Advanced Health Assessment: Test 1
1. What is the function of the goblet cells of the lungs?
A. To enable the exchange of gases
B. To sweep away particulate matter
C. To provide space for gas exchange
D. To entrap small particulate matter Ans: D
2. How does the nurse assess for tactile fremitus in a patient?
A. By placing the fingertips on the sides of the neck
B. By placing the thumb on the spinous process of the patienT
C. By placing warmed hands sideways on the posterolateral chest wall
D. By placing the palmar base of one hand to touch the patient's chest Ans:
3. The student nurse is listing the characteristics of normal breath sounds.
Which characteristics of normal breath sounds should the student nurse
include? Select all that apply.
A. Amplitude
B. Depth
C. Pitch
D. Quality
,E. Pressure Ans: A C D
4. The nurse starts to count the ribs of the patient from the angle of Louis.
Which statement precisely describes the "angle of Louis"?
A. It is continuous with the first rib.
B. It marks the top edge of the sternum
.C. It is also known as the suprasternal notch
.D. It is the articulation of the manubrium and the body of the sternum. Ans:
5. The nurse notices that a patient occasionally sighs when breathing. What
should the nurse expect to happen as a result of sighing?
A. It expands the alveoli.
B. It leads to tachypnea.
C. It causes hypoventilation.
D. It leads to slow breathing. Ans: A
6. While assessing the tactile fremitus of the patient, the nurse learns that the
fremitus is decreased. Which disorder may be diagnosed in the patient?
A. Bronchitis
B. Pleural effusion
C. Lobar pneumonia
D. Pulmonary infarction Ans: B
,7. The nurse is assessing the bronchial breath sounds of a patient. Where
should the nurse place the stethoscope?
A. Over the trachea and the larynx
, B. Over the peripheral lung fields
C. Posterior between the scapulae
D. Anterior near the upper sternum Ans: A
8. During the chest assessment of a patient, which reference line does the
nurse note on the posterior chest wall?
A. The midspinal line
B. The midaxillary line
C. The midsternal line
D. The midclavicular line Ans: A
9. What action should the nurse include when auscultating the anterior chest
of a patient for breath sounds? Select all that apply
.A. Starts the auscultation at the apices in the supraclavicular areaS
B. Auscultates and listens for one full respiration in each location
C. Examines one side completely and then examines the other side
D. Listens with a stethoscope over the breast in the female patient
E. Completes the examination by auscultating down to the sixth rib Ans: A B
E
10. The nurse is caring for a patient with a regular breathing rate of eight
breaths per minute. What is the most likely cause for this condition?
1. What is the function of the goblet cells of the lungs?
A. To enable the exchange of gases
B. To sweep away particulate matter
C. To provide space for gas exchange
D. To entrap small particulate matter Ans: D
2. How does the nurse assess for tactile fremitus in a patient?
A. By placing the fingertips on the sides of the neck
B. By placing the thumb on the spinous process of the patienT
C. By placing warmed hands sideways on the posterolateral chest wall
D. By placing the palmar base of one hand to touch the patient's chest Ans:
3. The student nurse is listing the characteristics of normal breath sounds.
Which characteristics of normal breath sounds should the student nurse
include? Select all that apply.
A. Amplitude
B. Depth
C. Pitch
D. Quality
,E. Pressure Ans: A C D
4. The nurse starts to count the ribs of the patient from the angle of Louis.
Which statement precisely describes the "angle of Louis"?
A. It is continuous with the first rib.
B. It marks the top edge of the sternum
.C. It is also known as the suprasternal notch
.D. It is the articulation of the manubrium and the body of the sternum. Ans:
5. The nurse notices that a patient occasionally sighs when breathing. What
should the nurse expect to happen as a result of sighing?
A. It expands the alveoli.
B. It leads to tachypnea.
C. It causes hypoventilation.
D. It leads to slow breathing. Ans: A
6. While assessing the tactile fremitus of the patient, the nurse learns that the
fremitus is decreased. Which disorder may be diagnosed in the patient?
A. Bronchitis
B. Pleural effusion
C. Lobar pneumonia
D. Pulmonary infarction Ans: B
,7. The nurse is assessing the bronchial breath sounds of a patient. Where
should the nurse place the stethoscope?
A. Over the trachea and the larynx
, B. Over the peripheral lung fields
C. Posterior between the scapulae
D. Anterior near the upper sternum Ans: A
8. During the chest assessment of a patient, which reference line does the
nurse note on the posterior chest wall?
A. The midspinal line
B. The midaxillary line
C. The midsternal line
D. The midclavicular line Ans: A
9. What action should the nurse include when auscultating the anterior chest
of a patient for breath sounds? Select all that apply
.A. Starts the auscultation at the apices in the supraclavicular areaS
B. Auscultates and listens for one full respiration in each location
C. Examines one side completely and then examines the other side
D. Listens with a stethoscope over the breast in the female patient
E. Completes the examination by auscultating down to the sixth rib Ans: A B
E
10. The nurse is caring for a patient with a regular breathing rate of eight
breaths per minute. What is the most likely cause for this condition?
