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NUR 305 Exam 2 Study Guide Key Questions for Nursing Assessment

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NUR 305 Exam 2 Study Guide Key Questions for Nursing Assessment

Institution
NUR 305
Course
NUR 305

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Exam2Study Guide - Study
Questions from class books


Health Assessment (Butler County
Community College)

, Lung & Respiratory System 1. Bronchial breath sounds in the
posterior thorax
1. A nurse suspects a viral infection or 2. Decrease in respiratory rate
upper respiratory allergies when the patient 3. Decreased breath sounds on auscultation
describes the sputum as being which color? 4. Complaint of sharp chest pain on
1. Green inspiration
2. Clear
3. Yellow 6. How does the nurse palpate the chest for
4. Pink tinged tenderness, bulges, and symmetry?
1. Uses the fist of the dominant hand to
2. During inspection of the respiratory gently tap the anterior, lateral, and
system the nurse documents which posterior chest, comparing one side with
finding as abnormal? another
1. Skin color consistent with patient’s race 2. Uses the ulnar surface of one hand to
2. 1:2 ratio of anteroposterior to palpate the anterior, posterior, and
lateral diameter lateral chest, comparing one side with
3. Respiratory rate of 20 breaths per minute another
4. Patient leaning forward with arms 3. Uses the tips of the fingers to palpate
braced on the knees the skin over the chest and the alignment
of vertebrae
3. A patient has an infection of the 4. Uses the palmar surface of fingers of
terminal bronchioles and alveoli that both hands to feel the texture of the skin
involves the right lower lobe of the lung. over the chest and the alignment of
Which abnormal findings are expected? vertebrae
1. Dyspnea with diminished breath
sounds bilaterally 7. Which breath sounds are expected over
2. Asymmetric chest expansion and the posterior chest of an adult?
rhonchi on the right side 1. Vesicular
3. Fever and tachypnea with crackles 2. Bronchovesicular
over the right lower lobe 3. Bronchial
4. Prolonged expiration with an 4. Bronchoalveolar
occasional wheeze in the right lower lobe
8. Narrowing of the bronchi creates which
4. On auscultation of a patient’s lungs, the adventitious sound?
nurse hears a low-pitched, coarse, loud, and 1. Wheeze
low snoring sound. Which term does the 2. Crackles
nurse use to document this finding? 3. Rhonchi
1. Rhonchi 4. Pleural friction rub
2. Wheeze
3. Crackles 9. A nurse is auscultating the lungs of a
4. Pleural friction rub healthy female patient and hears crackles on
inspiration. What action can the nurse take
5. A nurse finds the patient’s AP diameter to ensure this is an accurate finding?
of the chest to be the same as the lateral 1. Make sure the bell of the stethoscope is
diameter. Based on this finding, what used rather than the diaphragm.
additional data would the nurse anticipate? 2. Ask the patient to cough then repeat
the auscultation.
3. Ask the patient not to talk while the nurse
is listening to the lungs.

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Institution
NUR 305
Course
NUR 305

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