NURA 1100 Final Questions with
complete solution
What type of assessment is needed for a patient having SOB? - correct
answer ✔Focused respiratory assessment
What are some things you would assess during a focused respiratory
assessment? - correct answer ✔Respiratory rate, O2 sat, pattern, breath
sounds, nasal flaring, chest expansion
List 3 adventitious breath sounds - correct answer ✔Crackles, rhonchi, and
wheezing
List nursing interventions for crackles - correct answer ✔Diuretics, elevate
HOB 90 degrees
List nursing interventions for rhonchi - correct answer ✔Encourage cough,
increase fluids, avoid dairy
List nursing interventions for wheezing - correct answer ✔bronchodilators,
anti-inflammatories
What adventitious breath sound CAN be cleared by coughing? - correct
answer ✔Rhonchi
C/o leg pain, errythema, warmth, and swelling indicates? - correct answer
✔Deep vein thrombosis DVT
,What medications are DVTs treated with? - correct answer ✔coumadin and
heparin
How does the nurse assess vocal (tactile) fremitus? - correct answer ✔"99"
Define atelectasis - correct answer ✔collapse of the alveoli in the bases of
the lungs
List interventions to prevent atelectasis - correct answer ✔TCDB, incentive
spirometer, CPT, elevate HOB, encourage fluids
Define pneumothorax - correct answer ✔collapse of whole lung
How is pneumothorax treated? - correct answer ✔chest tube
List symptoms of cardiovascular disease - correct answer ✔cyanosis,
arrhythmia, edema, prolonged cap. refill, angina, SOB; dyspnea, fatigue,
thready pulse
How does a nurse assess chest excursion? - correct answer ✔place thumbs
on back, instruct to "take a deep breath," thumbs should move apart about 5"
What could be indicative of thumbs not moving about 5" on each side during
an assessment of chest excursion? - correct answer ✔a collapsed lung
What is the nurse's action when finding an irregular-shaped pupil in one eye?
- correct answer ✔Ask, "were you born with this?"
, What would patient data of "smokes cigarettes" indicate? - correct answer
✔Need for a focused assessment
What questions would a nurse ask a smoker? - correct answer ✔How much?
how long? What kind? Cough? Productive? Color?
Name abnormal heart sounds - correct answer ✔Murmur, rub, gallop, S3, S4
What is a common abnormal heart sound after open heart surgery? - correct
answer ✔Rub
Name the characteristics that are noted when assessing a radial pulse. -
correct answer ✔Rate, rhythm, strength, equality, and elasticity.
Where is the FIRST location that the nurse would place her stethoscope to
auscultate heart valves? - correct answer ✔Right second intercostal space
Where is the SECOND location that the nurse would place her stethoscope to
auscultate heart valves? - correct answer ✔Left second intercostal space
Where is the THIRD location that the nurse would place her stethoscope to
auscultate heart valves? - correct answer ✔Left third intercostal space
Where is the FOURTH location that the nurse would place her stethoscope to
auscultate heart valves? - correct answer ✔Left fourth intercostal space
Where is the FIFTH location that the nurse would place her stethoscope to
auscultate heart valves? - correct answer ✔Left fifth intercostal space
midclavicular line
complete solution
What type of assessment is needed for a patient having SOB? - correct
answer ✔Focused respiratory assessment
What are some things you would assess during a focused respiratory
assessment? - correct answer ✔Respiratory rate, O2 sat, pattern, breath
sounds, nasal flaring, chest expansion
List 3 adventitious breath sounds - correct answer ✔Crackles, rhonchi, and
wheezing
List nursing interventions for crackles - correct answer ✔Diuretics, elevate
HOB 90 degrees
List nursing interventions for rhonchi - correct answer ✔Encourage cough,
increase fluids, avoid dairy
List nursing interventions for wheezing - correct answer ✔bronchodilators,
anti-inflammatories
What adventitious breath sound CAN be cleared by coughing? - correct
answer ✔Rhonchi
C/o leg pain, errythema, warmth, and swelling indicates? - correct answer
✔Deep vein thrombosis DVT
,What medications are DVTs treated with? - correct answer ✔coumadin and
heparin
How does the nurse assess vocal (tactile) fremitus? - correct answer ✔"99"
Define atelectasis - correct answer ✔collapse of the alveoli in the bases of
the lungs
List interventions to prevent atelectasis - correct answer ✔TCDB, incentive
spirometer, CPT, elevate HOB, encourage fluids
Define pneumothorax - correct answer ✔collapse of whole lung
How is pneumothorax treated? - correct answer ✔chest tube
List symptoms of cardiovascular disease - correct answer ✔cyanosis,
arrhythmia, edema, prolonged cap. refill, angina, SOB; dyspnea, fatigue,
thready pulse
How does a nurse assess chest excursion? - correct answer ✔place thumbs
on back, instruct to "take a deep breath," thumbs should move apart about 5"
What could be indicative of thumbs not moving about 5" on each side during
an assessment of chest excursion? - correct answer ✔a collapsed lung
What is the nurse's action when finding an irregular-shaped pupil in one eye?
- correct answer ✔Ask, "were you born with this?"
, What would patient data of "smokes cigarettes" indicate? - correct answer
✔Need for a focused assessment
What questions would a nurse ask a smoker? - correct answer ✔How much?
how long? What kind? Cough? Productive? Color?
Name abnormal heart sounds - correct answer ✔Murmur, rub, gallop, S3, S4
What is a common abnormal heart sound after open heart surgery? - correct
answer ✔Rub
Name the characteristics that are noted when assessing a radial pulse. -
correct answer ✔Rate, rhythm, strength, equality, and elasticity.
Where is the FIRST location that the nurse would place her stethoscope to
auscultate heart valves? - correct answer ✔Right second intercostal space
Where is the SECOND location that the nurse would place her stethoscope to
auscultate heart valves? - correct answer ✔Left second intercostal space
Where is the THIRD location that the nurse would place her stethoscope to
auscultate heart valves? - correct answer ✔Left third intercostal space
Where is the FOURTH location that the nurse would place her stethoscope to
auscultate heart valves? - correct answer ✔Left fourth intercostal space
Where is the FIFTH location that the nurse would place her stethoscope to
auscultate heart valves? - correct answer ✔Left fifth intercostal space
midclavicular line
