ASSESSMENT | COMPLETE GUIDE WITH QUESTIONS AND VERIFIED
ANSWERS | 100% CORRECT - CHAMBERLAIN
nurse cares for a 25-year-old client who tests positive for alpha1-antitrypsin (AAT) deficiency. The client
asks, "What does this mean?" How should the nurse respond correctly? - CORRECT ANSWERS-"Your
risk for COPD is higher, especially if you smoke."
A client with chronic obstructive pulmonary disease (COPD) states that they no longer enjoy going out
with friends and family. How should the nurse respond? - CORRECT ANSWERS-"Share any thoughts
and feelings that cause you to limit social activities."
The nurse instructs a client with a new bronchodilator on how to correctly use an inhaler with a spacer.
Place the following steps in the correct order. - CORRECT ANSWERS-Remove caps from the inhaler and
spacer. Shake the inhaler vigorously three or four times.
Exhale to empty the lungs.
Insert the mouthpiece of the inhaler into the non-mouthpiece end of the spacer.
Place the mouthpiece into your mouth, over the tongue, and seal your lips tightly around the
mouthpiece.
Press down firmly on the canister to release one dose of medication.
Inhale slowly and deeply.
Hold your breath for 5 to 10 seconds.
Remove the spacer from your mouth and exhale.
When assessing an individual for cardiovascular risk factors, the nurse inquires about which health
conditions or lifestyle practices? Select all that apply. - CORRECT ANSWERS-Hypertension
Diabetes
Tobacco use
Obesity
Coronary artery disease
, Which statement about dietary practices requires follow-up during the initial assessment of a client's
recent episodes of chest pain? - CORRECT ANSWERS-"I eat bacon and eggs every morning for
breakfast."
Normal findings of the inspection are____rhythm, rate of breaths per minute, and chest movement. -
CORRECT ANSWERS-REGULAR
12-20
symmetrical
Upon palpating the upper chest, the examiner feels crackling, little pockets of air. The examiner
documents this as which of the following terms? - CORRECT ANSWERS-Crepitus
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 - CORRECT
ANSWERS-SIDE TO SIDE
Which is a non-modifiable risk factor for respiratory problems? Drag the answer into the box. -
CORRECT ANSWERS-AGE
During the chest assessment of a client, which reference landmark line does the examiner note on the
lateral chest wall? - CORRECT ANSWERS-midaxillary line
During inspection, the examiner notes unequal chest expansion and recognizes that this occurs in which
situation? - CORRECT ANSWERS-Part of the lung is obstructed or collapsed.
During auscultation of breath sounds, which are the proper techniques? Select all that apply. - CORRECT
ANSWERS-Listen to at least one full respiration in each location.
Use the diaphragm of the stethoscope.
A healthy client in their third trimester of pregnancy states that "baby is pushing on my lungs, and I can't
breathe deeply." What is the examiner's best reply? - CORRECT ANSWERS-"What you are experiencing
is normal."