NURS 216/NURS216 HEALTH ASSESSMENT ACTUAL EXAM REVIEW WITH WELL STRUCTURED Q&A GUARANTEED A+ -UPDATED

lOMoAR cPSD| 42091925




NURS 216/NURS216 HEALTH
ASSESSMENT ACTUAL EXAM
REVIEW WITH WELL
STRUCTURED Q&A
GUARANTEED A+ -UPDATED

, lOMoAR cPSD| 42091925




 Module 6-7
 Reading
o ATI: 29
o Health Assess: 5-7
o Basic: 38
 Exam 3 study guide and Lung sound attachment

 The nurse is performing a respiratory assessment and detects a low pitch, soft sound. The
inspiratory phase is longer than expiration. The nurse interrupts this as:
o Vesicular sound
o Bronchovesicular
o Bronchial
o Tracheal
o Answer: Vesicular sound
 When percussing the chest, what sound would the nurse expect to hear over the lungs?
o Resonance
o Hyperresonance
o Tympany
o Dullness
o Answer: resonance
 The nurse auscultates an extra sound over the left lower lobe. The nurse should:
o Document finding
o Notify physician
o Ask client to cough
o Reassess in one hour
o Answer: Ask client to cough
 Upon auscultation the nurse detects an extra gurgling, expiratory sound in the upper
airways. The nurse interrupts this as:
o Crackles
o Rhonchi
o Wheeze
o Friction Rub
o Answer: Rhonchi
 Inspection of the chest includes assessing the anteriorposterior:lateral ratio. The normal
finding for an adult is:
o 1:1
o 1:2
o 1:3
o 1:4
o Answer: 1:2
 The nurse is performing a cardiac assessment. Which site is best for palpating the PMI?
o Left Base
o Right Base
o LLSB