Vesicular - Which part of the lower airway would the nurse expect to hear inspiration sounds greater
than expiration sounds?
The patient is in the left lateral position during the anterior thorax exam - The student is performing a
lung assessment. Which of the following would indicate the need for further teaching?
The patient slowly inhale with their mouth on the spirometer mouthpiece - Which of the following
would the nurse recognize as a patient using the incentive spirometer correctly?
Acapella device - The patient is experiencing excessive mucous in their lungs. Which device would the
nurse instruct the patient to use?
Performs tactile fremitus with ulnar portion of the hand - Which of the following indicates the nurse
understands how to perform a respiratory assessment?
Rhonchi - A loud, course, low pitched sound is heard during a lung assessment. The nurse recognizes this
as which of the following?
Increased accessory muscle movement during normal passive breathing - Which of the following would
the nurse report to the healthcare provider?
The patient has a decreased ability to cough - Which of the following would indicate the nurse's need to
perform suctioning on a patient?
The patient performs deep inspiration and prolonged expiration - Which of the following indicates the
patient understands how to perform pursed- lip breathing?
The test will determine early detection of asthmatic exacerbation - Which of the following indicates the
nurse is correctly educating the patient on the peak flow meter?
, The mitral and tricuspid valve close - Which of the following occurs during the S1 phase of the cardiac
cycle?
4th intercostal, left sternal border - Which of the following areas will the nurse place her stethoscope to
assess for tricuspid heart sounds?
Inspection, palpation, auscultation - Which of the following is the correct sequence when performing a
cardiac assessment?
Semi fowlers, supine, left lateral - Which of the following positions are best to auscultate heart sounds?
Auscultate the apical pulse - The nurse assesses an abnormal radial pulse. Which of the following would
the nurse perform next?
The patient attends a stress reduction class - Which of the following would indicate the patient
understands how to reduce the risk of heart disease?
Carotid - The nurse is assessing heart function. Which of the following peripheral arteries best reflects
heart function?
Ask the patient to hold their breath for a few seconds during auscultation - The nurse is assessing for
carotid bruits. Which indicates the nurse is performing the assessment correctly?
1+ - The nurse is palpating the femoral arteries and notes a decreased pulse. The nurse would document
this finding as:
The tip of the transducer is held at a 25 degree angle during assessment - The nurse is using a doppler to
assess pedal pulses. Which of the following indicates need for further teaching?
warmth at site, redness, pain - The nurse is assessing the patient for a DVT. Which of the following
would indicate suspicion of a DVT?
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