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NSG 3160 EXAM 3 NEWEST 2025 ACTUAL EXAM|
HEALTH ASSESSMENT EXAM| COMPLETE 200 REAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+|| BRAND NEW!!
During auscultation of the lungs, the nurse expects decreased breath sounds to be heard in which situation? – ANSWER - When the bronchial tree is obstructed
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.
When assessing the respiratory system of a 4-year-old child, which of these findings would the nurse expect? – ANSWER - Presence of bronchovesicular breath sounds in the peripheral lung fields
When inspecting the anterior chest of an adult, the nurse should include which assessment? – ANSWER - Shape and configuration of the chest wall 1 / 4
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pg. 2 The nurse knows that auscultation of fine crackles would most likely be
noticed in: – ANSWER - The immediate newborn period.
During an assessment of an adult, the nurse has noted unequal chest expansion and recognizes that this occurs in which situation? – ANSWER - When part of the lung is obstructed or collapsed
During auscultation of the lungs of an adult patient, the nurse notices the presence of bronchophony. The nurse should assess for signs of which condition? – ANSWER - Pulmonary consolidation
The nurse is reviewing the characteristics of breath sounds. Which statement about bronchovesicular breath sounds is true?
Bronchovesicular breath sounds are: – ANSWER - Expected near the
major airways.
The nurse is listening to the breath sounds of a patient with severe asthma. Air passing through narrowed bronchioles would produce which of these adventitious sounds? – ANSWER - Wheezes
A patient has a long history of chronic obstructive pulmonary disease (COPD). During the assessment, the nurse will most likely observe which of these? – ANSWER - Anteroposterior-to-transverse diameter
ratio of 1:1
During palpation of the anterior chest wall, the nurse notices a coarse, crackling sensation over the skin – ANSWER - Crepitus 2 / 4
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pg. 3 A patient comes to the clinic complaining of a cough that is worse at night but not as bad during the day. The nurse recognizes that this cough
may indicate: – ANSWER - Postnasal drip or sinusitis.
A teenage patient comes to the emergency department with complaints of an inability to breathe and a sharp pain in the left side of his chest.The assessment findings include cyanosis, tachypnea, tracheal deviation to the right, decreased tactile fremitus on the left, hyperresonance on the left, and decreased breath sounds on the left. The nurse interprets that
these assessment findings are consistent with: – ANSWER -
Pneumothorax.
During a morning assessment, the nurse notices that the patients sputum is frothy and pink. Which condition could this finding indicate? – ANSWER - Pulmonary edema
During auscultation of breath sounds, the nurse should correctly use the stethoscope in which of the following ways? – ANSWER - Listening to at least one full respiration in each location
A patient has been admitted to the emergency department with a possible medical diagnosis of pulmonary embolism. The nurse expects to see which assessment findings related to this condition? – ANSWER - Chest pain that is worse on deep inspiration and dyspnea
A patient with pleuritis has been admitted to the hospital and complains of pain with breathing. What other key assessment finding would the nurse expect to find upon auscultation? – ANSWER - Friction rub 3 / 4
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pg. 4 The nurse is auscultating the lungs of a patient who had been sleeping and notices short, popping, crackling sounds that stop after a few
breaths. The nurse recognizes that these breath sounds are: – ANSWER
- Atelectatic crackles that do not have a pathologic cause.
A patient has been admitted to the emergency department for a suspected drug overdose. His respirations are shallow, with an irregular pattern, with a rate of 12 respirations per minute. The nurse interprets this respiration pattern as which of the following? – ANSWER – Hypoventilation
An adult patient with a history of allergies comes to the clinic complaining of wheezing and difficulty in breathing when working in his yard. The assessment findings include tachypnea, the use of accessory neck muscles, prolonged expiration, intercostal retractions, decreased breath sounds, and expiratory wheezes. The nurse interprets
that these assessment findings are consistent with: – ANSWER - Asthma
The nurse is assessing the lungs of an older adult. Which of these changes are normal in the respiratory system of the older adult? – ANSWER - Lungs are less elastic and distensible, which decreases their ability to collapse and recoil.
A 35-year-old recent immigrant is being seen in the clinic for complaints of a cough that is associated with rust-colored sputum, low-grade afternoon fevers, and night sweats for the past 2 months. The nurses preliminary analysis, based on this history, is that this patient may be
suffering from: – ANSWER - Tuberculosis
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