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While auscultating a patient’s lung sounds, what sound would you expect to hear in the peripheral lung?

NU304 Health Assessment in Nursing

Week 5 Quiz   

Question 1While auscultating a patient’s lung sounds, what sound would you expect to hear in the peripheral lung?

 

Select one:

 

 a.Vesicular

 

 b.Tracheal

 

 c.Bronchovesicular

 

 d.Bronchial

 

Question 2You are assessing the carotid arteries for the presence of a bruit. A bruit is a:

 

Select one:

 

 a.Loud, whooshing, blowing sound best heard with the bell of the stethoscope

 

 b.Soft, rattling sound best heard with the diaphragm of the stethoscope

 

 c.High-pitched tinkling sound best heard with the diaphragm of the stethoscope

 

 d.Low gurgling sound best heard with the diaphragm of the stethoscope

 

Question 3 The expected normal assessment findings in your patient’s lungs include the presence of:

 

Select one:

 

 a.Clear lung fields with limited chest expansion

 

 b.Symmetrical expansion and tactile fremitus

 

 c.Absent voice sounds and hyperresonant percussion tones

 

 d.Increased tactile fremitus and dull percussion tones

 

Question 4Which of the following is true about the left lung?

 

Select one:

 

 a.It is divided by horizontal fissure

 

 b.It is shorter than the right lung because of the underlying stomach

 

 c.It consists primarily of an upper lobe on the posterior chest

 

 d.It consists of two lobes

 

Question 5Functions of the respiratory system include:

 

Select one:

 

 a.Supplying oxygen to the body for energy production

 

 b.All of the above

 

 c.Removing carbon dioxide as a waste product of energy reactions

 

 d.Maintaining homeostasis (acid-base balance)

 

Question 6Which of the following is the  sequence for auscultating heart sounds?

 

Select one:

 

 a.Aortic area, pulmonic area, mitra area, Erb’s point, tricuspid area

 

 b.Pulmonic area, aortic area, Erb’s point, tricuspid area, mitral area

 

 c.Pulmonic area, mitral area, aortic area, Erb’s point, tricuspid area

 

 d.Aortic area, pulmonic area, Erb’s point, tricuspid area, mitral area

 

Question 7In your assessment of a normal adult, where would you expect to palpate the apical impulse?

 

Select one:

 

 a.Fifth right intercostal space at the midclavicular line

 

 b.Fifth left intercostal space at the midclavicular line

 

 c.Fourth left intercostal space at the sternal border

 

 d.Third left intercostal space at the sternal border

 

Question 8The normal sound elicited when percussing the lungs is:

 

Select one:

 

 a.A high-pitched tinkling sound

 

 b.Resonance

 

 c.Dullness

 

 d.Hyperresonance

 

Question 9When percussing the abdomen, tympany is present:

 

Select one:

 

 a.Over fluid or a mass

 

 b.Over adipose tissue

 

 c.When there is a gastric distension

 

 d.Over a small amount of air/gas

 

Question 10A patient is complaining of tenderness along the costovertebral angle. This is most often indicative of:

 

Select one:

 

 a.Ovulation pain

 

 b.Liver enlargement

 

 c.Spleen enlargement

 

 d.Kidney inflammation

 

Question 11 The arteries in the arm include the:

 

Select one:

 

 a.Brachial, ulnar and radial

 

 b.Superficial, radial and ulnar

 

 c.Superficial, ulnar and saphenous

 

 d.Brachial, ulnar and posterial tibial

 

Question 12The deep veins run alongside the deep arteries and conduct most of the venous return from the leg. The deep veins include the:

 

Select one:

 

 a.Great saphenous and small saphenous

 

 b.Thoracic duct and saphenous

 

 c.Femoral and popliteal

 

 d.Jugular veins and thoracic duct

 

Question 13Which of the following describes the superficial group of nodes that are accessible to inspection and palpation and give clues to the status of the lymphatic system?

 

Select one:

 

 a.Cervical, thoracic, axillary and inguinal

 

 b.Cervical, axillary, epitrochlear and inguinal

 

 c.Axillary, epitrochlear, saphenous and inguinal

 

 d.Cervical, superficial, axillary and inguinal

 

Question 14The two atrioventricular valves that separate the atria and ventricles are called:

 

Select one:

 

 a.Tricuspid and mitral

 

 b.Tricuspid and aortic

 

 c.Aortic and mitral

 

 d.Pulmonic and aortic

 

Question 15Systole is the part of the heart cycle in which:

 

Select one:

 

 a.The heart is in contraction

 

 b.The extra heart sounds 53 and 54 may be heard

 

 c.The pressure in the atria is higher than that in the ventricles

 

 d.The heart is at rest

 

Question 16Right upper quadrant tenderness may indicate pathology in the:

 

Select one:

 

 a.Pancreas and descending colon

 

 b.Stomach and spleen

 

 c.Liver and gall bladder

 

 d.Appendix and ileocecal valve

 

Question 17To check for liver tenderness/enlargement, the provider places his/her fingers or hand under the right rib cage and asks the patient to take a deep breath. A normal response is:

 

Select one:

 

 a.Pain in the right upper quad

 

 b.To complete the deep breath with pain that radiates to the right shoulder

 

 c.Pain that radiates to the left upper quad

 

 d.To complete the deep breath without pain

 

Question 18The proper order of assessing the abdomen is:

 

Select one:

 

 a.Inspection, palpation, auscultation, percussion

 

 b.Palpation, percussion, auscultation, inspection

 

 c.Inspection, auscultation, percussion, palpation

 

d.Percussion, auscultation, inspection, palpation

 

Question 19The main reason auscultation precedes percussion and palpation of the abdomen is:

 

Select one:

 

 a.To prevent distortion of bowel sounds that might occur after percussion and palpation

 

 b.To determine areas of tenderness before employing percussion and palpation

 

 c.To prevent distortion of vascular sounds such as bruits and hums that might occur after percussion and palpation

 

 d.To allow the patient more time to relax and become comfortable with the physical exam

 

Question 20The pulmonary artery delivers un-oxygenated blood to the lungs.

 

Select one:

 

 a.False

 

 b.True

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