Assignment: NURS 3020 Respiratory Assessment

Assignment: NURS 3020 Respiratory Assessment

Question

NURS3020 Health Assessment

Week 3 Quiz

• Question 1 When performing a respiratory assessment on a patient, the
nurse notices a costal angle of approximately 90 degrees. This characteristic
is:

Answers: a. Observed in patients with kyphosis.

b. Indicative of pectus
excavatum.

c. A normal finding in a healthy
adult.

d. An expected finding in a
patient with a barrel chest.

• Question 2 When assessing a patient’s lungs, the nurse recalls that the
left lung:

Answers: a. Consists of two lobes.

b. Is divided by the horizontal
fissure.

c. Primarily consists of an
upper lobe on the posterior chest.

d. Is shorter than the right
lung because of the underlying stomach.

Question 3 The nurse is observing the auscultation
technique of another nurse. The correct method to use when progressing from one
auscultatory site on the thorax to another is _______ comparison.

Answers: a. Side-to-side

b. Top-to-bottom

c. Posterior-to-anterior

d. Interspace-by-interspace

• Question 4 When
auscultating the lungs of an adult patient, the nurse notes that low-pitched,
soft breath sounds are heard over the posterior lower lobes, with inspiration
being longer than expiration. The nurse interprets that these sounds are:

Answers: a. Normally auscultated over the trachea.

b. Bronchial breath sounds and
normal in that location.

c. Vesicular breath sounds and
normal in that location.

d. Bronchovesicular breath
sounds and normal in that location.

• Question 5 The direction of blood flow through the heart is best
described by which of these? Answers: a. Vena cava ? right atrium ? right
ventricle ? lungs ? pulmonary artery ? left atrium ? left ventricle

b. Right atrium ? right
ventricle ? pulmonary artery ? lungs ? pulmonary vein ? left atrium ? left
ventricle

c. Aorta ? right atrium ? right
ventricle ? lungs ? pulmonary vein ? left atrium ? left ventricle ? vena cava

d. Right atrium ? right
ventricle ? pulmonary vein ? lungs ? pulmonary artery ? left atrium ? left
ventricle

• Question 6 A 45-year-old man is in the clinic for a routine physical
examination. During the recording of his health history, the patient states
that he has been having difficulty sleeping. “I’ll be sleeping great, and then
I wake up and feel like I can’t get my breath.” The nurse’s best response to this
would be:

Answers: a. “When was your last electrocardiogram?”

b. “It’s probably because it’s
been so hot at night.”

c. “Do you have any history of
problems with your heart?”

d. “Have you had a recent sinus
infection or upper respiratory infection?”

• Question 7 In assessing a patient’s major risk factors for heart
disease, which would the nurse want to include when taking a history?

Answers: a. Family history, hypertension, stress, and age

b. Personality type, high
cholesterol, diabetes, and smoking

c. Smoking, hypertension,
obesity, diabetes, and high cholesterol

d. Alcohol consumption, obesity,
diabetes, stress, and high cholesterol

• Question 8 The mother of a 3-month-old infant states that her baby has
not been gaining weight. With further questioning, the nurse finds that the
infant falls asleep after nursing and wakes up after a short time, hungry
again. What other information would the nurse want to have?

Answers: a. Infant’s sleeping position

b. Sibling history of eating
disorders

c. Amount of background noise
when eating

d. Presence of dyspnea or
diaphoresis when sucking

• Question 9 In assessing the carotid arteries of an older patient with
cardiovascular disease, the nurse would:

Answers: a. Palpate the artery in the upper one third of the
neck.

b. Listen with the bell of the
stethoscope to assess for bruits.

c. Simultaneously palpate both
arteries to compare amplitude.

d. Instruct the patient to take
slow deep breaths during auscultation.

• Question 10 Which statement is true regarding the arterial system?

Answers: a. Arteries are large-diameter vessels.

b. The arterial system is a
high-pressure system.

c. The walls of arteries are
thinner than those of the veins.

d. Arteries can greatly expand
to accommodate a large blood volume increase.

• Question 11 The nurse is reviewing the blood supply to the arm. The major
artery supplying the arm is the _____ artery.

Answers: a. Ulnar

b. Radial

c. Brachial

d. Deep palmar

• Question 12 The nurse is preparing to assess the dorsalis pedis artery.
Where is the correct location for palpation?

Answers: a. Behind the knee

b. Over the lateral malleolus

c. In the groove behind the
medial malleolus

d. Lateral to the extensor
tendon of the great toe

• Question 13 The nurse is teaching a review class on the lymphatic system.
A participant shows correct understanding of the material with which statement?

Answers: a. “Lymph flow is propelled by the contraction of the
heart.”

b. “The flow of lymph is slow,
compared with that of the blood.”

c. “One of the functions of the
lymph is to absorb lipids from the biliary tract.”

d. “Lymph vessels have no
valves; therefore, lymph fluid flows freely from the tissue spaces into the
bloodstream.”

• Question 14 When performing an assessment of a patient, the nurse notices
the presence of an enlarged right epitrochlear lymph node. What should the
nurse do next?

Answers: a. Assess the patient’s abdomen, and notice any
tenderness.

b. Carefully assess the cervical
lymph nodes, and check for any enlargement.

c. Ask additional health history
questions regarding any recent ear infections or sore throats.

d. Examine the patient’s lower
arm and hand, and check for the presence of infection or lesions.

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Assignment: NURS 3020 Respiratory Assessment

• Question 15 A 35-year-old man is seen in the clinic for an infection in
his left foot. Which of these findings should the nurse expect to see during an
assessment of this patient?

Answers: a. Hard and fixed cervical nodes

b. Enlarged and tender inguinal
nodes

c. Bilateral enlargement of the
popliteal nodes

d. Pelletlike nodes in the
supraclavicular region

• Question 16 The nurse is examining the lymphatic system of a healthy
3-year-old child. Which finding should the nurse expect?

Answers: a. Excessive swelling of the lymph nodes

b. Presence of palpable lymph
nodes

c. No palpable nodes because of
the immature immune system of a child

d. Fewer numbers and a smaller
size of lymph nodes compared with those of an adult

• Question 17 During an assessment of an older adult, the nurse should
expect to notice which finding as a normal physiologic change associated with
the aging process?

Answers: a. Hormonal changes causing vasodilation and a resulting
drop in blood pressure

b. Progressive atrophy of the
intramuscular calf veins, causing venous insufficiency

c. Peripheral blood vessels
growing more rigid with age, producing a rise in systolic blood pressure

d. Narrowing of the inferior
vena cava, causing low blood flow and increases in venous pressure resulting in
varicosities

• Question 18 A
67-year-old patient states that he recently began to have pain in his left calf
when climbing the 10 stairs to his apartment. This pain is relieved by sitting
for approximately 2 minutes; then he is able to resume his activities. The
nurse interprets that this patient is most likely experiencing:

Answers: a. Claudication.

b. Sore muscles.

c. Muscle cramps.

d. Venous insufficiency.

• Question 19 A patient has been diagnosed with venous stasis. Which of
these findings would the nurse most likely observe?

Answers: a. Unilateral cool foot

b. Thin, shiny, atrophic skin

c. Pallor of the toes and
cyanosis of the nail beds

d. Brownish discoloration to the
skin of the lower leg

• Question 20 The nurse is attempting to assess the femoral pulse in a
patient who is obese. Which of these actions would be most appropriate?

Answers: a. The patient is asked to assume a prone position.

b. The patient is asked to bend
his or her knees to the side in a froglike position.

c. The nurse firmly presses
against the bone with the patient in a semi-Fowler position.

d. The nurse listens with a
stethoscope for pulsations; palpating the pulse in an obese person is extremely
difficult.

• Question 21 When auscultating over a patient’s femoral arteries, the nurse
notices the presence of a bruit on the left side. The nurse knows that bruits:

Answers: a. Are often associated with venous disease.

b. Occur in the presence of
lymphadenopathy.

c. In the femoral arteries are
caused by hypermetabolic states.

d. Occur with turbulent blood
flow, indicating partial occlusion.

• Question 22 The sac that surrounds and protects the heart is called the:

Answers: a. Pericardium.

b. Myocardium.

c. Endocardium.

d. Pleural space.

• Question 23 During an examination of the anterior thorax, the nurse is
aware that the trachea bifurcates anteriorly at the:

Answers: a. Costal angle.

b. Sternal angle.

c. Xiphoid process.

d. Suprasternal notch.

• Question 24 During an assessment, the nurse knows that expected assessment
findings in the normal adult lung include the presence of:

Answers: a. Adventitious sounds and limited chest expansion.

b. Increased tactile fremitus
and dull percussion tones.

c. Muffled voice sounds and
symmetric tactile fremitus.

d. Absent voice sounds and
hyperresonant percussion tones.

• Question 25 The primary muscles of respiration include the:

Answers: a. Diaphragm and intercostals.

b. Sternomastoids and scaleni.

c. Trapezii and rectus
abdominis.

d. External obliques and
pectoralis major.