NSG 3160 Health Assessment Exam 3 Actual Verified
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When assessing tactile fremitus, the nurse recalls that it is
normal to feel tactile fremitus most intensely over which
location? - Answer-Between the scapulae
The nurse is reviewing the technique of palpating for
tactile fremitus with a new graduate. Which statement by
the graduate nurse reflects a correct understanding of
tactile fremitus? Tactile fremitus: - Answer-Is caused by
sounds generated from the larynx.
Tactile Fremitus is what? - Answer-Palpable vibration
During percussion, the nurse knows that a dull percussion
note elicited over a lung lobe most likely results from: -
Answer-Increased density of lung tissue.
The nurse is observing the auscultation technique of
another nurse. The correct method to use when
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progressing from one auscultatory site on the thorax to
another is _______ comparison. - Answer-Side-to-side
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. The nurse interprets that these sounds
are: - Answer-Vesicular breath sounds and normal in that
location.
The nurse is percussing over the lungs of a patient with
pneumonia. The nurse knows that percussion over an
area of atelectasis in the lungs will reveal: - Answer-
Dullness
The nurse is auscultating the chest in an adult. Which
technique is correct? - Answer-Firmly holding the
diaphragm of the stethoscope against the chest
During auscultation of the lungs, the nurse expects
decreased breath sounds to be heard in which situation? -
Answer-When the bronchial tree is obstructed
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The nurse knows that a normal finding when assessing
the respiratory system of an older adult is: - Answer-
Decreased mobility of the thorax.
A mother brings her 3-month-old infant to the clinic for
evaluation of a cold. She tells the nurse that he has had a
runny nose for a week. When performing the physical
assessment, the nurse notes that the child has nasal
flaring and sternal and intercostal retractions. The nurses
next action should be to: - Answer-Recognize that these
are serious signs, and contact the physician.
Which of these statements is true regarding the vertebra
prominens? The vertebra prominens is: - Answer-The
spinous process of C7.
When performing a respiratory assessment on a patient,
the nurse notices a costal angle of approximately 90
degrees. This characteristic is: - Answer-A normal finding
in a healthy adult.
When assessing a patients lungs, the nurse recalls that
the left lung: - Answer-Consists of two lobes.
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Which statement about the apices of the lungs is true?
The apices of the lungs: - Answer-Extend 3 to 4 cm above
the inner third of the clavicles.
During an examination of the anterior thorax, the nurse is
aware that the trachea bifurcates anteriorly at the: -
Answer-Sternal angle
During an assessment, the nurse knows that expected
assessment findings in the normal adult lung include the
presence of: - Answer-Muffled voice sounds and
symmetric tactile fremitus.
The primary muscles of respiration include the: - Answer-
Diaphragm and intercostals.
A 65-year-old patient with a history of heart failure comes
to the clinic with complaints of being awakened from sleep
with shortness of breath. Which action by the nurse is
most appropriate? - Answer-Assessing for other signs and
symptoms of paroxysmal nocturnal dyspnea