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2024 NR 509 WEEK 2 EXAM WITH CORRECT ANSWERS
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2024 NR 509 WEEK 2 EXAM WITH CORRECT ANSWERS
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2024 NR 509 WEEK 2 EXAM WITHCORRECT ANSWERS
The nurse is percussing over the lungs of a patient with pneumonia. The
nurse knowns that percussion over an area of atelectasis in the lungs will
reveal:
A. Dullness
B. Tympany
C. Resonance
D. Hyper resonance - CORRECT-ANSWERSA. Dullness
During auscultation of the lungs, the nurse expects decreased breath sounds
to be heard in which situation?
A. When the bronchial tree is obstructed
B. When adventitious breath sounds are present
C. In conjunction with whispered pectoriloquy
D. In conditions of consolidation, such as pneumonia - CORRECT-ANSWERSA.
When the bronchial tree is obstructed
The nurse knows that a normal finding when assessing the respiratory
system of an older adult is:
A. Increased thoracic expansion
B. Decreased mobility of the thorax
C. Decreased anteriorposterior diameter
D. Bronchovesicular breath sounds throughout the lungs - CORRECT-
ANSWERSB. Decreased mobility of the thorax
A mother brings her 3 month old infant to the clinic for evaluation of a cold.
She told the nurse that he has had a runny nose for a week period. The
nurses next action should be to:
A. assure the mother that the signs are normal symptoms of a cold
B. Recognize that these are serious signs and contact the physician
C. Ask the mother if the infant has had trouble with feedings
D. Perform a complete cardiac assessment because the signs are probably
indicative of early heart failure - CORRECT-ANSWERSB. 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 with the nurse expect?
A. Crepitus palpated at the costochondral junctions
B. No diaphragmatic excursion as a result of child decreased inspiratory
volume
,C. Presence of bronchovesicular breath sounds in the peripheral lung fields
D. Your regular respiratory pattern and a respiratory rate of 40 breaths per
minute at rest - CORRECT-ANSWERSC. Presence of bronchovesicular breath
sounds in the peripheral lung fields
When inspecting the anterior chest of an adult, the nurse should include
which assessment?
A. Diaphragmatic excursion
B. Symmetric chest expansion
C. Presence of breath sounds
D. Shape and configuration of the chest wall - CORRECT-ANSWERSD. Shape
and configuration of the chest wall
During an assessment of an adult, the nurse has noticed unequal chest
expansion an recognizes that this occurs in which situation:
A. In an obese patient
B. When part of the lung is obstructed or collapsed
C. when building of the intercostal space is present
D. When excess re muscles are used to augment the respiratory effort -
CORRECT-ANSWERSB. When part of the lung is obstructed or collapsed
The nurse knows that auscultation of fine crackles would most likely be
noticed in:
A. A healthy 5 year old child
B. A pregnant woman
C. The immediate newborn period
D. Association with a pneumothorax - CORRECT-ANSWERSC. The immediate
newborn period
When performing a physical assessment, the first technique the nurse will
always use
A. Palpation
B. Inspection
C. Percussion
D. Auscultation - CORRECT-ANSWERSB. Inspection
The nurse is preparing to perform a physical assessment. Which statement is
true about the physical assessment? The inspection phase:
A. Usually yields little information
B. Takes time and reveals a surprising amount of information
C. May be somewhat uncomfortable for the expert practitioner
D. Requires a quick glance at the patient's body systems before proceeding
with palpation - CORRECT-ANSWERSB. Takes time and reveals a surprising
amount of information
,The nurse is assessing a patient's skin during an office visit. What part of the
hand and technique should be used to best assess the patient's skin
temperature?
A. Fingertips; they are more sensitive to small changes in temperature
B. Dorsal surface of the hand; the skin is thinner on this surface than on the
palms
C. Ulnar portion of the hand, increased blood supply in this area enhances
temperature sensitivity
D. Palmar surface of the hand; this surface is the most sensitive to
temperature variations because of its increased nerve supply in this area. -
CORRECT-ANSWERSB. Dorsal surface of the hand; the skin is thinner on this
surface than on the palms
Which of these techniques uses the sense of touch to assess texture,
temperature, moisture, and swelling when the nurse is assessing a patient?
A. Palpation
B. Inspection
C. Percussion
D. Auscultation - CORRECT-ANSWERSA. Palpation
The nurse is preparing to assess a patient's abdomen by palpation. How
should the nurse proceed?
A. Palpation of reportedly tender areas are avoided because palpation in
these areas may cause pain
B. Palpating a tender area is quickly performed to avoid any discomfort that
the patient may experience
C. The assessment begins with deep palpation, while encouraging the
patient to relax and to take deep breaths.
D. The assessment begins with light palpation to detect surface
characteristics and to accustom the patient to being touched. - CORRECT-
ANSWERSD. The assessment begins with light palpation to detect surface
characteristics and to accustom the patient to being touched.
The nurse would use bimanual palpation technique in which situation?
A. Palpating the thorax of an infant
B. Palpating the kidneys and the uterus
C. Assessing pulsations and vibrations
D. Assessing the presence of tenderness and pain - CORRECT-ANSWERSB.
Palpating the kidneys and the uterus
The nurse is preparing to percuss the abdomen of a patient. The purpose of
the percussion is to assess the ___________ of the underlying tissue.
A. Turgor
B. Texture
C. Density
D. Consistency - CORRECT-ANSWERSC. Density
, The nurse is reviewing percussion techniques with a newly graduated nurse.
Which technique, if used by the new nurse, indicates that more review is
needed?
A. Percussing once over each area
B. Quickly lifting be striking finger after each stroke
C. Striking with the fingertip, not the finger pad
D. Using the wrist to make the strikes, not the arm - CORRECT-ANSWERSA.
Percussing once over each area
When percussing over the liver of a patient, the nurse notices a dull sound.
The nurse should:
A. Consider this a normal finding
B. Palpate this area for an underlying mass
C. Reposition the hands, and attempt to percuss in this area again
D. Consider this finding abnormal, and refer the patient for additional
treatment - CORRECT-ANSWERSA. Consider this a normal finding
The nurse is unable to identify any changes in sound when percussing over
the abdomen of an obese patient. What should the nurse do next?
A. Ask the patient to take deep breaths to relax the abdominal musculature
B. Consider this finding as normal and proceed with the abdominal
assessment
C. Increase the amount of strength used when attempting to percuss over
the abdomen
D. Decrease the amount of strength used when attempting to percuss over
the abdomen. - CORRECT-ANSWERSC. Increase the amount of strength used
when attempting to percuss over the abdomen
The nurse hears bilateral loud, long and low tones when percussing over the
lungs of a 4 year old child. The nurse should
A. Palpate over the area for increased pain and tenderness
B. Ask the child to take shallow breaths and percuss over the area again
C. Immediately refer the child because of an increased amount of air in the
lungs
D. Consider this finding as normal for a child this age and proceed with the
examination - CORRECT-ANSWERSD. Consider this finding as normal for a
child this age and proceed with the examination
A patient has suddenly developed shortness of breath and appears to be
insignificant respiratory distress. After calling the position and placing the
patient on oxygen, which of these actions is the best for the nurse to take
went further assisting this patient?
A. Count the patient's respirations
B. Bilaterally percuss the thorax, noting any differences in percussion tones
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