CORRECT AND TRUSTED SOLUTIONS WITH
RATIONALES
A patient is experiencing moderate respiratory distress. In addition to lung sounds and use of accessory muscles,
the nurse performs this assessment to assess the patient's arterial oxygenation.
a) Obtains the respiratory rate
b) Obtains a pulse oximetry reading
c) Obtains a reading from the end-tidal CO2 meter
d) Obtain a reading from the peak flow meter
b) Obtains a pulse oximetry reading
A patient has a barrel-shaped chest, characterized by:
a) Equal anteroposterior transverse diameter and ribs being horizontal
b) Anteroposterior transverse diameter of 1:2 and an elliptic shape
c) Anteroposterior transverse diameter of 2:1 and ribs being elevated
d) Anteroposterior transverse diameter of 3:7 and ribs sloping back
a) Equal anteroposterior transverse diameter and ribs being horizontal
You assess a patient who reports a cough. The characteristic timing of the cough of chronic bronchitis is described
as:
a) Continuous throughout the day
b) Productive cough for at least 3 months of the year for 2 consecutive years
c) Occurring in the afternoon or evening because of exposure to irritants at work
d) Occurring in the early morning
b) Productive cough for at least 3 months of the year for 2 consecutive years
Which of the following assessments best confirms symmetric chest expansion?
,a) Placing hands on the posterolateral chest wall with thumbs at the level of T9 or T10 aand then sliding the hands
up to pinch a small fold of skin between the thumbs
b) Inspection of the shape and configuration of the chest wall
c) Placing the palmar surface of one hand against the chest and having the person repeat the words "ninety-nine"
d) Percussion of the posterior chest
a) Placing hands on the posterolateral chest wall with thumbs at the level of T9 or T10 aand then sliding the hands
up to pinch a small fold of skin between the thumbs
Which sinuses can you assess through examination?
a) Ethmoid and sphenoid
b) Frontal and ethmoid
c) Maxillary and sphenoid
d) Frontal and maxillary
d) Frontal and maxillary
A 70 year old woman reports dry mouth. The most frequent cause is:
a) The aging process
b) Related to the medications she may be taking
c) The use of dentures
d) Related to a diminished sense of smell
b) Related to the medications she may be taking
The patient's tonsils are graded as 3+. The tonsils would be:
a) Visible
b) Halfway between the tonsillar pillars and uvula
c) Touching the uvula
d) Touching each other
c) Touching the uvula
, During an inspection of a patient's nares, a deviated septum is noted. What should the nurse do next?
a) Request a consultation with an ear, nose, and throat doctor
b) Document the deviation in the medical record in case the person needs to be suctioned
c) Teach the person what to do if a nosebleed should occur
d) Explore further because polyps frequently accompany a deviated septum
b) Document the deviation in the medical record in case the person needs to be suctioned
The function of the nasal turbinates' is to:
a) Warm the inhaled air
b) Detect odors
c) Stimulate tear formation
d) Lighten the weight of the skull bones
a) Warm the inhaled air
Oral malignancies are most likely to develop:
a) On the soft palate
b) On the tongue
c) In the buccal cheek mucosa
d) In the mucosa under the tongue
d) In the mucosa under the tongue
The 6 eye muscles that control eye movement are innervated by cranial nerves:
a) II, III, V
b) IV, VI, VII
c) III, IV, VI
d) II, III, VI