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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?