NSG 214 FINAL PRACTICE QUESTIONS 2026/2027 | HEALTH
ASSESSMENT STUDY GUIDE, EXAM REVIEW & PRACTICE
QUESTIONS
Increased tactile fremitus would be evident in an individual who has which of the following
conditions?
A) Crepitus
B) Emphysema
C) Pneumothorax
D) Pneumonia - Correct answer ✔✔ D) Pneumonia
Which of the following is a clinical manifestation in a patient with chronic obstructive
pulmonary disease (COPD)?
A) Periodic breathing patterns
B) Prolonged expiration
C) Unequal chest expansion
D) Hyperventilation - Correct answer ✔✔ B) Prolonged expiration
When auscultating lung sounds, it is important for the nurse to do which of the following?
A) Anterior auscultation should include 9 spots on each side.
B) Quickly move through the assessment to decrease risk for fainting or hyperventilation.
C) Tell the patient to stop the assessment if he/she begins to feel dizzy.
D) Complete assessment of right lung fields then move to auscultate the left lung fields. -
Correct answer ✔✔ C) Tell the patient to stop the assessment if he/she begins to feel dizzy.
,Inspiration is primarily facilitated by which of the following muscles?
A) Internal intercostal and abdominis
B) Diaphragm and intercostal
C) Trapezius and sternomastoids
D) Diaphragm and rectus abdominis - Correct answer ✔✔ B) Diaphragm and intercostal
Which of the following voice sounds would be a normal finding?
A) Whispered "1-2-3" is audible and distinct.
B) The voice transmission is distinct and sounds close to the ear.
C) The whispered sound is transmitted clearly.
D) The "eeeee" sound is clear and sounds like "eeeee." - Correct answer ✔✔ D) The "eeeee"
sound is clear and sounds like "eeeee."
The gradual loss of intra-alveolar septa and a decreased number of alveoli in the lungs of older
adults cause
A) spontaneous atelectasis.
B) decreased dead space.
C) hyperventilation.
D) decreased surface area for gas exchange. - Correct answer ✔✔ D) decreased surface area for
gas exchange.
Stridor is a high-pitched, inspiratory crowing sound commonly associated with
,A) pneumothorax.
B) upper airway obstruction.
C) congestive heart failure.
D) atelectasis. - Correct answer ✔✔ B) upper airway obstruction.
Percussion of the chest is
A) is not influenced by the overlying chest muscle and fat tissue.
B) normal if a dull note is elicited.
C) a useful technique for identifying small lesions in lung tissue.
D) helpful only in identifying surface alterations of lung tissue - Correct answer ✔✔ D) helpful
only in identifying surface alterations of lung tissue
An increase in the transverse diameter of the chest cage in a pregnant woman is due to a(n)
A) increase in surfactant.
B) increase in estrogen.
C) increase in tidal volume.
D) compensatory increase in respiratory parenchyma. - Correct answer ✔✔ B) increase in
estrogen.
When preparing to complete thorax and lung objective assessment of an infant or child, the
nurse should do which of the following? (Select all that apply.)
A) Allow the caregiver to hold the infant.
B) If infant is sleeping, perform auscultation before doing any other objective assessments.
, C) There is no need to change the language you use when telling the young child to breathe in
and out.
D) Warm the stethoscope between your hands before placing on the infant.
E) Document a barrel chest shape as expected findings for a 7-year-old child. - Correct answer
✔✔ A) Allow the caregiver to hold the infant.
B) If infant is sleeping, perform auscultation before doing any other objective assessments.
D) Warm the stethoscope between your hands before placing on the infant.
The first heart sound (S1) is produced by the
A) closure of the semilunar valves.
B) opening of the semilunar valves.
C) opening of the AV valves.
D) closure of the AV valves. - Correct answer ✔✔ D) closure of the AV valves.
Which of the following guidelines may be used to identify which heart sound is S1?
A) S1 coincides with the carotid artery pulse.
B) S1 coincides with the A wave of the jugular venous pulse wave.
C) S1 coincides with the Q wave of the QRS electrocardiogram complex.
D) S1 is louder than S2 at the base of the heart. - Correct answer ✔✔ A) S1 coincides with the
carotid artery pulse.
Which of the following cardiac alterations occurs during pregnancy?
A) An increased heart rate and increased blood pressure
B) An increased stroke volume and decreased cardiac output
ASSESSMENT STUDY GUIDE, EXAM REVIEW & PRACTICE
QUESTIONS
Increased tactile fremitus would be evident in an individual who has which of the following
conditions?
A) Crepitus
B) Emphysema
C) Pneumothorax
D) Pneumonia - Correct answer ✔✔ D) Pneumonia
Which of the following is a clinical manifestation in a patient with chronic obstructive
pulmonary disease (COPD)?
A) Periodic breathing patterns
B) Prolonged expiration
C) Unequal chest expansion
D) Hyperventilation - Correct answer ✔✔ B) Prolonged expiration
When auscultating lung sounds, it is important for the nurse to do which of the following?
A) Anterior auscultation should include 9 spots on each side.
B) Quickly move through the assessment to decrease risk for fainting or hyperventilation.
C) Tell the patient to stop the assessment if he/she begins to feel dizzy.
D) Complete assessment of right lung fields then move to auscultate the left lung fields. -
Correct answer ✔✔ C) Tell the patient to stop the assessment if he/she begins to feel dizzy.
,Inspiration is primarily facilitated by which of the following muscles?
A) Internal intercostal and abdominis
B) Diaphragm and intercostal
C) Trapezius and sternomastoids
D) Diaphragm and rectus abdominis - Correct answer ✔✔ B) Diaphragm and intercostal
Which of the following voice sounds would be a normal finding?
A) Whispered "1-2-3" is audible and distinct.
B) The voice transmission is distinct and sounds close to the ear.
C) The whispered sound is transmitted clearly.
D) The "eeeee" sound is clear and sounds like "eeeee." - Correct answer ✔✔ D) The "eeeee"
sound is clear and sounds like "eeeee."
The gradual loss of intra-alveolar septa and a decreased number of alveoli in the lungs of older
adults cause
A) spontaneous atelectasis.
B) decreased dead space.
C) hyperventilation.
D) decreased surface area for gas exchange. - Correct answer ✔✔ D) decreased surface area for
gas exchange.
Stridor is a high-pitched, inspiratory crowing sound commonly associated with
,A) pneumothorax.
B) upper airway obstruction.
C) congestive heart failure.
D) atelectasis. - Correct answer ✔✔ B) upper airway obstruction.
Percussion of the chest is
A) is not influenced by the overlying chest muscle and fat tissue.
B) normal if a dull note is elicited.
C) a useful technique for identifying small lesions in lung tissue.
D) helpful only in identifying surface alterations of lung tissue - Correct answer ✔✔ D) helpful
only in identifying surface alterations of lung tissue
An increase in the transverse diameter of the chest cage in a pregnant woman is due to a(n)
A) increase in surfactant.
B) increase in estrogen.
C) increase in tidal volume.
D) compensatory increase in respiratory parenchyma. - Correct answer ✔✔ B) increase in
estrogen.
When preparing to complete thorax and lung objective assessment of an infant or child, the
nurse should do which of the following? (Select all that apply.)
A) Allow the caregiver to hold the infant.
B) If infant is sleeping, perform auscultation before doing any other objective assessments.
, C) There is no need to change the language you use when telling the young child to breathe in
and out.
D) Warm the stethoscope between your hands before placing on the infant.
E) Document a barrel chest shape as expected findings for a 7-year-old child. - Correct answer
✔✔ A) Allow the caregiver to hold the infant.
B) If infant is sleeping, perform auscultation before doing any other objective assessments.
D) Warm the stethoscope between your hands before placing on the infant.
The first heart sound (S1) is produced by the
A) closure of the semilunar valves.
B) opening of the semilunar valves.
C) opening of the AV valves.
D) closure of the AV valves. - Correct answer ✔✔ D) closure of the AV valves.
Which of the following guidelines may be used to identify which heart sound is S1?
A) S1 coincides with the carotid artery pulse.
B) S1 coincides with the A wave of the jugular venous pulse wave.
C) S1 coincides with the Q wave of the QRS electrocardiogram complex.
D) S1 is louder than S2 at the base of the heart. - Correct answer ✔✔ A) S1 coincides with the
carotid artery pulse.
Which of the following cardiac alterations occurs during pregnancy?
A) An increased heart rate and increased blood pressure
B) An increased stroke volume and decreased cardiac output
