NURS3020 Week 3 Quiz

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NURS3020 Week 3 Quiz

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

a. Observed in patients with kyphosis.

b. Indicative
of pectus excavatum.

c. A
normal finding in a healthy adult.

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

• Question
2 When assessing a patient’s
lungs, the nurse recalls that the left lung: 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 3 The nurse is observing the auscultation technique of another
nurse. The correct method to use when progressing from one auscultatory site on
the thorax to another is _______ comparison.

a. Side-to-side

b. Top-to-bottom

c. Posterior-to-anterior

d. Interspace-by-interspace

• Question
4 When 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:

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. Bronchovesicular
breath sounds and normal in that location.

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

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
6 A 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:

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

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
8 The 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?

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

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
10 Which statement is true
regarding the arterial system?

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

a. Ulnar

b. Radial

c. Brachial

d. Deep
palmar

• Question 12 The nurse is preparing to assess the dorsalis pedis artery.
Where is the correct location for palpation?

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

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

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

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

a. Hormonal
changes causing vasodilation and a resulting drop in blood pressure

b. Progressive
atrophy of the intramuscular calf veins, causing venous insufficiency

c. Peripheral
blood vessels growing more rigid with age, producing a rise in systolic blood
pressure

d. Narrowing
of the inferior vena cava, causing low blood flow and increases in venous pressure
resulting in varicosities

• Question
18 A 67-year-old patient states
that he recently began to have pain in his left calf when climbing the 10
stairs to his apartment. This pain is relieved by sitting for approximately 2
minutes; then he is able to resume his activities. The nurse interprets that
this patient is most likely experiencing:

a. Claudication.

b. Sore
muscles.

c. Muscle
cramps.

d. Venous
insufficiency.

• Question
19 A patient has been diagnosed
with venous stasis. Which of these findings would the nurse most likely
observe?

a. Unilateral
cool foot

b. Thin,
shiny, atrophic skin

c. Pallor
of the toes and cyanosis of the nail beds

d. Brownish
discoloration to the skin of the lower leg

• Question
20 The nurse is attempting to
assess the femoral pulse in a patient who is obese. Which of these actions
would be most appropriate?

a. The
patient is asked to assume a prone position.

b. The
patient is asked to bend his or her knees to the side in a froglike position.

c. The
nurse firmly presses against the bone with the patient in a semi-Fowler
position.

d. The
nurse listens with a stethoscope for pulsations; palpating the pulse in an
obese person is extremely difficult.

• Question
21 When auscultating over a
patient’s femoral arteries, the nurse notices the presence of a bruit on the
left side. The nurse knows that bruits:

a. Are
often associated with venous disease.

b. Occur
in the presence of lymphadenopathy.

c. In
the femoral arteries are caused by hypermetabolic states.

d. Occur
with turbulent blood flow, indicating partial occlusion.

• Question
22 The sac that surrounds and
protects the heart is called the:

a. Pericardium.

b. Myocardium.

c. Endocardium.

d. Pleural
space.

• Question
23 During an examination of the
anterior thorax, the nurse is aware that the trachea bifurcates anteriorly at
the:

a. Costal
angle.

b. Sternal
angle.

c. Xiphoid
process.

d. Suprasternal
notch.

• Question
24 During an assessment, the nurse
knows that expected assessment findings in the normal adult lung include the
presence of:

a. Adventitious
sounds and limited chest expansion.

b. Increased
tactile fremitus and dull percussion tones.

c. Muffled
voice sounds and symmetric tactile fremitus.

d. Absent
voice sounds and hyperresonant percussion tones.

• Question
25 The primary muscles of
respiration include the:

a. Diaphragm
and intercostals.

b. Sternomastoids
and scaleni.

c. Trapezii
and rectus abdominis.

d. External
obliques and pectoralis major.

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