Test Bank Health Promotion and Disease Prevention
(MODULE 2) Exam (Mobility Exams) A+ Graded
100% Verified Latest Update 2025.
Terms in this set (100) VERIFIED ANSWERS
1. A nurse is preparing to auscultate a The peripheral lung fields
client's breath sounds. To assess
vesicular breath sounds, the nurse places Rationale: Vesicular breath sounds are
the stethoscope over: heard over the peripheral lung fields,
where air flows through the smaller
bronchioles and alveoli.
Bronchovesicular breath sounds are
heard over the major bronchi.
Bronchial (tracheal) breath sounds are
heard over the trachea and larynx.
Breath sounds are not heard over the
xiphoid process.
2. A nurse palpates a client's radial pulse, 2+
noting the rate, rhythm, and force, and
concludes that the client's pulse is Rationale: When assessing a pulse,
, normal. Which of the following notations the nurse should note the rhythm,
would the nurse make in the client's amplitude, and symmetry of pulses
record to document the force of the and should compare peripheral pulses
client's pulse? on the two sides for rate, rhythm, and
quality. A 4-point scale may be used
to assess the force (amplitude) of the
pulse: 4+, bounding pulse; 3+,
increased pulse; 2+, normal pulse; 1+,
weak pulse. In this case the nurse
would grade the client's pulse as 2+.
3. Performing an abdominal assessment, a Palpation and percussion can increase
nurse auscultates before palpating and peristalsis
percussing the abdomen. The nurse
performs the assessment in this manner Rationale: When performing an
because: abdominal assessment, the nurse
auscultates the abdomen after
inspection. Auscultation is done
before palpation and percussion
because these assessment techniques
can increase peristalsis, which would
yield a false interpretation of bowel
sounds. The other options identify
incorrect reasons for auscultating the
, abdomen before palpating and
percussing it.
4. A nurse is preparing to check the breath Rationale: Bronchial (tracheal) breath
sounds of a client. Over which anatomic sounds are located over the trachea
area does the nurse place the stethoscope and larynx. Bronchovesicular breath
when auscultating for bronchial breath sounds are located over major
sounds? bronchi. Vesicular breath sounds are
located over the peripheral lung fields.
The upper sternal area is where main
bronchi are located. Breath sounds are
normally not heard over the cricoid
cartilage.
5. A client who was given a diagnosis of Follow-up
hypertension 3 months ago is at the
clinic for a checkup. Which type of Rationale: A follow-up database is
database does the nurse use in compiled to evaluate the status of an
performing an assessment? identified problem at regular and
appropriate intervals. An emergency
database calls for rapid collection of
the data, often at the same time
lifesaving measures are being
performed. A complete database
includes a complete health history and
, a full physical examination. It
describes the client's current and past
state of health and forms a baseline
against which all future changes can
be measured. An episodic database
(problem-centered) is compiled for a
limited or short-term problem. It is
focused mainly on one problem or
body system.
6. A nurse preparing to examine a client's Peripheral vision
eyes plans to perform a confrontation
test. The nurse tells the client that this Rationale: The confrontation test is a
test measures: gross measure of peripheral vision. It
compares the client's peripheral vision
with the nurse's, assuming that the
nurse's vision is normal. The nurse
positions himself or herself at eye
level with the client, about 2 feet
away, then directs the client to cover
one eye with an opaque card and look
straight at the nurse with the other
eye. The nurse covers the eye opposite
the client's covered one. The nurse
(MODULE 2) Exam (Mobility Exams) A+ Graded
100% Verified Latest Update 2025.
Terms in this set (100) VERIFIED ANSWERS
1. A nurse is preparing to auscultate a The peripheral lung fields
client's breath sounds. To assess
vesicular breath sounds, the nurse places Rationale: Vesicular breath sounds are
the stethoscope over: heard over the peripheral lung fields,
where air flows through the smaller
bronchioles and alveoli.
Bronchovesicular breath sounds are
heard over the major bronchi.
Bronchial (tracheal) breath sounds are
heard over the trachea and larynx.
Breath sounds are not heard over the
xiphoid process.
2. A nurse palpates a client's radial pulse, 2+
noting the rate, rhythm, and force, and
concludes that the client's pulse is Rationale: When assessing a pulse,
, normal. Which of the following notations the nurse should note the rhythm,
would the nurse make in the client's amplitude, and symmetry of pulses
record to document the force of the and should compare peripheral pulses
client's pulse? on the two sides for rate, rhythm, and
quality. A 4-point scale may be used
to assess the force (amplitude) of the
pulse: 4+, bounding pulse; 3+,
increased pulse; 2+, normal pulse; 1+,
weak pulse. In this case the nurse
would grade the client's pulse as 2+.
3. Performing an abdominal assessment, a Palpation and percussion can increase
nurse auscultates before palpating and peristalsis
percussing the abdomen. The nurse
performs the assessment in this manner Rationale: When performing an
because: abdominal assessment, the nurse
auscultates the abdomen after
inspection. Auscultation is done
before palpation and percussion
because these assessment techniques
can increase peristalsis, which would
yield a false interpretation of bowel
sounds. The other options identify
incorrect reasons for auscultating the
, abdomen before palpating and
percussing it.
4. A nurse is preparing to check the breath Rationale: Bronchial (tracheal) breath
sounds of a client. Over which anatomic sounds are located over the trachea
area does the nurse place the stethoscope and larynx. Bronchovesicular breath
when auscultating for bronchial breath sounds are located over major
sounds? bronchi. Vesicular breath sounds are
located over the peripheral lung fields.
The upper sternal area is where main
bronchi are located. Breath sounds are
normally not heard over the cricoid
cartilage.
5. A client who was given a diagnosis of Follow-up
hypertension 3 months ago is at the
clinic for a checkup. Which type of Rationale: A follow-up database is
database does the nurse use in compiled to evaluate the status of an
performing an assessment? identified problem at regular and
appropriate intervals. An emergency
database calls for rapid collection of
the data, often at the same time
lifesaving measures are being
performed. A complete database
includes a complete health history and
, a full physical examination. It
describes the client's current and past
state of health and forms a baseline
against which all future changes can
be measured. An episodic database
(problem-centered) is compiled for a
limited or short-term problem. It is
focused mainly on one problem or
body system.
6. A nurse preparing to examine a client's Peripheral vision
eyes plans to perform a confrontation
test. The nurse tells the client that this Rationale: The confrontation test is a
test measures: gross measure of peripheral vision. It
compares the client's peripheral vision
with the nurse's, assuming that the
nurse's vision is normal. The nurse
positions himself or herself at eye
level with the client, about 2 feet
away, then directs the client to cover
one eye with an opaque card and look
straight at the nurse with the other
eye. The nurse covers the eye opposite
the client's covered one. The nurse
