When assessing whispered pectoriloquy, the nurse should instruct a client to do which
of the following?
A) Softly repeat the words ìone-two-three. î
B) Say the number ìninety-nine.î
C) Cough each time the stethoscope is moved.
D) Say the letter ìeî until instructed to stop.
2. When prep...
TEST BANK FOR HEALTH ASSESSMENT IN NURSING 6TH EDITION BY WEBER
1. When assessing whispered pectoriloquy, the nurse should instruct a client to do which
of the following?
A) Softly repeat the words ìone-two-three.î
B) Say the number ìninety-nine.î
C) Cough each time the stethoscope is moved.
D) Say the letter ìeî until instructed to stop.
2. When preparing to assess a client's thoracic cage, the nurse should locate which
landmark when determining where to begin the assessment of the ribs and intercostal
spaces?
A) Scapula
B) Suprasternal notch
C) Sternal angle
D) Sternal border
3. The nurse is assessing a client who has been admitted for the treatment of severe
dehydration. What might the nurse expect to hear when auscultating the lungs of a client
with this fluid volume deficit?
A) Friction rub
B) Decreased breath sounds
C) Sibilant wheeze
D) Stridor N
4. A client has sustained a brain stem injury and is being treated in the intensive care unit.
Which of the following would the nurse need to consider when assessing this client's
respiratory status?
A) The client will have a loss of involuntary respiratory control.
B) The client will respond negatively to increased stimuli.
C) The client will have greatly increased respiratory effort.
D) The client will exhibit Cheyne-Stokes respirations.
5. During the health interview, a client tells the nurse that he ìcan't breathe all that wellî at
night when he is lying down and that this significantly disrupts his sleep. The nurse
should assess this client further for which of the following health problems?
A) Pneumonia
B) Tuberculosis
C) Bronchitis
D) Heart failure
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, TEST BANK FOR HEALTH ASSESSMENT IN NURSING 6TH EDITION BY WEBER
6. A client is diagnosed with pulmonary edema, and the nurse is performing a rapid
assessment prior to treatment. The nurse would be most concerned about which of the
following assessment findings related to the client's sputum?
A) White or cream-colored
B) Yellowish and foul-smelling
C) Pink and frothy
D) Rust-tinged
7. Upon entering the examination room, the nurse observes that the client is leaning
forward with his arms supporting his body weight. The nurse would recognize this as a
tripod position and suspect the presence of which of the following medical problems?
A) Pleural effusion
B) Heart failure
C) Chronic obstructive pulmonary disease
D) Pneumonia
8. The nurse assesses chest expansion in a 30-year-old man and finds it to be 8 cm. The
nurse should document this as which of the following?
A) Limited expansion
B) Normal expansion
C) Hypoexpansion
D) Hyperexpansion N
9. A client has a history of emphysema. During the respiratory assessment, the nurse
percusses the client's chest, expecting to find which of the following?
A) Hyperresonance
B) Dullness
C) Resonance
D) Tympany
10. While auscultating a client's lungs, the nurse notes the presence of adventitious sounds.
Which of the following actions should the nurse do first?
A) Refer the client for further medical evaluation.
B) Auscultate for egophony.
C) Perform bronchophony.
D) Have the client cough, then listen again.
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