Health assessment test 3:NSG 3160 Questions With
Complete Solutions
27. A teenage patient comes to theemergency department with
complaints of an inability to breathe and a sharp pain in theleft
side of his chest. theassessment findings include cyanosis,
tachypnea, tracheal deviation to theright, decreased tactile
fremitus on theleft, hyperresonance on theleft, and decreased
breath sounds on theleft. thenurse interprets that these
assessment findings are consistent with:
Pneumothorax.
s
28. An adult patient with a history of allergies comes to theclinic
complaining of wheezing and difficulty in breathing when
working in his yard. theassessment findings include tachypnea,
theuse of accessory neck muscles, prolonged expiration,
intercostal retractions, decreased breath sounds, and expiratory
wheezes. thenurse interprets that these assessment findings are
consistent with:
Asthma.
s
,29. The nurse is assessing thelungs of an older adult. Which of
these changes are normal in therespiratory system of theolder
adult?
Lungs are less elastic and distensible, which decreases their
ability to collapse and recoil.
s
30. A woman in her 26th week of pregnancy states that she is
not really short of breath but feels that she is aware of her
breathing and theneed to breathe. What is thenurses best reply?
What you are experiencing is normal. Some women may
interpret this as shortness of breath, but it is a normal finding
and nothing is wrong.
s
31. A 35-year-old recent immigrant is being seen in theclinic for
complaints of a cough that is associated with rust-colored
sputum, low-grade afternoon fevers, and night sweats for thepast
2 months. thenurses preliminary analysis, based on this history,
is that this patient may be suffering from:
Tuberculosis.
s
,32. A 70-year-old patient is being seen in theclinic for severe
exacerbation of his heart failure. Which of these findings is
thenurse most likely to observe in this patient?
Shortness of breath, orthopnea, paroxysmal nocturnal dyspnea,
and ankle edema
s
33. A patient comes to theclinic complaining of a cough that is
worse at night but not as bad during theday. thenurse recognizes
that this cough may indicate:
Postnasal drip or sinusitis.
s
34. During a morning assessment, thenurse notices that
thepatients sputum is frothy and pink. Which condition could
this finding indicate?
Pulmonaryedema
s
35. During auscultation of breath sounds, thenurse should
correctly use thestethoscope in which of thefollowing ways?
Listening to at least one full respiration in each location
s
, 36. A patient has been admitted to theemergency department
with a possible medical diagnosis of pulmonary embolism.
thenurse expects to see which assessment findings related to this
condition?
Chest pain that is worse on deep inspiration and dyspnea
s
37. During palpation of the anterior chest wall, the nurse notices
a coarse, crackling sensation over the skin surface. On the basis
of these findings, the nurse suspects:
Crepitus.
s
38. The nurse is auscultating thelungs of a patient who had been
sleeping and notices short, popping, crackling sounds that stop
after a few breaths. thenurse recognizes that these breath sounds
are:
Atelectatic crackles that do not have a pathologic cause.
s
Complete Solutions
27. A teenage patient comes to theemergency department with
complaints of an inability to breathe and a sharp pain in theleft
side of his chest. theassessment findings include cyanosis,
tachypnea, tracheal deviation to theright, decreased tactile
fremitus on theleft, hyperresonance on theleft, and decreased
breath sounds on theleft. thenurse interprets that these
assessment findings are consistent with:
Pneumothorax.
s
28. An adult patient with a history of allergies comes to theclinic
complaining of wheezing and difficulty in breathing when
working in his yard. theassessment findings include tachypnea,
theuse of accessory neck muscles, prolonged expiration,
intercostal retractions, decreased breath sounds, and expiratory
wheezes. thenurse interprets that these assessment findings are
consistent with:
Asthma.
s
,29. The nurse is assessing thelungs of an older adult. Which of
these changes are normal in therespiratory system of theolder
adult?
Lungs are less elastic and distensible, which decreases their
ability to collapse and recoil.
s
30. A woman in her 26th week of pregnancy states that she is
not really short of breath but feels that she is aware of her
breathing and theneed to breathe. What is thenurses best reply?
What you are experiencing is normal. Some women may
interpret this as shortness of breath, but it is a normal finding
and nothing is wrong.
s
31. A 35-year-old recent immigrant is being seen in theclinic for
complaints of a cough that is associated with rust-colored
sputum, low-grade afternoon fevers, and night sweats for thepast
2 months. thenurses preliminary analysis, based on this history,
is that this patient may be suffering from:
Tuberculosis.
s
,32. A 70-year-old patient is being seen in theclinic for severe
exacerbation of his heart failure. Which of these findings is
thenurse most likely to observe in this patient?
Shortness of breath, orthopnea, paroxysmal nocturnal dyspnea,
and ankle edema
s
33. A patient comes to theclinic complaining of a cough that is
worse at night but not as bad during theday. thenurse recognizes
that this cough may indicate:
Postnasal drip or sinusitis.
s
34. During a morning assessment, thenurse notices that
thepatients sputum is frothy and pink. Which condition could
this finding indicate?
Pulmonaryedema
s
35. During auscultation of breath sounds, thenurse should
correctly use thestethoscope in which of thefollowing ways?
Listening to at least one full respiration in each location
s
, 36. A patient has been admitted to theemergency department
with a possible medical diagnosis of pulmonary embolism.
thenurse expects to see which assessment findings related to this
condition?
Chest pain that is worse on deep inspiration and dyspnea
s
37. During palpation of the anterior chest wall, the nurse notices
a coarse, crackling sensation over the skin surface. On the basis
of these findings, the nurse suspects:
Crepitus.
s
38. The nurse is auscultating thelungs of a patient who had been
sleeping and notices short, popping, crackling sounds that stop
after a few breaths. thenurse recognizes that these breath sounds
are:
Atelectatic crackles that do not have a pathologic cause.
s
