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Health Assessment Exam 2

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1. A palpable vibration increased with lobar pneumonia is also known as: c. Fremitus 2. Your patient is exhibiting rapid shallow breathing, with a respiratory rate 24 respirations per minute. Which of the following conditions are they experiencing? b. Tachypnea 3. Which of the following terms is used to describe a decreased level of oxygen (O2) in the blood? c. Hypoxemia 4. Upon receiving the patient’s lab results, the nurse notes the patient has an increased level of carbon dioxide in the blood. Which of the following conditions would the patient be? b. Hypercapnia 5. The nurse is auscultating a patient’s lungs and hears discontinuous, high-pitched, short, popping sounds heard during inspiration, and not cleared by coughing. These are described as:

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Health Assessment Exam 2

Week 5 Review Questions:

1. A palpable vibration increased with lobar pneumonia is also
known as:
c. Fremitus

2. Your patient is exhibiting rapid shallow breathing, with a
respiratory rate > 24
respirations per minute. Which of the following conditions are they
experiencing?
b. Tachypnea

3. Which of the following terms is used to describe a decreased level
of oxygen (O2) in the
blood?
c. Hypoxemia

4. Upon receiving the patient’s lab results, the nurse notes the
patient has an increased level
of carbon dioxide in the blood. Which of the following conditions
would the patient be?
b. Hypercapnia

5. The nurse is auscultating a patient’s lungs and hears
discontinuous, high-pitched, short,
popping sounds heard during inspiration, and not cleared by
coughing. These are
described as:
c. Crackles

6. The nurse is assessing a patient’s lungs by using the percussion
technique. Which sound
would the nurse expect to hear over healthy lung tissue?

,a. Resonance

7. A clinical manifestation common in an individual with chronic
obstructive pulmonary
disease (COPD) is
b. Pursed lip breathing

8. Which of the following are functions of the respiratory system?
(Select all that apply)
a. Supplying oxygen to the body for energy production
b. Removing carbon dioxide as a waste product
d. Maintaining acid-base balance
e. Maintenance of heat exchange

9. Stridor is a high pitched, inspiratory crowing sound commonly
associated with
a. Upper airway obstruction

10. Which of the following correctly expresses the relationship to the
lobes of the lungs and
their anatomic position?
c. Lower lobes-posterior chest

11. The function of the trachea and bronchi is to
a. Transport gases between the environment and the lung parenchyma

12. Which of the following chest configurations is an exaggerated
posterior curvature of the
thoracic spine that is associated with aging and physical fitness?
c. Kyphosis

13. 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.

,a. Side-to-side

14. The nurse is listening to the breath sounds of a patient with
severe asthma. Air passing
through narrowed bronchioles would produce which of these
adventitious sounds?
a. Wheezes

15. A patient has been admitted to the emergency department with a
possible medical
diagnosis of pulmonary embolism. The nurse expects to see which
assessment findings
related to this condition?
c. Chest pain that is worse on deep inspiration and dyspnea

Week 6 Review Questions:

1. Freshly oxygenated blood enters the heart through the ___, and is
pumped out to the body
through the ____.
b. Left atrium; aorta

2. When listening to heart sounds, the nurse knows that the valve
closures that can be heard
best at the base of the heart are:
c. Aortic and pulmonic

3. The nurse is asking the client for subjective data before
performing a cardiac and great
vessel assessment. Which of the following should the nurse ask?
Select all that apply
a. Do you ever have any dyspnea?
b. Have you noticed any edema?
e. Have you had any chest pain?

, 4. The nurse is teaching the patient about health promotion of the
cardiovascular system.
Which of the following statements would indicate a need for further
teaching?
c. “Even though my dad had a heart attack, I don’t need to get screened
for heart issues earlier than anyone else.”

5. How should the nurse document mild, slight pitting edema on the
ankles of a heart failure
patient?
a. 1+

6. The nurse is educating the client about risk factors for
cardiovascular disease. Which of
the following risk factors for cardiovascular disease are modifiable?
Select all that apply.
A: Abnormal lipids
B: Smoking
D: Hypertension
E: Diabetes

7. Which of the following is an appropriate position to have the
patient assume when
auscultating for extra heart sounds or murmurs?
A. Roll toward the left side

8. Which statement is true regarding the arterial system?
B. The arterial system is a high-pressure system.

9. When assessing a patient the nurse is unable to palpate the left
dorsalis pedis pulse. What
should the nurse do first?
B) Use the doppler to assess the pulse

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