Health Assessment Final Exam Questions and Correct Answers- NUR 214
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Module
NUR 214
Institution
NUR 214
When the nurse assesses a 78-year-old patient with pneumonia, what is the priority assessment? A. Breath sounds B. Airway patency C. Respiratory rate D. Percussion sounds b (ABC'S)
A 45-year-old man has been admitted to the hospital with suspicion of PE. Which of the following symptoms should the ...
health assessment final exam questions and correct
when the nurse assesses a 78 year old patient with
a 45 year old man has been admitted to the hospita
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Health Assessment Final Exam
Questions and Correct Answers- NUR
214
When the nurse assesses a 78-year-old patient with pneumonia, what is the priority
assessment? A. Breath sounds B. Airway patency C. Respiratory rate D. Percussion
sounds ✅b (ABC'S)
A 45-year-old man has been admitted to the hospital with suspicion of PE. Which of the
following symptoms should the nurse report to the primary health practitioner
immediately? A. Chest pain B. Shortness of breath C. Respirations 20 breaths/min D.
Productive cough ✅a - chest pain is assumed to be heart pain
3. A 62-year-old woman comes to the clinic with an exacerbation of asthma. Which of
the following findings indicate worsening status of her asthma? A. Increased wheezing
B. Sustained rhonchi C. Decreased respirations D. Oxygen saturation 94% ✅a -
wheezing is associated with airway inflammation
A 3-year-old boy is brought to the emergency department with stridor, nasal flaring,
intercostal and supraclavicular retractions, and respiratory rate of 40 breaths/min. What
type of situation is this? A. Stable B. Acute C. Urgent D. Emergency ✅D-
STRIDOR ✅upper airway obstruction
A 92-year-old woman with a history of COPD presents with increasing shortness of
breath, decreased lung sounds in the bases, increased ankle edema, and 5-lb weight
gain in 1 week. What is the most likely problem? A. Impaired gas exchange B.
Ineffective airway clearance C. Activity intolerance D. Excess fluid volume ✅d-patient
retains fluid due to the increased work load of the heart
Which of the following factors is the most significant risk factor for COPD? A. Increased
age B. Immune suppression C. Tobacco smoking D. Occupational exposure ✅c
When the nurse assesses a client with respiratory symptoms, which of the following
complaints should be evaluated first? A. Chest soreness B. Dyspnea C. Cough D.
Sputum ✅d - shortness of breath would be the first observation
When assessing a patient with atelectasis, what assessment findings are expected?
Choose all that apply. A. Shortness of breath B. Decreased breath sounds C.
Decreased oxygen saturation D. Increased tactile fremitus E. Hyperresonance ✅A-D
atelectasis ✅collapsed lung; incomplete expansion of alveoli
, tactile fremitus ✅is an assessment of the low-frequency vibration of a patient's chest,
which is used as an indirect measure of the amount of air and density of tissue present
within the lungs.
Hyperresonance ✅lower-pitched, booming sound found when too much air is present
such as in emphysema or pneumothorax
Which assessment findings would indicate that inhaled bronchodilators have been
effective? A. Expiratory wheezing, O2 saturation 94%, pallor B. Vesicular breath
sounds, O2 saturation 96%, pink C. Bronchial breath sounds, O2 saturation 100%,
erythema D. Crackles, O2 saturation 90%, circumoral cyanosis ✅B
pallor ✅pale appearance
erythema ✅reddening of the skin, usually in patches
circumoral cyanosis ✅refers to blue discoloration around the mouth only
The nurse auscultates bronchovesicular breath sounds in the second ICS near the
sternum. The nurse interprets this as A. a normal finding over the trachea. B. a normal
finding over the bronchi. C. an abnormal finding over the lung ✅b -
trachea bifurcates at the ____ intercostal space ✅second
___ sounds are auscultated over the trachea. ✅bronchovesicular sounds
__________ sounds are heard over the lung fields ✅vesicular
1. Which of the following statements describes the cardiovascular system most
accurately? A. It is a double pump circulating blood out to the lungs and body. B. It has
a heart with six chambers, great vessels, and valves. C. It includes concepts of
precontractility, postcontractility, and load. D. It functions with a conduction system that
starts in the ventricles. ✅A
In a healthy patient, the myocardial cells in the ventricle depolarize and contract during
A. prediastole. B. diastole. C. systole. D. postsystole. ✅c - the SA node depolarizes
and the atria contract, which is the P wave on the ECG
When the nurse listens to S1 in the mitral and tricuspid areas, the expected finding is A.
S1 greater than S2. B. S1 is equal to S2. C. S2 greater than S1. D. No S1 is heard ✅A
where is tricuspid heard? ✅5th left ICS at the sternal border
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