NURS 190 3.0 Exam Questions with Verified Solutions Graded A+
nurse is assesing a client who has asthma which of the following areas should the nurse
evaluate as most reliable indicator of central cyanosis - Answers Oral mucosa
During an elderly clients physical exam the nurse notes his fingernails are spongy round and
wide with a greater angle than 170° how would the nurse document this - Answers clubbing
The nurse is performing a respiratory assessment on her client and hears rhonchi in bilateral
lobes which of the following is the best description for this adventitious sound - Answers Low
pitched, continuous, snoring or or rattling
Well palpating respiratory expansion on a client in the emergency room the nurse notes
movement on only one side of the chest wall is most likely indication of this finding - Answers
Pneumothorax
In immobilize client is suspected of having atelectasis what assessment findings would support
this diagnosis - Answers Diminished breath sounds
During the physical assessment the nurse documents the presence of eupneic respirations on
the clients medical record. What does this findings suggest - Answers Regular even depth
rhythmic pattern of breathing
After complaining of respiratory assessment the nurse document AP:T diameter 1:2
symmetrical chest expansion, respiratory rate 16 and regular, the circular bed sounds
interpreting these data the nurse - Answers Considers these normal
The nurse is assessing a client respiratory system which method will receive in the most
accurate assessment of the clients respiratory rate - Answers The nurse should count the
respirations in an unobtrusive manner without informing the client
The nurse auscultate the clients lungs and prepares to document the assessment. Which breath
sounds are considered abnormal and may require further intervention - Answers rhonchi
wheezes
crackles
A nurse is assessing a client who has COPD the nurse should expect the clients chest to be
which of the following shapes - Answers barrel
A young woman comes to the clinic with reports of movable soft mass is located on the upper
outer quadrant of both of her breast the nurse would suspect which disorder in this client -
Answers Benign breast disease
In performing a breast examination the nurse knows that it is especially important to examine
the upper outer quadrant of the breast what is the reason for this specific assessment -
nurse is assesing a client who has asthma which of the following areas should the nurse
evaluate as most reliable indicator of central cyanosis - Answers Oral mucosa
During an elderly clients physical exam the nurse notes his fingernails are spongy round and
wide with a greater angle than 170° how would the nurse document this - Answers clubbing
The nurse is performing a respiratory assessment on her client and hears rhonchi in bilateral
lobes which of the following is the best description for this adventitious sound - Answers Low
pitched, continuous, snoring or or rattling
Well palpating respiratory expansion on a client in the emergency room the nurse notes
movement on only one side of the chest wall is most likely indication of this finding - Answers
Pneumothorax
In immobilize client is suspected of having atelectasis what assessment findings would support
this diagnosis - Answers Diminished breath sounds
During the physical assessment the nurse documents the presence of eupneic respirations on
the clients medical record. What does this findings suggest - Answers Regular even depth
rhythmic pattern of breathing
After complaining of respiratory assessment the nurse document AP:T diameter 1:2
symmetrical chest expansion, respiratory rate 16 and regular, the circular bed sounds
interpreting these data the nurse - Answers Considers these normal
The nurse is assessing a client respiratory system which method will receive in the most
accurate assessment of the clients respiratory rate - Answers The nurse should count the
respirations in an unobtrusive manner without informing the client
The nurse auscultate the clients lungs and prepares to document the assessment. Which breath
sounds are considered abnormal and may require further intervention - Answers rhonchi
wheezes
crackles
A nurse is assessing a client who has COPD the nurse should expect the clients chest to be
which of the following shapes - Answers barrel
A young woman comes to the clinic with reports of movable soft mass is located on the upper
outer quadrant of both of her breast the nurse would suspect which disorder in this client -
Answers Benign breast disease
In performing a breast examination the nurse knows that it is especially important to examine
the upper outer quadrant of the breast what is the reason for this specific assessment -
