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NURS3020 Health Assessment

Week 3 Quiz

Question 1When performing a respiratory assessment on a patient, the nurse notices a costal angle of approximately 90 degrees. This characteristic is:

Answers:

a. Observed in patients with kyphosis.

b. Indicative of pectusexcavatum.

c. A normal finding in a healthy adult.

d. An expected finding in a patient with a barrel chest.

Question 2When assessing a patient’s lungs, the nurse recalls that the left lung:

Answers:

a. Consists of two lobes.

b. Is divided by the horizontal fissure.

c. Primarily consists of an upper lobe on the posterior chest.

d. Is shorter than the right lung because of the underlying stomach.

Question 3The nurse is observing the auscultation technique of another nurse. The method to use when progressing from one auscultatory site on the thorax to another is _______ comparison.

Answers:

a. Side-to-side

b. Top-to-bottom

c. Posterior-to-anterior

d. Interspace-by-interspace

Question 4When 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:

Answers:

a. Normally auscultated over the trachea.

b. Bronchial breath sounds and normal in that location.

c. Vesicular breath sounds and normal in that location.

d. Bronchovesicularbreath sounds and normal in that location.

Question 5The direction of blood flow through the heart is best described by which of these?

Answers:

a. Vena cava → right atrium → right ventricle → lungs → pulmonary artery → left atrium → left ventricle

b. Right atrium → right ventricle → pulmonary artery → lungs → pulmonary vein → left atrium → left ventricle

c. Aorta → right atrium → right ventricle → lungs → pulmonary vein → left atrium → left ventricle → vena cava

d. Right atrium → right ventricle → pulmonary vein → lungs → pulmonary artery → left atrium → left ventricle

Question 6A 45-year-old man is in the clinic for a routine physical examination. During the recording of his health history, the patient states that he has been having difficulty sleeping. “I’ll be sleeping great, and then I wake up and feel like I can’t get my breath.” The nurse’s best response to this would be:

Answers:

a. “When was your last electrocardiogram?”

b. “It’s probably because it’s been so hot at night.”

c. “Do you have any history of problems with your heart?”

d. “Have you had a recent sinus infection or upper respiratory infection?”

Question 7In assessing a patient’s major risk factors for heart disease, which would the nurse want to include when taking a history?

Answers:

a. Family history, hypertension, stress, and age

b. Personality type, high cholesterol, diabetes, and smoking

c. Smoking, hypertension, obesity, diabetes, and high cholesterol

d. Alcohol consumption, obesity, diabetes, stress, and high cholesterol

Question 8The mother of a 3-month-old infant states that her baby has not been gaining weight. With further questioning, the nurse finds that the infant falls asleep after nursing and wakes up after a short time, hungry again. What other information would the nurse want to have?

Answers:

a. Infant’s sleeping position

b. Sibling history of eating disorders

c. Amount of background noise when eating

d. Presence of dyspnea or diaphoresis when sucking

Question 9In assessing the carotid arteries of an older patient with cardiovascular disease, the nurse would:

Answers:

a. Palpate the artery in the upper one third of the neck.

b. Listen with the bell of the stethoscope to assess for bruits.

c. Simultaneously palpate both arteries to compare amplitude.

d. Instruct the patient to take slow deep breaths during auscultation.

Question 10Which statement is true regarding the arterial system?

Answers:

a. Arteries are large-diameter vessels.

b. The arterial system is a high-pressure system.

c. The walls of arteries are thinner than those of the veins.

d. Arteries can greatly expand to accommodate a large blood volume increase.

Question 11The nurse is reviewing the blood supply to the arm. The major artery supplying the arm is the _____ artery.

Answers:

a. Ulnar

b. Radial

c. Brachial

d. Deep palmar

Question 12The nurse is preparing to assess the dorsalispedis artery. Where is the location for palpation?

Answers:

a. Behind the knee

b. Over the lateral malleolus

c. In the groove behind the medial malleolus

d. Lateral to the extensor tendon of the great toe

Question 13The nurse is teaching a review class on the lymphatic system. A participant shows understanding of the material with which statement?

Answers:

a. “Lymph flow is propelled by the contraction of the heart.”

b. “The flow of lymph is slow, compared with that of the blood.”

c. “One of the functions of the lymph is to absorb lipids from the biliary tract.”

d. “Lymph vessels have no valves; therefore, lymph fluid flows freely from the tissue spaces into the bloodstream.”

Question 14When performing an assessment of a patient, the nurse notices the presence of an enlarged right epitrochlear lymph node. What should the nurse do next?

Answers:

a. Assess the patient’s abdomen, and notice any tenderness.

b. Carefully assess the cervical lymph nodes, and check for any enlargement.

c. Ask additional health history questions regarding any recent ear infections or sore throats.

d. Examine the patient’s lower arm and hand, and check for the presence of infection or lesions.

Question 15A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the nurse expect to see during an assessment of this patient?

Answers:

a. Hard and fixed cervical nodes

b. Enlarged and tender inguinal nodes

c. Bilateral enlargement of the popliteal nodes

d. Pelletlike nodes in the supraclavicular region

Question 16The nurse is examining the lymphatic system of a healthy 3-year-old child. Which finding should the nurse expect?

Answers:

a. Excessive swelling of the lymph nodes

b. Presence of palpable lymph nodes

c. No palpable nodes because of the immature immune system of a child

d. Fewer numbers and a smaller size of lymph nodes compared with those of an adult

Question 17During an assessment of an older adult, the nurse should expect to notice which finding as a normal physiologic change associated with the aging process?

Answers: