NUR310G Health Assessment Exam 3 Due Points 50 Questions 50
Time Limit 80 Minutes
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Score LATEST Attempt 1 73 minutes 36 out of 50
Score for this quiz: 36 out of 50
Submitted This attempt took 73 minutes.
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Question 1
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The nurse is caring for a patient after thoracic surgery to remove a part of the lung. The nurse documents “subcutaneous emphysema” after assessing which of these?
Booming sounds upon percussion.
r A coarse, crackling sensation palpable over the skin surface.
An audible grating sound with breathing.
A palpable vibration with voice sounds.
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Subcutaneous emphysema is not assessed with auscultation or percussion. A palpable vibration with speech is tactile fremitus.
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Question 3
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Question 2
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The nurse is examining an adult patient. During auscultation of the lower lobes, the nurse notes clear, soft, low pitched breath sounds.Inspiration is louder than expiration. What is the correct interpretation of this finding?
These are diminished breath sounds, which are consistent with emphysema.
These are bronchial breath sounds, which are abnormal in that location.
These are bronchovesicular breath sounds, which are normal in that location.
r These are vesicular breath sounds, which are normal in that location.
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A client presents to the emergency department with asthma exacerbation. What does the nurse expect to find upon examination?
Tracheal shift.
Purulent mucus production.
Wheezing and accessory muscle use.
Presence of bronchophony.
Patients suffering an acute asthma attack are likely to exhibit tachypnea, labored breathing, cyanosis, wheezing, cough, and anxiety.
Question 4
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An adult client on a ventilator becomes acutely restless and agitated.Which assessment finding alerts the nurse to a left pneumothorax?
Unequal chest expansion.
Increased tactile fremitus.
Dullness to percussion.
Presence of bronchial breath sounds.
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With a pneumothorax, free air in the pleural space causes partial or complete lung collapse. If the pneumothorax is large, then tachypnea and cyanosis are evident. Unequal chest expansion, decreased or absent tactile fremitus, tracheal deviation to the unaffected side, decreased chest expansion, hyperresonant percussion tones, and decreased or absent breath sounds are found with the presence of pneumothorax.
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Question 5
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The nurse is frequently assessing lung sounds in a client with a left apical pnuemothorax. Where should the nurse place the stethoscope to monitor this problem?
Supraclavicular area.
Fifth intercostal space in the midclavicular line (MCL).
Fourth interspace posteriorly.
Sixth rib laterally.
The apex of the lung on the anterior chest is 3 to 4 cm above the inner third of the clavicles. On the posterior chest, the apices are at the level of C7.
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