NUR 206 / NUR206 Exam 2 – Community Nursing Concepts Review (Latest 2026/2027 Update) | Fortis College | Verified Questions & Answers | 100% Correct Solutions | Grade A

NUR 206 / NUR206 Exam 2 – Community Nursing Concepts Review (Latest 2026/2027 Update) | Fortis College | Verified Questions & Answers | 100% Correct Solutions | Grade A Which should the parish nurse incorporate into a tertiary prevention educational program related to obesity? a. Encourage healthy snacks and meals for youth activities. b. Facilitate a faith-based education program for overweight youth. c. Ways to maintain a normal BMI across the lifespan. d. Assist with height and weight screenings to identify at risk population. b. Facilitate a faith-based education program for overweight youth. A nurse is providing care to a pregnant teenager. Which of the following principles is the most important for the nurse to consider when providing care? a. Pregnant teens may have limited financial resources to pay for care. b. All teen pregnancies are considered high risk. c. Pregnant teens are likely to receive prenatal care late in the pregnancy. d. Limited self-care knowledge can lead to pregnancy complications. d. Limited self-care knowledge can lead to pregnancy complications. A migrant farmworker brings his daughter to the clinic with severe heat stoke from being out in the sun. The nurse explains the danger signs and stresses staying cool and drinking lots of water. The man seems to know this already. Which of the following best describes the most likely reason that this happened? a. The daughter either disobeyed her father and went out to play in the sun or just did not realize how hot she was. b. Children may work on small farms because the family may need the additional income. c. It was a rare-occurrence, which probably won't be repeated. d. The parents were busy working and didn't realize the child was outside so long. b. Children may work on small farms because the family may need the additional income. The rural health nurse understands which characteristic of rural life contributes to a decrease in reporting of personal health issue? a. High-risk jobs. b. Mistrust of newcomers. c. Lack of anonymity. d. Lack of internet service. c. Lack of anonymity. The home health nurse visits a client at home and determines that the client is dependent on drugs. During the assessment, which action would the nurse take to plan appropriate nursing care? a. Ask the client about the reason for taking illegal drugs. b. Not ask any questions for fear that the client is in denial and will throw the nurse out of the home. c. Ask the client about the amount of drug use and its effect. d. Ask the client how long they thought they could take drugs without someone finding out. c. Ask the client about the amount of drug use and its effect. The public health nurse has screened the community for diabetes. She is requesting from the health board to increase funding for diabetic clinics in the community. What data collected would best persuade the health board to approve her request? a. Educating the board on what an epidemic of diabetes means for the community. b. The prevalence of diabetes is now higher than previously recognized in the community. c. The risk of diabetes in the community could decrease if funding is received. d. Hospital admission rates for newly diagnosed diabetic clients are being monitored. b. The prevalence of diabetes is now higher than previously recognized in the community. The physician orders nitroglycerine 22 mcg/minute IV infusion. Nitroglycerine is supplied as 50 mg in 500 mL D5W. The nurse will set the infusion rate at mL/hour. Round to the nearest whole number. 13 mL/hour Which of the following is the most rapidly growing group of homeless? a. Adolescents. b. Single man. c. Persons in crisis. d. Families with children. d. Families with children. When reviewing the health status of a rural community, which characteristics is common among this population? a. Increase in chronic diseases. b. Increased prevalence of communicable diseases. c. Participation in activities during leisure time. d. Engagement in preventive health screenings. a. Increase in chronic diseases. The nurse reviews the components of the epidemiological triangle. Which of the following is considered an agent? a. Climate. b. Chemicals. c. Immune Status. d. Lifestyle factors. b. Chemicals. A parish nurse evaluates health programs that provide holistic care across the life span. Which of the following would demonstrate effectiveness of a health program for clients with hypertension? a. Post-test to evaluate understanding of information presented. b. Survey obtaining feedback on delivery mechanisms. c. Clients taking hypertension medications as needed. d. Evaluation of blood pressure readings six months after initiation of program. d. Evaluation of blood pressure readings six months after initiation of program. The HCP orders Narcan (naloxone) 0.3 mg IV STAT. Narcan is provided as 0.4 mg/mL. The nurse will administer mL. Round to the nearest tenth. 0.8 mL When meeting with a client and family, the home health nurse says, "We have discussed your health problems and limitations. Now tell me what level of health and function you hope to achieve." In which of the following phases of the nursing process is the nurse engaging? a. Planning. b. Outcome identification. c. Diagnosis. d. Gathering a history. b. Outcome identification. The parish nurse is visiting with a member of congregation who has been ill. While visiting, the nurse notes that the 3-year-old daughter has bruises on her arms and face. The mother seems scared and admits the father has been hitting them both. Which assessment is the nurse's priority? a. Contact the pastor for help. b. Report the findings to CPS. c. Ask the mother what she is going to do about the abuse. d. Refer the family to counseling. b. Report the findings to CPS. Which of the following best describes the mission of OSHA? a. To ensure safe and healthful working conditions. b. To share factory illness and injury rates with the public. c. To establish rules for employee safety. d. To create an inspection system to avoid preventable loss of life. a. To ensure safe and healthful working conditions. The rural health nurse is providing primary health interventions for a group of migrant farmworkers to decrease pesticide exposure. Which action would be best for the nurse to take? a. Conduct screening, such as urine testing for pesticide exposure. b. Provide hand-washing stations. c. Initiate treatment for the symptoms of pesticide exposure such as nausea, vomiting, and skin irritation. d. Teach workers how to reduce exposure to pesticides. d. Teach workers how to reduce exposure to pesticides. A nurse values her autonomy in her parish nursing role. Which of the following models of parish nursing would most likely be prevalent to the nurse? a. Teamwork Model. b. Congregational Model. c. Partnership Model. d. Institutional Model. b. Congregational Model. Which describes a service provided by the World Health Organization? Select all that apply. a. Monitoring adverse drug reactions. b. Disseminating biomedical research. c. Establishing standards for vaccinations. d. Fostering collaboration for public health initiatives between countries. e. Providing information on international occurring diseases. a. Monitoring adverse drug reactions. b. Disseminating biomedical research. c. Establishing standards for vaccinations. d. Fostering collaboration for public health initiatives between countries. e. Providing information on international occurring diseases. Which client is at highest risk for illness following consumption of contaminated water? a. 36 year old with HIV. b. 45 year old with hypertension. c. 16 year old with history of asthma. d. 75 year old with no medical history. a. 36 year old with HIV. The occupational health nurse is planning a tertiary level of prevention for a group of employees with diabetes. Which action should the nurse implement as a priority? a. Schedule routine break sessions. b. Provide safety equipment. c. Provide education on glucose monitoring. d. Offer healthy snacks in the breakroom. c. Provide education on glucose monitoring. The rural health nurse is assessing a migrant worker who works in the fields picking oranges and various other fruits who presents to the clinic complaining of low back pain radiating down the left posterior thigh. The nurse should ask the client if the pain is worsened or aggravated by which factor? a. Bending or lifting. b. Application of heat. c. Bed rest. d. Ibuprofen. a. Bending or lifting. An occupational health nurse at a local factory is using primary prevention strategies to reduce the environmental health risks among the employees. Which of the following activities would the nurse most likely implement? a. Hearing screening for employees. b. Teaching new employees about signs and symptoms or heat related illness. c. Using spirometry to rule lung disease for workers wearing respirators. d. Irrigating the eyes of an employee who has a chemical splash in the face. b. Teaching new employees about signs and symptoms or heat related illness. A woman is diagnosed with breast cancer, she comes asks for advice from the community health nurse. Which of the following data should the nurse know to answer the woman when asked "what are the chances I will survive this cancer?" a. Cause-specific morbidity rate. b. Crude mortality rate. c. Case fatality rate. d. Attack rate. c. Case fatality rate. A family is concerned about the medical bills of their father, aged 63, who is unemployed and has almost no savings. Which of the following statements by the nurse accurately explains how Medicaid and Medicare would work in this family's situation? Select all that apply. a. "Your father must be homebound to qualify for Medicare assistance but less so for Medicaid." b. "Choose any physician and just show them your Medicare or Medicaid card." c. "All your father's medical bills will be paid by whichever program is appropriate." d. "Medicare is a federally funded program, but Medicaid is administered by your state." d. "Medicare is a federally funded program, but Medicaid is administered by your state." Which of the following is the primary focus of hospice care? a. Teaching the client and family how to care for themselves. b. Curing the client's chronic disease. c. Providing palliative care to provide and maintain comfort until death. d. Decreasing the cost of hospital resources. c. Providing palliative care to provide and maintain comfort until death. The nurse who works at a homeless clinic want to improve healing of chronic wounds in clients living on the streets. Which of the following would be the best action to take to improve client outcomes? a. Hand out free bandaging supplies following each clinic visit. b. Offer daily access to a room with soap, water, and bandages. c. Provide antibiotics to all homeless persons with chronic non-healing wounds. d. Perform regular monitoring of the client's wound condition. b. Offer daily access to a room with soap, water, and bandages. A school health nurse is conducting drug screening to detect drug use by students before problems develop. Which of the following levels of prevention does this action represent? a. Tertiary prevention. b. Primary prevention. c. Secondary prevention. d. Primary and secondary prevention. c. Secondary prevention. The HCP orders an IV bolus of 1 liter 0.9% sodium chloride over 4 hours. The nurse will set the infusion rate at mL/hour. 250 mL/hour Which of the following statements by a client indicates a lack of understanding regarding an appropriate reason to sue for potential negligence? a. "Because the health care workers didn't turn my mother every 2 hours, she developed bedsores." b. "My daughter wasn't given a call light, and for a whole shift no one checked on her condition." c. "I received permanent nerve damage because they would not remove a cast that was too tight." d. "They amputated the wrong leg during surgery." b. "My daughter wasn't given a call light, and for a whole shift no one checked on her condition." The public health nurse is planning to implement secondary level prevention for a population of adolescents. Which action should the nurse take? a. Collaborate with school administration to revise the health classes to include safe sex practices. b. Educate school nurses about sexually transmitted diseases. c. Partner with the local public health department to provide free screenings for sexually transmitted diseases. d. Review the data of cases to identify trends of sexually transmitted diseases in the country. c. Partner with the local public health department to provide free screenings for sexually transmitted diseases. Which of the following clients over 65 years of age meets the criteria for Medicare reimbursement for home health nursing? a. The client who needs assistance with bathing and meal prep. b. The client whose family members need to learn how to care for his surgical wounds. c. The client who needs a sitter because she wanders from home and gets lost. d. The client who needs assistance with house cleaning and meal prep. b. The client whose family members need to learn how to care for his surgical wounds. A public health nurse is visiting a homeless client at the shelter. The nurse reviews the clients chart before discharge and notices that the client is scheduled to be taking phenobarbital for an extended period. The nurse would place highest priority on teaching the client which point that directly relates to client safety? a. Take the medication at the same time each day. b. Use a dose container to help prevent missed doses. c. Avoid drinking alcohol while taking the medication. d. Take the medication only with meals. c. Avoid drinking alcohol while taking the medication. The hospice nurse assess the home environment of an assigned client. Which finding would require the nurse to intervene immediately? a. The temperature control on the refrigerator isn't working. b. Non-skid mats are located in the bathroom. c. Smoke detectors are in place and working. d. A night light is observed between the bathroom and bedroom. a. The temperature control on the refrigerator isn't working. An IV drug abuser admits to the nurse he has no desire to stop using drugs, so other than lecture the individual on the dangers of drug addictions, the nurse provides information how to sterilize his needles. Which of the following prevention efforts is the nurse attempting to achieve? a. Primary prevention by educating about safe injections. b. Tertiary prevention to reduce the transmission of blood-borne disease. c. Primary prevention by avoidance of future legal complications. d. Secondary prevention to reduce the risk for infection or other complications. b. Tertiary prevention to reduce the transmission of blood-borne disease. A nurse is investigating a viral illness that has caused health problems in a community. Only some of the people who have been exposed to the virus have become sick. Which part of the epidemiologic triangle does this demonstrate? a. Host. b. Vector. c. Environment. d. Agent. a. Host. The rural nurse cares for many high risk and vulnerable populations in the community. What rural population group has the highest risk? a. Farmers. b. Children. c. College educated adults. d. Older adults. d. Older adults. Which counseling provided by the community nurse should be prioritized in the are of a mother with young children who use vapes? a. Vaping culture is appealing to minors. b. The oil may poison young children. c. Vapes are addictive. d. Secondhand vapor may be harmful. b. The oil may poison young children. The nurse reviews the role of governmental agencies. Which agency is responsible for improving the quality and safety of healthcare? a. National Institute of Health. b. Agency for Healthcare Research and Quality. c. Centers for Disease Control and Prevention. d. Health Resources and Services Administration. b. Agency for Healthcare Research and Quality. A nurse wants to help keep the community environment safe. Which of the following is the most appropriate action for the nurse to take? a. Conserve water by bathing less often. b. Reduce, reuse, and recycle. c. Downsize to a smaller living space. d. Replace all his or her appliances with new energy-efficient ones. b. Reduce, reuse, and recycle. Which intervention is secondary prevention for alcohol, tobacco, and other drug (ATOD) problems? a. Drug education in elementary schools. b. Counseling for the family of an addict. c. Behavioral risk factor survey. d. Subsidized community rehabilitation centers. d. Subsidized community rehabilitation centers. Which of the following statements best describes why health care of the homeless is so expensive to the community? a. Health conditions of the homeless require increased preventive services. b. Most care to homeless people takes place in hospital emergency departments. c. Homeless clients typically make more clinic visits for multiple health problems. d. Homeless people spread contagious diseases to those they pass on the street. b. Most care to homeless people takes place in hospital emergency departments. An occupational health nurse is looking at an employees eye after a complaint of it hurting and being red. While doing so, she asks the employee if they have safety glasses when they are working. Which of the following levels of prevention is being implemented? a. Primary prevention. b. Secondary prevention. c. Injury prevention. d. Tertiary prevention. a. Primary prevention. The community health nurse is working to ensure long term positive health outcomes of poor pregnant teens and their children. What following action would the nurse most likely take? a. Develop programs that allow teen mothers to complete their education. b. Offer courses in proper care of babies and how to be a parent. c. Assist teen mothers to learn about their body changes during pregnancy. d. Monitor pregnant teens to detect early problems with pregnancy. a. Develop programs that allow teen mothers to complete their education. Which are considered risk factors for alcohol, tobacco, and other drug (ATOD) problems? Select all that apply. a. Parent with addiction. b. Childhood trauma. c. Victim of violence. d. People with positive coping skills. e. History of mood disorders. a. Parent with addiction. b. Childhood trauma. c. Victim of violence. e. History of mood disorders. The community health nurse is investigating the prevalence of asthma at a local high school. She reviews school records to determine how many students were seen by the school nurse because of asthma over the past five years. Which study design is the nurse using? a. Ecologic. b. Case-control. c. Retrospective cohort. d. Cross-sectional. d. Cross-sectional. The occupational health nurse for an oil company continually reminds employees to wear their fire-resistant gear and ear plugs. Which of the following levels of prevention is being implemented? a. Secondary intervention. b. Both secondary and tertiary prevention. c. Primary intervention. d. Tertiary intervention. c. Primary intervention. The nurse needs to administer furosemide (Lasix) 3 mg/minute via continuous IV infusion. The pharmacy has sent a bag of Lasix 400 mg diluted in D5W 100 mL. The nurse will set the pump to infuse mL/hour. 45 mL/hour A parish nurse is implementing primary prevention measures related to obesity among the school age members of the church. Which of the following activities is most likely being used by the nurse? a. Working with parents of obese children to implement lifestyle changes. b. Ensure food given at church activities are nutritious. c. Weekly walking groups to help obese clients lose weight. d. Hold screenings for height and weight to check BMI. b. Ensure food given at church activities are nutritious. The nurse calculates the body mass index of a patient at 31.8. What is the most appropriate action of the nurse? A. Refer the patient for behavioral interventions for weight loss. B. Estimate body fat using tricep skinfold measurement. C. Calculate the percent of change in weight since the last visit. D. Calculate grams of fat that the patient consumed daily. A. Refer the patient for behavioral interventions for weight loss. A man weighs 265 pounds and is 6 feet 4 inches tall. Based on these data, how does the nurse classify his weight? A. Overweight B. Class I Obesity C. Class II Obesity D. Class III Obesity B. Class I Obesity An older woman is 5 feet 2 inches tall and weighs 100 pounds. To best understand her dietary intake, which question is most appropriate? A. Who prepares your meals on a daily basis? B. What are your favorite foods? C. How do you get to the grocery store each week? D. What do you eat on a typical day? D. What you eat on a typical day? Why does the nurse ask about medications taken as part of a nutritional assessment? A. Medications must be taken with food to avoid irritation to the gastrointestinal system. B. Actions of many drugs require adjustments to the diet. C. The absorption and bioavailability of some medications are affected by food. D. Some medications taste bad and may interfere with the appetite. C. The absorption and bioavailability of some medications are affected by food. A patient reports "a lot" of unintentional weight loss over the past 4 months. The nurse measures his height and weight (5 feet 11 inches, 170 pounds) and determines that his body mass index is 22.7. Which action is most appropriate to better evaluate his recent weight loss? A. Calculate his desirable body weight. B. Ask, "What is your usual body weight?" C. Record what he ate in the last 24 hours. D. Determine his hip-to-waist ratio. C. Record what he ate in the last 24 hours. A patient had edema and redness of the skin surrounding the nail on his right index finger. Which data elicited from his history best explains this condition? A. He has a family history of fungal infections of the nails. B. There has been a scabies outbreak among his family members. C. He has a new full-time job as a dishwasher at a restaurant. D. He recently had several warts removed from each of his hands. C. He has a new full-time job as a dishwasher at a restaurant. When examining a 16-year-old male patient, the nurse notes multiple pustules and comedones on the face. The nurse recognizes that increased activity of which cells or glands produce these manifestations? A. Epidermal cells B. Eccrine glands C. Apocrine glands D. Sebaceous glands D. Sebaceous glands A patient with darkly pigmented skin has been admitted to the hospital with hepatitis. How does the nurse assess for jaundice in this patient? A. Inspect the color of the sclera. B. Inspect the genitalia for color. C. Blanch the fingernails. D. Jaundice cannot be assessed in patients with darkly pigmented skin. A. Inspect the color of the sclera. A patient has multiple solid, red, raised lesions on her legs and groin that she describes as "itchy insect bites." How does the nurse document these lesions? A. Wheals B. Bulla C. Tumors D. Plaques A. Wheals The nurse observes multiple red circular lesions with central clearing that are scattered all over the abdomen and thorax. How does the nurse document the shape and pattern of these lesions? A. Gyrate and linear. B. Annular and generalized. C. Iris and discrete. D. Oval and clustered. B. Annular and generalized. Which disorder is an example of vascular lesion? A. Dermatofibroma. B. Vitiligo. C. Sebaceous cyst. D. Port wine stain. D. Port wine stain. A 60-year-old male patient states that he has a sore above his lip that has not healed and is getting bigger. The nurse observes a red scaly patch with an ulcerated center and sharp margins. These findings are commonly associated with which malignancy? A. Kaposi's sarcoma. B. Malignant melanoma. C. Basal cell carcinoma. D. Squamous cell carcinoma. D. Squamous cell carcinoma. A 48-year-old woman asks the nurse how to best protect herself from excessive sun exposure while at the beach. Which response would be most appropriate? A. Limit your time in the sun to 5 minutes every hour. B. Wear a wet suit that covers your arms and legs. C. Apply a waterproof sunscreen (SPF 15 or higher) to exposed skin surfaces; reapply at least every 2 hours. D. Apply sunscreen with a minimum SPF 50 to all skin surfaces before leaving for the beach; this will provide all-day coverage. C. Apply a waterproof sunscreen (SPF 15 or higher) to exposed skin surfaces; reapply at least every 2 hours. A patient describes a recent onset of frequent and severe unilateral headaches that last about 1 hour. Based on these symptoms, the nurse suspects which type of headache? A.Cluster headache B.Migraine headache C. Tension headache D. Sinus headache A.Cluster headache During a physical examination, the nurse is unable to feel the patient's thyroid gland with palpation from an anterior approach. What is the appropriate action of the nurse at this time? A. Recognize that this is an expected finding. B. Auscultate the thyroid area. C. Palpate the thyroid using a posterior approach. D. Refer the patient for follow-up with an endocrinologist. A. Recognize that this is an expected finding. A 24-year-old female patient has 2-day history of clear nasal drainage. Based on these data, which question is the most logical for the nurse to ask? A. Is there a foul odor coming from your nose? B. Have you recently had nosebleeds? C. Do you snore when sleeping? D. Do you have allergies? D. Do you have allergies? A 32-year-old woman has a 4-day history of sore throat and difficulty swallowing. The nurse observes tonsils covered with yellow patches. The tonsils are so large that they fill the entire oropharynx and appear to be touching. How does the nurse document these findings? A. Tonsils yellow and edematous. B. Enlarged tonsils 4+ with yellow exudate. C. Strep infection to tonsils with 3+ swelling. D. 1+ edema of tonsils with pus. B. Enlarged tonsils 4+ with yellow exudate. A nurse is obtaining a health history from a 52-year-old male patient with a red lesion at the base of the tongue. What additional data does the nurse specifically collect about this patient? A. Alcohol and tobacco use. B. Date of his last dental exam. C. Use of dentures. D. A history of pyorrhea. A. Alcohol and tobacco use. While talking with a patient, the nurse suspects that he has hearing loss. Which examination technique is most accurate for assessing hearing loss? A. Whispered voice test. B. Rinne test. C. Weber test. D. Test using audioscope D. Test using audioscope Which data from the health history of a 42-year-old man should be evaluated further as a possible risk for hearing loss? A. I watch TV in the evenings with my wife and children. B. When I was younger, I wore an earring. C. My primary hobby is carpentry work. D. I have been accountant for 16 years for an insurance agency. C. My primary hobby is carpentry work. The nurse examines a patient's auditory canal and tympanic membrane with an otoscope. Which finding is considered abnormal? A. Presence of cerumen. B. Yellow color to the tympanic membrane. C. Presence of a cone of light. D. Shiny, translucent tympanic membrane. B. Yellow color to the tympanic membrane. During an eye examination, how does a nurse recognize normal accommodation? A. The patient has peripheral vision of 90 degress left and right. B. The patient's eyes move up and down, side to side, and obliquely. C. The right pupil constricts when a light is shown in the left pupil. D. The patient's pupils dilate when looking toward a distant object. D. The patient's pupils dilate when looking toward a distant object. How does the nurse assess a patient's consensual reaction? A. By touching the cornea with a small piece of sterile cotton and observing the change in the pupil size. B. By observing the patient's pupil size when the patient looks at an object 2 to 3 feet away and then looks at an object 6 to 8 inches away. C. By shining a light into the patient's right eye and observing the pupillary reaction of the left eye. D. By covering one eye with a cord and observing the pupillary reaction when the card is removed. C. By shining a light into the patient's right eye and observing the pupillary reaction of the left eye. What are the characteristics of lymph nodes in patients who have an acute infection? A. They are enlarged and tender. B. They are round, rubbery, and mobile. C. They are hard, fixed, and painless. D. They are soft, mobile, and painless A. They are enlarged and tender. Which technique is used for palpating lymph nodes? A. Apply firm pressure over the nodes with the pads of the fingers. B. Apply gentle pressure over the nodes with the tips of the fingers. C. Apply firm pressure anterior to the nodes with the tips of the fingers. D. Apply gentle pressure over the nodes with the pads of the fingers. D. Apply gentle pressure over the nodes with the pads of the fingers. A nurse suspects a viral infection or upper respiratory allergies when the patient describes the sputum as being which color? A. Green B. Clear C. Yellow D. Pink tinged B. Clear During inspection of the respiratory system the nurse documents which finding as abnormal? A. Skin color consistent with patient's race. B. 1:2 ratio of anteroposterior to lateral diameter. C. Respiratory rate of 20 breaths per minute. D. Patient leaning forward with arms braced on the knees. D. Patient leaning forward with arms braced on the knees. A patient has an infection of the terminal bronchioles and alveoli that involves the right lower lobe of the lung. Which abnormal findings are expected? A. Dyspnea with diminished breath sounds bilaterally. B. Asymmetric chest expansion and rhonchi on the right side. C. Fever and tachypnea with crackles over the right lower lobe. D. Prolonged expiration with an occasional wheeze in the right lower lobe. C. Fever and tachypnea with crackles over the right lower lobe. On auscultation of a patient's lungs, the nurse hears a low-pitched, coarse, loud, and low snoring sound. Which term does the nurse use to document this finding? A. Rhonchi B. Wheeze C. Crackles D. Pleural friction rub A. Rhonchi A nurse finds the patient's AP diamete of the chest to be the same as the lateral diameter. Based on this finding, which additional data would the nurse anticipate. A. Bronchial breath sounds in the posterior thorax. B. Decrease in respiratory rate. C. Decrease breath sounds on auscultation D. Complaint of sharp chest pain on inspiration C. Decrease breath sounds on auscultation How does the nurse palpate the chest for tenderness, bulges, and symmetry? A. Uses the fist of the dominant hand to gently tap the anterior, lateral, and posterior chest comparing one side with another. B. Uses the ulnar surface of one hand to palpate the anterior, posterior, and lateral chest, comparing one side with another. C. Uses the tips of the fingers to palpate the skin over the chest and the alignment of vertebrae. D. Uses the palmar surface of fingers of both hands to feel the texture of the skin over the chest and the alignment of vertebrae. D. Uses the palmar surface of fingers of both hands to feel the texture of the skin over the chest and the alignment of vertebrae. Which breath sounds are expected over the posterior chest of an adult? A. Vesicular B. Bronchovesicular C. Bronchial D. Bronchoalveolar A. Vesicular Narrowing of the bronchi creates which adventitious sound? A. Wheeze B. Crackles C. Rhonchi D. Pleural friction rub A. Wheeze A nurse is auscultating the lungs of a healthy female patient and hears crackles on inspiration. What action can the nurse take to ensure this is an accurate finding? A. Make sure the bell of the stethoscope is used rather than the diaphragm. B. Ask the patient to cough then repeat the auscultation. C. Ask the patient not to talk while the nurse is listening to the lungs. D. Change the patient's position. B. Ask the patient to cough then repeat the auscultation. A nurse in the emergency department is assessing a patient with a moderate left pneumothorax. What does this nurse expect to find during the respiratory examination. A. Increased fremitus over the left chest. B. Tracheal deviation to the left side. C. Crepitus on the left chest during palpation. D. Distant to absent breath sounds over the left chest. D. Distant to absent breath sounds over the left chest.