NURS 122 Exam Questions and Verified Answers
A person is demonstrating a friction rub on auscultation. The nurse realises that this person is most likely to have developed which of the following?
a. Atelectasis
b. Pneumonia
c. Pneumothorax
d. Pleural inflammation - AnswersPleural inflam...
A person is demonstrating a friction rub on auscultation. The nurse realises that this person is
most likely to have developed which of the following?
a. Atelectasis
b. Pneumonia
c. Pneumothorax
d. Pleural inflammation - Answers✓✓Pleural inflammation
The nurse is educating a new mother and is discussing safe handling of the infant, including the
vulnerability of the fontanels. The nurse advises that the anterior fontanel will close by about:
a. 18 months
b. 6 months
c. 8 months
d. 3 months - Answers✓✓18 months
During the assessment of a patients respiratory status, the nurse locates the junction between the
manubrium and the body of the sternum. This landmark is commonly known as the:
a. Mid axillary line.
b. Intercostal space.
c. Xiphoid process.
The nurse knows that it is important to recognise the chest landmarks when conducting a
respiratory assessment because this assists with:
a. positioning the patient for comfort
b. identifying the underlying lobes of the lung
c. accurate hand positioning
d. keeping the patient safe - Answers✓✓identifying the underlying lobes of the lung
A goiter refers to an abnormal growth of the:
a. ears
b. nose
c. thyroid
d. tongue - Answers✓✓thyroid
The prominent spinous process used to locate landmarks on the posterior thorax belongs to
which vertebra?
Select one:
a. C7
b. T3
c. C1
d. C2 - Answers✓✓C7
While inspecting a patients face, the nurse notes the eyeballs are protruding and the upper
eyelids are elevated. What term would the nurse use to document this finding?
a. Cyanosis
b. Exophthalmos
c. Erythema
Percussion is only useful for detecting respiratory lesions that are superficial because it only
penetrates to a depth of:
a. 1 to 3 cm
b. 3 to 5 cm
c. 5 to 7 cm
d. 7 to 9 cm - Answers✓✓5 to 7cm
The transverse/anteroposterior ratio of normal healthy adults thorax is:
a. 1/1
b. 3/1
c. 2/1
d. 1/1 - Answers✓✓2/1
In which of the following locations should the nurse place the stethoscope to assess the apex of
a persons right lung?
a. Just to the right of the scapula
b. Near the right clavicle
c. Intercostal space fourth rib near the mid axillary line
d. Intercostal space, sixth rib near the sternum - Answers✓✓Near the right clavicle
When assessing the temperature of older adults, the nurse needs to be aware that:
a. It is not a reliable indicator of serious infection
b. Older peoples core temperature is higher than adults
c. Cerumen build up will not affect using a tympanic thermometer
d. Older people do not feel the heat or cold. - Answers✓✓It is not a reliable indicator of serious
infection
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