Maryville NURS330 Chapter 19 Quiz Latest 2022 May

NURS330 Individual Assessment

Chapter 19 Quiz

Question 1Which of these statements is true regarding the vertebra prominens?

  It is the spinous process of C7.

  It is nonpalpable in most individuals.

  It is opposite the interior border of the scapula.

  It is located next to the manubrium of the sternum.

Question 2During a morning assessment, the nurse notices that the patient’s sputum is frothy and pink. Which condition could this finding indicate?

  Croup

  Tuberculosis

  Viral infection

  Pulmonary edema

Question 3The nurse is observing the auscultation technique of a student nurse. What is the correct method to use when progressing from one auscultatory site on the thorax to another?

  Side-to-side comparison

  Top-to-bottom comparison

  Posterior-to-anterior comparison

  Interspace-by-interspace comparison

Question 4What are the primary muscles of respiration?

  Diaphragm and intercostals

  Sternomastoids and scaleni

  Trapezii and rectus abdominis

  External obliques and pectoralis major

Question 5During auscultation of the lungs, the nurse expects decreased breath sounds to be heard in which situation?

  When adventitious sounds are present

  When the bronchial tree is obstructed

  In conjunction with whispered pectoriloquy

  In conditions of consolidation, such as pneumonia

Question 6During an assessment, the nurse knows that expected assessment findings in the normal adult lung include which findings?

  Adventitious sounds and limited chest expansion

  Muffled voice sounds and symmetric tactile fremitus

  Increased tactile fremitus and dull percussion tones

  Absent voice sounds and hyperresonant percussion tones

Question 7The nurse is percussing over the lungs of a patient with pneumonia. If the patient has atelectasis, what sound will the nurse hear?

  Tympany

  Dullness

  Resonance

  Hyperresonance

Question 8When performing a respiratory assessment on a patient, the nurse notices a costal angle of approximately 90 degrees. What should the nurse recognize about this finding?

  Observed in patients with kyphosis.

  Indicative of pectus excavatum.

  A normal finding in a healthy adult.

  An expected finding in a patient with a barrel chest.

Question 9The nurse is assessing voice sounds during a respiratory assessment. Which of these findings indicates a normal assessment? (Select all that apply).

  As the patient says a long “ee-ee-ee” sound, the examiner hears a long “aaaaaa” sound.

  As the patient says a long “ee-ee-ee” sound, the examiner also hears a long “ee-ee-ee” sound.

  As the patient repeatedly says “ninety-nine,” the examiner clearly hears the words “ninety-nine.”

  Voice sounds are faint, muffled, and almost inaudible when the patient whispers “one, two, three” in a very soft voice.

  When the patient speaks in a normal voice, the examiner can hear a sound but cannot exactly distinguish what is being said.

 Question 10A patient with pleuritis has been admitted to the hospital and reports pain with breathing. What other key assessment finding would the nurse expect to find upon auscultation?

  Stridor

  Crackles

  Wheezing

  Friction rub