QUESTIONS WITH CORRECT ANSWERS
GRADED A+
◉ During assessment of the thorax and lungs, which technique
should the nurse use to assess the client's AP diameter? Answer:
Inspection
◉ To assess for the presence of a carotid artery bruit, which action
should the nurse include? Answer: Lightly apply the bell of the
stethoscope over the artery.
◉ The nurse inspects a client's mouth and throat. Which finding
warrants the most immediate action by the nurse? Answer: Tonsils
are observable and covered with a white membrane.
◉ The nurse assesses the skin of an older adult client. Which finding
warrants the most immediate follow-up by the nurse? Answer:
Bruises of several different colors.
◉ During asucultation of the client's peripheral lung fields, the nurse
hears vesicular breath sounds. What action should the nurse take in
response to this assessment? Answer: Document the normal finding.