A client diagnosed with conductive hearing loss (physical
obstruction) asks the nurse to explain the cause of the hearing
problem. The nurse plans to explain to the client that this
condition is caused by which problem?
1. A deficit in the cochlea
2. A deficit in cranial nerve VIII
3. A physical obstruction to the transmission of sound waves
4. A defect in the sensory fibers that lead to the cerebral cortex
Correct Answers 3. A physical obstruction to the transmission
of sound waves
A client is diagnosed with external otitis (swimmers ear). Which
finding would the nurse expect to note on the assessment of the
client?
1. A wider than normal ear canal
2. A pearly gray tympanic membrane
3. Redness and swelling in the ear canal
4. An excessive amount of cerement lodged in the ear canal
Correct Answers 3. Redness and swelling in the ear canal
A client with a diagnosis of asthma is admitted to the hospital
with respiratory distress. Which type of adventitious lung
sounds should the nurse expect to hear when performing a
respiratory assessment on this client?
1. Stridor
2. Crackles
, 3. Wheezes
4. Diminishe Correct Answers 3. Wheezes
high pitched squeaking sound
A nursing student is performing a respiratory assessment on a
female adult client and is assessing for tactile remits. Which
action by the nursing student indicated a need for further
teaching?
1. Palpating over the lung apices in the supraclavicular area
2. Asking the client to repeat the word ninety-nine during
palpation
3. Palpating over the breast tissue to assess and compare
vibrations from 1 side to the other
4. Comparing vibrations from 1 side to the other as the client
repeats the word ninety-nine Correct Answers 3. Palpating over
the breast tissue to assess and compare vibrations from 1 side to
the other
bc sound will be muffled
Annular Lesions Correct Answers circular, begins in center and
spreads to periphery
apex of heart Correct Answers lower tip of the heart
Apex of lungs Correct Answers top of lungs
atelectasis Correct Answers collapsed lung