ASCORERS STUVIA h
ADVANCED HEALTH ASSESSMENT: TEST 1 QUESTIONS WI h h h h h h
TH COMPLETE SOLUTIONS h h
What is the function of the goblet cells of the lungs?
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A. To enable the exchange of gases
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B. To sweep away particulate matter
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C. To provide space for gas exchange
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D. To entrap small particulate matter ANS: D
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How does the nurse assess for tactile fremitus in a patient?
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A. By placing the fingertips on the sides of the neck
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B. By placing the thumb on the spinous process of the patienT
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C. By placing warmed hands sideways on the posterolateral ches
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t wall
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D. By placing the palmar base of one hand to touch the patient's
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chest ANS: d hhhhh hh
The student nurse is listing the characteristics of normal breath
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sounds. Which characteristics of normal breath sounds should t
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he student nurse include? Select all that apply.
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A. Amplitude
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B. Depth
h
C. Pitch
h
,ASCORERS STUVIA h
D. Quality
h
E. Pressure ANS: A C D
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The nurse starts to count the ribs of the patient from the angle of
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Louis. Which statement precisely describes the "angle of Louis"
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?
A. It is continuous with the first rib.
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B. It marks the top edge of the sternum
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.C. It is also known as the suprasternal notch
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.D. It is the articulation of the manubrium and the body of the ste
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rnum. ANS: D hhhhh hh
The nurse notices that a patient occasionally sighs when breathi
h h h h h h h h h
ng. What should the nurse expect to happen as a result of sighing
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?
A. It expands the alveoli.
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B. It leads to tachypnea.
h h h h
C. It causes hypoventilation.
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D. It leads to slow breathing. ANS: A
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While assessing the tactile fremitus of the patient, the nurse lear
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ns that the fremitus is decreased. Which disorder may be diagno
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sed in the patient?
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A. Bronchitis
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B. Pleural effusion
h h
,ASCORERS STUVIA h
C. Lobar pneumonia
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D. Pulmonary infarction ANS: B
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The nurse is assessing the bronchial breath sounds of a patient.
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Where should the nurse place the stethoscope?
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A. Over the trachea and the larynx
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B. Over the peripheral lung fields
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C. Posterior between the scapulae
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D. Anterior near the upper sternum ANS: A
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During the chest assessment of a patient, which reference line d
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oes the nurse note on the posterior chest wall?
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A. The midspinal line
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B. The midaxillary line
h h h
C. The midsternal line
h h h
D. The midclavicular line ANS: A
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What action should the nurse include when auscultating the ant
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erior chest of a patient for breath sounds? Select all that apply
h h h h h h h h h h h
.A. Starts the auscultation at the apices in the supraclavicular are
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aS
B. Auscultates and listens for one full respiration in each locatio
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n
, ASCORERS STUVIA h
C. Examines one side completely and then examines the other si
h h h h h h h h h h
de
D. Listens with a stethoscope over the breast in the female patie
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nt
E. Completes the examination by auscultating down to the sixth
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rib ANS: A B E
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The nurse is caring for a patient with a regular breathing rate of
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eight breaths per minute. What is the most likely cause for this c
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ondition?
A. Prolonged bed rest
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B. Splinting of the chest
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C. Overdose of stimulants
h h h
D. Drug-induced depression ANS: D
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What assessment finding will the nurse document in a patient w
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ith pneumonia?
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A. A smooth chest expansion
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B. A lag in the chest expansion
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C. A palpable grating sensation
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D. A slight inspiratory variation ANS: B
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Increased tactile fremitus would be evident in an individual who
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hhas which of the following conditions?
h h h h h
A. Emphysema
h h
ADVANCED HEALTH ASSESSMENT: TEST 1 QUESTIONS WI h h h h h h
TH COMPLETE SOLUTIONS h h
What is the function of the goblet cells of the lungs?
h h h h h h h h h h
A. To enable the exchange of gases
h h h h h h
B. To sweep away particulate matter
h h h h h
C. To provide space for gas exchange
h h h h h h
D. To entrap small particulate matter ANS: D
h h h h h hhhhh hh
How does the nurse assess for tactile fremitus in a patient?
h h h h h h h h h h
A. By placing the fingertips on the sides of the neck
h h h h h h h h h h
B. By placing the thumb on the spinous process of the patienT
h h h h h h h h h h h
C. By placing warmed hands sideways on the posterolateral ches
h h h h h h h h h
t wall
h
D. By placing the palmar base of one hand to touch the patient's
h h h h h h h h h h h h h
chest ANS: d hhhhh hh
The student nurse is listing the characteristics of normal breath
h h h h h h h h h h
sounds. Which characteristics of normal breath sounds should t
h h h h h h h h
he student nurse include? Select all that apply.
h h h h h h h
A. Amplitude
h
B. Depth
h
C. Pitch
h
,ASCORERS STUVIA h
D. Quality
h
E. Pressure ANS: A C D
h hhhhh hh h h
The nurse starts to count the ribs of the patient from the angle of
h h h h h h h h h h h h h
Louis. Which statement precisely describes the "angle of Louis"
h h h h h h h h h
?
A. It is continuous with the first rib.
h h h h h h h
B. It marks the top edge of the sternum
h h h h h h h h
.C. It is also known as the suprasternal notch
h h h h h h h h
.D. It is the articulation of the manubrium and the body of the ste
h h h h h h h h h h h h h
rnum. ANS: D hhhhh hh
The nurse notices that a patient occasionally sighs when breathi
h h h h h h h h h
ng. What should the nurse expect to happen as a result of sighing
h h h h h h h h h h h h
?
A. It expands the alveoli.
h h h h
B. It leads to tachypnea.
h h h h
C. It causes hypoventilation.
h h h
D. It leads to slow breathing. ANS: A
h h h h h hhhhh hh
While assessing the tactile fremitus of the patient, the nurse lear
h h h h h h h h h h
ns that the fremitus is decreased. Which disorder may be diagno
h h h h h h h h h h
sed in the patient?
h h h
A. Bronchitis
h
B. Pleural effusion
h h
,ASCORERS STUVIA h
C. Lobar pneumonia
h h
D. Pulmonary infarction ANS: B
h h hhhhh hh
The nurse is assessing the bronchial breath sounds of a patient.
h h h h h h h h h h h
Where should the nurse place the stethoscope?
h h h h h h
A. Over the trachea and the larynx
h h h h h h
B. Over the peripheral lung fields
h h h h h
C. Posterior between the scapulae
h h h h
D. Anterior near the upper sternum ANS: A
h h h h h hhhhh hh
During the chest assessment of a patient, which reference line d
h h h h h h h h h h
oes the nurse note on the posterior chest wall?
h h h h h h h h
A. The midspinal line
h h h
B. The midaxillary line
h h h
C. The midsternal line
h h h
D. The midclavicular line ANS: A
h h h hhhhh hh
What action should the nurse include when auscultating the ant
h h h h h h h h h
erior chest of a patient for breath sounds? Select all that apply
h h h h h h h h h h h
.A. Starts the auscultation at the apices in the supraclavicular are
h h h h h h h h h h
aS
B. Auscultates and listens for one full respiration in each locatio
h h h h h h h h h h
n
, ASCORERS STUVIA h
C. Examines one side completely and then examines the other si
h h h h h h h h h h
de
D. Listens with a stethoscope over the breast in the female patie
h h h h h h h h h h h
nt
E. Completes the examination by auscultating down to the sixth
h h h h h h h h h h
rib ANS: A B E
hhhhh hh h h
The nurse is caring for a patient with a regular breathing rate of
h h h h h h h h h h h h h
eight breaths per minute. What is the most likely cause for this c
h h h h h h h h h h h h
ondition?
A. Prolonged bed rest
h h h
B. Splinting of the chest
h h h h
C. Overdose of stimulants
h h h
D. Drug-induced depression ANS: D
h h hhhhh hh
What assessment finding will the nurse document in a patient w
h h h h h h h h h h
ith pneumonia?
h
A. A smooth chest expansion
h h h h
B. A lag in the chest expansion
h h h h h h
C. A palpable grating sensation
h h h h
D. A slight inspiratory variation ANS: B
h h h h hhhhh hh
Increased tactile fremitus would be evident in an individual who
h h h h h h h h h
hhas which of the following conditions?
h h h h h
A. Emphysema
h h
