mm
The nurse notices that a patient occasionally sighs when breat
m m m m m m m m m
hing. What should the nurse expect to happen as a result of sig
m m m m m m m m m m m m
hing?
A. It expands the alveoli.
m m m m
B. It leads to tachypnea.
m m m m
C. It causes hypoventilation.
m m m
D. It leads to slow breathing.
m m m m m mmmmm ANS: A mm
While assessing the tactile fremitus of the patient, the nurse le
m m m m m m m m m m
arns that the fremitus is decreased. Which disorder may be dia
m m m m m m m m m m
gnosed in the patient? m m m
A. Bronchitis
m
B. Pleural effusion
m m
,ASCORERS STUVIA m
C. Lobar pneumonia
m m
D. Pulmonary infarction
m m mmmmm ANS: B mm
The nurse is assessing the bronchial breath sounds of a patien
m m m m m m m m m m
t. Where should the nurse place the stethoscope?
m m m m m m m
A. Over the trachea and the larynx
m m m m m m
B. Over the peripheral lung fields
m m m m m
C. Posterior between the scapulae
m m m m
D. Anterior near the upper sternum
m m m m m mmmmm ANS: A mm
During the chest assessment of a patient, which reference line
m m m m m m m m m m
does the nurse note on the posterior chest wall?
m m m m m m m m
A. The midspinal line
m m m
B. The midaxillary line
m m m
C. The midsternal line
m m m
D. The midclavicular line
m m m mmmmm ANS: A mm
What action should the nurse include when auscultating the a
m m m m m m m m m
nterior chest of a patient for breath sounds? Select all that app
m m m m m m m m m m m
ly
.A. Starts the auscultation at the apices in the supraclavicular a
m m m m m m m m m m
reaS
B. Auscultates and listens for one full respiration in each locati
m m m m m m m m m m
on
, ASCORERS STUVIA m
C. Examines one side completely and then examines the other
m m m m m m m m m m
side
D. Listens with a stethoscope over the breast in the female pati
m m m m m m m m m m m
ent
E. Completes the examination by auscultating down to the sixt
m m m m m m m m m
h rib ANS: A B E
m mmmmm mm m m
The nurse is caring for a patient with a regular breathing rate
m m m m m m m m m m m m
of eight breaths per minute. What is the most likely cause for t
m m m m m m m m m m m m
his condition?
m
A. Prolonged bed rest
m m m
B. Splinting of the chest
m m m m
C. Overdose of stimulants
m m m
D. Drug-induced depression
m m mmmmm ANS: D mm
What assessment finding will the nurse document in a patient
m m m m m m m m m m
with pneumonia? m
A. A smooth chest expansion
m m m m
B. A lag in the chest expansion
m m m m m m
C. A palpable grating sensation
m m m m
D. A slight inspiratory variation
m m m m mmmmm ANS: B mm
Increased tactile fremitus would be evident in an individual w
m m m m m m m m m
ho has which of the following conditions?
m m m m m m
m A. Emphysema
m
ADVANCED HEALTH ASSESSMENT: TEST 1 QUESTIONS
m m m m m m
WITH COMPLETE SOLUTIONS m m
What is the function of the goblet cells of the lungs?
m m m m m m m m m m
A. To enable the exchange of gases
m m m m m m
B. To sweep away particulate matter
m m m m m
C. To provide space for gas exchange
m m m m m m
D. To entrap small particulate matter
m m m m m mmmmm ANS: D mm
How does the nurse assess for tactile fremitus in a patient?
m m m m m m m m m m
A. By placing the fingertips on the sides of the neck
m m m m m m m m m m
B. By placing the thumb on the spinous process of the patienT
m m m m m m m m m m m
C. By placing warmed hands sideways on the posterolateral ch
m m m m m m m m m
est wall
m
D. By placing the palmar base of one hand to touch the patient
m m m m m m m m m m m m
's chest ANS: d
m mmmmm mm
The student nurse is listing the characteristics of normal breat
m m m m m m m m m
h sounds. Which characteristics of normal breath sounds shoul
m m m m m m m m
d the student nurse include? Select all that apply.
m m m m m m m m
A. Amplitude
m
B. Depth
m
C. Pitch
m
,ASCORERS STUVIA m
D. Quality
m
E. Pressure
m mmmmm ANS: A C D mm m m
The nurse starts to count the ribs of the patient from the angle
m m m m m m m m m m m m
mof Louis. Which statement precisely describes the "angle of Lo
m m m m m m m m m
uis"?
A. It is continuous with the first rib.
m m m m m m m
B. It marks the top edge of the sternum
m m m m m m m m
.C. It is also known as the suprasternal notch
m m m m m m m m
.D. It is the articulation of the manubrium and the body of the
m m m m m m m m m m m m m
sternum. ANS: D mmmmm mm
The nurse notices that a patient occasionally sighs when breat
m m m m m m m m m
hing. What should the nurse expect to happen as a result of sig
m m m m m m m m m m m m
hing?
A. It expands the alveoli.
m m m m
B. It leads to tachypnea.
m m m m
C. It causes hypoventilation.
m m m
D. It leads to slow breathing.
m m m m m mmmmm ANS: A mm
While assessing the tactile fremitus of the patient, the nurse le
m m m m m m m m m m
arns that the fremitus is decreased. Which disorder may be dia
m m m m m m m m m m
gnosed in the patient? m m m
A. Bronchitis
m
B. Pleural effusion
m m
,ASCORERS STUVIA m
C. Lobar pneumonia
m m
D. Pulmonary infarction
m m mmmmm ANS: B mm
The nurse is assessing the bronchial breath sounds of a patien
m m m m m m m m m m
t. Where should the nurse place the stethoscope?
m m m m m m m
A. Over the trachea and the larynx
m m m m m m
B. Over the peripheral lung fields
m m m m m
C. Posterior between the scapulae
m m m m
D. Anterior near the upper sternum
m m m m m mmmmm ANS: A mm
During the chest assessment of a patient, which reference line
m m m m m m m m m m
does the nurse note on the posterior chest wall?
m m m m m m m m
A. The midspinal line
m m m
B. The midaxillary line
m m m
C. The midsternal line
m m m
D. The midclavicular line
m m m mmmmm ANS: A mm
What action should the nurse include when auscultating the a
m m m m m m m m m
nterior chest of a patient for breath sounds? Select all that app
m m m m m m m m m m m
ly
.A. Starts the auscultation at the apices in the supraclavicular a
m m m m m m m m m m
reaS
B. Auscultates and listens for one full respiration in each locati
m m m m m m m m m m
on
, ASCORERS STUVIA m
C. Examines one side completely and then examines the other
m m m m m m m m m m
side
D. Listens with a stethoscope over the breast in the female pati
m m m m m m m m m m m
ent
E. Completes the examination by auscultating down to the sixt
m m m m m m m m m
h rib ANS: A B E
m mmmmm mm m m
The nurse is caring for a patient with a regular breathing rate
m m m m m m m m m m m m
of eight breaths per minute. What is the most likely cause for t
m m m m m m m m m m m m
his condition?
m
A. Prolonged bed rest
m m m
B. Splinting of the chest
m m m m
C. Overdose of stimulants
m m m
D. Drug-induced depression
m m mmmmm ANS: D mm
What assessment finding will the nurse document in a patient
m m m m m m m m m m
with pneumonia? m
A. A smooth chest expansion
m m m m
B. A lag in the chest expansion
m m m m m m
C. A palpable grating sensation
m m m m
D. A slight inspiratory variation
m m m m mmmmm ANS: B mm
Increased tactile fremitus would be evident in an individual w
m m m m m m m m m
ho has which of the following conditions?
m m m m m m
m A. Emphysema
m