SHERPATH NEURO (HESI 245) EXAMBANK WITH VERIFIED SOLUTIONS A+ GRADED.

SHERPATH NEURO (HESI 245)
EXAMBANK WITH VERIFIED SOLUTIONS
A+ GRADED.
What is being assessed when the nurse asks the patient to recite numbers
or words during palpation of the chest?

1. Symmetry
2. Tactile fremitus
3. Thoracic expansion
4. Tenderness
Ans: 2

Symmetry
The nurse would assess symmetry by inspection and palpation of the thoracic
muscles and skeleton but would not ask the patient to recite words while doing
so.

Tactile fremitus
To assess tactile fremitus, the nurse asks the patient to recite numbers or words
while systematically palpating the chest with the palmar surfaces of the
fingers or the ulnar aspect of a clenched fist, using a firm, light touch.

Thoracic expansion
The nurse would assess thoracic expansion by standing behind the patient with
thumbs along the spinal processes but would not ask the patient to recite
words during this process.

Tenderness
The nurse would assess tenderness by palpating the thoracic muscles and
skeleton but would not ask the patient to recite words while doing so.

,In which position should the patient be for the nurse to assess the lateral
and anterior chest?

1. Arms at sides
2. Lying supine
3. Arms raised overhead
4. Arm crossed
Ans: 3

Arms at sides
The nurse would not ask the patient to put the arms at the sides for assessment
of the anterior and lateral chest.

Lying supine
The nurse would not ask the patient to lie supine for assessment of the anterior
and lateral chest.

Arms raised overhead
The nurse would ask the patient to raise the arms overhead for assessment of
the anterior and lateral chest.

Arm crossed
The nurse would not ask the patient to cross the arms for assessment of the
anterior and lateral chest.
The nurse percusses the anterior chest to obtain information about which
elements of the internal organs? Select all that apply.

1. Size
2. Condition
3. Function
4. Location
5. Developmental state

,Ans: 1, 2, 4

Size
Percussion over the anterior chest can provide information on the size of the
internal organs.

Condition
Percussion over the anterior chest can provide information on the condition of
the internal organs.

Function
Percussion over the anterior chest cannot directly indicate the function of the
internal organs.

Location
Percussion over the anterior chest can provide information on the location of
the internal organs.

Developmental state
Percussion over the anterior chest cannot directly indicate the developmental
state of the internal organs.
When percussing the chest, how should the nurse compare tones?

1. Bilaterally
2. Anterior-posterior
3. Lateral-anterior
4. Caudal-cranial
Ans: 1

Bilaterally
The nurse should compare tones bilaterally on percussion.

Anterior-posterior

, The nurse would not compare tones between the anterior and posterior chest
on percussion.

Lateral-anterior
The nurse would not compare tones between the lateral and anterior chest on
percussion.

Caudal-cranial
The nurse would not compare tones between the caudal and cranial chest on
percussion.
When auscultating the chest, which elements are important for the nurse to
note? Select all that apply.

1. Symmetry
2. Tactile fremitus
3. Vocal resonance
4. Duration of breath sounds
5. Unexpected breath sounds
Ans: 3, 4, 5

Symmetry
The nurse should assess symmetry during inspection and palpation, not
auscultation.

Tactile fremitus
Tactile fremitus is assessed during palpation of the chest, not auscultation.

Vocal resonance
When auscultating the chest, the nurse should note vocal resonance.

Duration of breath sounds
When auscultating the chest, the nurse should note the duration of breath
sounds.