QUESTIONS WITH COMPLETE SOLUTIONS
. 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?
a. Absent or decreased breath sounds
b. Productive cough with thin, frothy sputum
c. Chest pain that is worse on deep inspiration and dyspnea
d. Diffuse infiltrates with areas of dullness upon percussion
Correct Answers C
. When assessing a patient's lungs, what would the nurse recall
about the left lung?
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 Correct Answers A
. 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. How
would the nurse interpret these findings?
a. Normal sounds auscultated over the trachea
b. Bronchial breath sounds that are normal in that location
c. Vesicular breath sounds that are normal in that location
d. Bronchovesicular breath sounds that are normal in that
location Correct Answers C
, . Which of these statements is true regarding the vertebra
prominens?
a. It is the spinous process of C7.
b. It is nonpalpable in most individuals.
c. It is opposite the interior border of the scapula.
d. It is located next to the manubrium of the sternum. Correct
Answers A
0. A patient with pleuritis has been admitted to the hospital and
reports pain with breathing. What other key assessment finding
would the nurse expect to find upon auscultation?
a. Stridor
b. Crackles
c. Wheezing
d. Friction rub Correct Answers D
4. The nurse is auscultating the chest in an adult. Which
technique is correct?
a. Instructing the patient to take deep, rapid breaths
b. Instructing the patient to breathe in and out through his or her
nose
c. Firmly holding the diaphragm of the stethoscope against the
skin of the chest
d. Lightly holding the bell of the stethoscope against the skin on
the chest to avoid friction Correct Answers C
A 35-year-old recent immigrant is being seen in the clinic for
symptoms of a cough associated with rust-colored sputum, low-
grade afternoon fevers, and night sweats for the past 2 months.
Based on these findings, what is the most likely cause?
a. Pneumonia