Health Assessment Final 214
National University multiple
choice questions &answers
When the nurse assesses a 78-year-old patient with pneumonia, what is the
priority assessment? A. Breath sounds B. Airway patency C. Respiratory rate
D. Percussion sounds - Ans b (ABC'S)
A 45-year-old man has been admitted to the hospital with suspicion of PE.
Which of the following symptoms should the nurse report to the primary
health practitioner immediately? A. Chest pain B. Shortness of breath C.
Respirations 20 breaths/min D. Productive cough - Ans a - chest pain is
assumed to be heart pain
3. A 62-year-old woman comes to the clinic with an exacerbation of asthma.
Which of the following findings indicate worsening status of her asthma? A.
Increased wheezing B. Sustained rhonchi C. Decreased respirations D.
Oxygen saturation 94% - Ans a - wheezing is associated with airway
inflammation
A 3-year-old boy is brought to the emergency department with stridor, nasal
flaring, intercostal and supraclavicular retractions, and respiratory rate of 40
breaths/min. What type of situation is this? A. Stable B. Acute C. Urgent D.
Emergency - Ans D-
STRIDOR - Ans upper airway obstruction
,A 92-year-old woman with a history of COPD presents with increasing
shortness of breath, decreased lung sounds in the bases, increased ankle
edema, and 5-lb weight gain in 1 week. What is the most likely problem? A.
Impaired gas exchange B. Ineffective airway clearance C. Activity intolerance
D. Excess fluid volume - Ans d-patient retains fluid due to the increased
work load of the heart
Which of the following factors is the most significant risk factor for COPD? A.
Increased age B. Immune suppression C. Tobacco smoking D. Occupational
exposure - Ans c
When the nurse assesses a client with respiratory symptoms, which of the
following complaints should be evaluated first? A. Chest soreness B. Dyspnea
C. Cough D. Sputum - Ans d - shortness of breath would be the first
observation
When assessing a patient with atelectasis, what assessment findings are
expected? Choose all that apply. A. Shortness of breath B. Decreased breath
sounds C. Decreased oxygen saturation D. Increased tactile fremitus E.
Hyperresonance - Ans A-D
atelectasis - Ans collapsed lung; incomplete expansion of alveoli
tactile fremitus - Ans is an assessment of the low-frequency vibration of a
patient's chest, which is used as an indirect measure of the amount of air
and density of tissue present within the lungs.
, Hyperresonance - Ans lower-pitched, booming sound found when too much
air is present such as in emphysema or pneumothorax
Which assessment findings would indicate that inhaled bronchodilators have
been effective? A. Expiratory wheezing, O2 saturation 94%, pallor B.
Vesicular breath sounds, O2 saturation 96%, pink C. Bronchial breath
sounds, O2 saturation 100%, erythema D. Crackles, O2 saturation 90%,
circumoral cyanosis - Ans B
pallor - Ans pale appearance
erythema - Ans reddening of the skin, usually in patches
circumoral cyanosis - Ans refers to blue discoloration around the mouth only
The nurse auscultates bronchovesicular breath sounds in the second ICS
near the sternum. The nurse interprets this as A. a normal finding over the
trachea. B. a normal finding over the bronchi. C. an abnormal finding over
the lung - Ans b -
trachea bifurcates at the ____ intercostal space - Ans second
___ sounds are auscultated over the trachea. - Ans bronchovesicular sounds
National University multiple
choice questions &answers
When the nurse assesses a 78-year-old patient with pneumonia, what is the
priority assessment? A. Breath sounds B. Airway patency C. Respiratory rate
D. Percussion sounds - Ans b (ABC'S)
A 45-year-old man has been admitted to the hospital with suspicion of PE.
Which of the following symptoms should the nurse report to the primary
health practitioner immediately? A. Chest pain B. Shortness of breath C.
Respirations 20 breaths/min D. Productive cough - Ans a - chest pain is
assumed to be heart pain
3. A 62-year-old woman comes to the clinic with an exacerbation of asthma.
Which of the following findings indicate worsening status of her asthma? A.
Increased wheezing B. Sustained rhonchi C. Decreased respirations D.
Oxygen saturation 94% - Ans a - wheezing is associated with airway
inflammation
A 3-year-old boy is brought to the emergency department with stridor, nasal
flaring, intercostal and supraclavicular retractions, and respiratory rate of 40
breaths/min. What type of situation is this? A. Stable B. Acute C. Urgent D.
Emergency - Ans D-
STRIDOR - Ans upper airway obstruction
,A 92-year-old woman with a history of COPD presents with increasing
shortness of breath, decreased lung sounds in the bases, increased ankle
edema, and 5-lb weight gain in 1 week. What is the most likely problem? A.
Impaired gas exchange B. Ineffective airway clearance C. Activity intolerance
D. Excess fluid volume - Ans d-patient retains fluid due to the increased
work load of the heart
Which of the following factors is the most significant risk factor for COPD? A.
Increased age B. Immune suppression C. Tobacco smoking D. Occupational
exposure - Ans c
When the nurse assesses a client with respiratory symptoms, which of the
following complaints should be evaluated first? A. Chest soreness B. Dyspnea
C. Cough D. Sputum - Ans d - shortness of breath would be the first
observation
When assessing a patient with atelectasis, what assessment findings are
expected? Choose all that apply. A. Shortness of breath B. Decreased breath
sounds C. Decreased oxygen saturation D. Increased tactile fremitus E.
Hyperresonance - Ans A-D
atelectasis - Ans collapsed lung; incomplete expansion of alveoli
tactile fremitus - Ans is an assessment of the low-frequency vibration of a
patient's chest, which is used as an indirect measure of the amount of air
and density of tissue present within the lungs.
, Hyperresonance - Ans lower-pitched, booming sound found when too much
air is present such as in emphysema or pneumothorax
Which assessment findings would indicate that inhaled bronchodilators have
been effective? A. Expiratory wheezing, O2 saturation 94%, pallor B.
Vesicular breath sounds, O2 saturation 96%, pink C. Bronchial breath
sounds, O2 saturation 100%, erythema D. Crackles, O2 saturation 90%,
circumoral cyanosis - Ans B
pallor - Ans pale appearance
erythema - Ans reddening of the skin, usually in patches
circumoral cyanosis - Ans refers to blue discoloration around the mouth only
The nurse auscultates bronchovesicular breath sounds in the second ICS
near the sternum. The nurse interprets this as A. a normal finding over the
trachea. B. a normal finding over the bronchi. C. an abnormal finding over
the lung - Ans b -
trachea bifurcates at the ____ intercostal space - Ans second
___ sounds are auscultated over the trachea. - Ans bronchovesicular sounds
