TEST BANK For Health Assessment in Nursing, 7th
Edition by Weber, Verified Chapters 1 - 34, Complete
Newest Version Volume II
1. The nurse is assessing a 69-year-old woman's risks for lung disease. The woman states,
It shouldn't be a problem for me. My husband smokes quite heavily but I've been a
lifelong nonsmoker. The nurse should recognize the need to teach the client about wh at
topic?
A) Strategies for making her husband quit smoking
B) Genetic causes of lung cancer
C) Age-related changes to respiratory function
D) Health risks of secondhand smoke
D) Health risks of secondhand smoke
2. The nurse is assessing a 79-year-old client's posterior thorax during a focused
respiratory assessment. The nurse should attribute what assessment finding to age-
related changes?
A) Slight kyphosis
B) Inaudible posterior lung sounds
C) Audible wheeze
D) Asymmetrical chest expansion
A) Slight kyphosis
3. While assessing the health of a client's respiratory system, the nurse is palpating for
fremitus. What instruction should the nurse provide to the client during this component
of assessment?
A) When I say so, please exhale forcefully and hold the breath.
B) Say the letter 'e' and keep saying it until I tell you to stop.
C) Breathe in as deeply as you can and hold your breath until I say.
D) Please say the number 'ninety-nine' for me.
D) Please say the number 'ninety-nine' for me.
,3. The nurse is assessing a client's respiratory rate and rhythm during the beginning of a
shift. The nurse knows that a normal breathing rate is between approximately 10 and 20
breaths per minute, but the client's rate is 29 breaths per minute. How should the nurse
respond to this assessment finding?
A) Ask the client if she has recently exerted herself.
B) Report the finding to the client's primary care provider.
C) Ask the client if she has smoked recently.
D) Palpate the client's anterior and posterior thorax.
A) Ask the client if she has recently exerted herself.
4. A nurse is caring for a patient whose diagnosis of cystic fibrosis results in the production
of large amounts of sticky mucus. The client has a history of repeated hospital admissions
for complications of his disease and receives daily treatments to mobilize the secretions.
When planning the care of this client, what nursing diagnosis is most plausible?
A) Readiness for Enhanced Breathing Patterns
B) Risk for Impaired Oral Mucous Membranes related to mouth breathing
C) Ineffective Airway Clearance related to respiratory secretions
D) Ineffective Breathing Pattern: Hyperventilation related to cystic fibrosis
C) Ineffective Airway Clearance related to respiratory secretions
5. The nurse's auscultation of a client's lung fields reveals the presence of a wheeze. The
nurse should recognize that this adventitious sound results from what pathophysiological
process?
A) Air leaking from the alveoli into the pleural space
B) Air being diverted from the trachea to the bronchi
C) Air increasing in turbulence in a wide passage
D) Air passing through constricted passageways
D) Air passing through constricted passageways
6. The nurse is preparing to auscultate a client's lungs after completing thoracic
inspection, palpation, and percussion. How should the nurse best prepare for this
assessment technique?
,A) Keep the client's shirt or gown in place to maintain privacy.
B) Begin with the bell of the stethoscope on the client's anterior chest.
C) Tell the client that you will be asking him or her to breathe as quickly and deeply as
possible.
D) Place the diaphragm on the client's posterior chest wall.
D) Place the diaphragm on the client's posterior chest wall.
1. The nurse is assessing a client's breasts. When assessing the area of the breast most
vulnerable to breast cancer, where should the nurse to assess?
A) Upper inner quadrant
B) Lower inner quadrant
C) Upper outer quadrant
D) Lower outer quadrant
C) Upper outer quadrant
2. During a prenatal class, a participant says that she was told that her breasts are not
large enough to breastfeed. When responding to this client, the nurse should understand
that the functional capacity of the breast is primarily determined by which of the
following variables?
A) Amount of glandular tissue
B) Breast size and weight
C) Amount of fatty tissue
D) Depth of the subcutaneous fat layer
A) Amount of glandular tissue
3. The nurse has asked a female client if she has noticed any lumps or swelling in her
breasts. After the client responds "yes," which question should the nurse ask next?
A) "Have any of the other women in your family had this happen?"
B) "Has there been any corresponding change in your breast size?"
C) "Does the lump change over the course of your menstrual cycle?"
D) "What do you think is causing this change?"
C) "Does the lump change over the course of your menstrual cycle?"
, 4. When taking a health history for a female client, which factor should the nurse identify
as placing the client at increased risk for breast cancer?
A) The client smokes six to eight cigarettes per day
B) The client had her first child at age 38
C) The client breast-fed her child for a full year
D) The client has a low body mass index
B) The client had her first child at age 38
5. Which of the following factors should a nurse include when discussing risk factors about
breast cancer for a group of women?
A) Early menarche
B) One or more pregnancies before age 20
C) Consumption of a high-protein diet
D) Early menopause
A) Early menarche
6. While assessing a woman's breasts, the nurse notes a pronounced and asymmetric
pattern of veins on the client's breasts. Follow-up care is ordered because the nurse
should suspect which of the following?
A) Pregnancy
B) Fibrocystic changes
C) Malignancy
D) A low platelet count
C) Malignancy
7. A 42-year-old female client says she does not perform breast self-examination because
she believes that mammograms are more thorough. Which response by the nurse would
be most appropriate?
A) "You should do the exam. It's the best way to detect breast cancer early."
B) "Be sure to have your breasts checked by a doctor and have a mammogram every
year."
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