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A)

B)
C)
D)

1.A patient is diagnosed with pleuritis. What will the nurse most likely assess in this
patient?
Thoracic chest movements in the sitting position
Abdominal movements in the lying position
Wheezes upon auscultation
Decreased breath sounds
2.The nurse is preparing to auscultate the left apex of a patient's lung. Where will the nurse
place the stethoscope to make this assessment?

A)
B)
C)
D)

A)
B)
C)
D)

A)
B)

Location 1
Location 2
Location 3
Location 4
3.The nurse is observing the abdominal respiratory movements of a patient who is lying
supine in bed. Why is the nurse using this method to assess breathing in the patient?
In the supine position, the thoracic movements are slight.
In the supine position, the diaphragm contracts less.
In the supine position, respiratory rate falls.
In the supine position, the sternomastoid muscles dominate.
4.The nurse is preparing to percuss a patient's anterior chest area. Which approach will the
nurse use for this assessment?
Begin at the sternal notch and percuss all areas on the right chest then all areas on
the left chest.
Begin at the sternal notch and percuss all areas on the left chest then all areas on the
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C)
D)

right chest.
Begin above the left clavicle and percuss all areas on the left chest, then reverse the
process and assess the right chest moving upward from the liver.
Begin above the right clavicle and percuss each section comparing the right chest
with the left chest.

A)
B)
C)
D)

5.The nurse is preparing to auscultate the lung sounds of a young adult. Which sound will
the nurse expect to hear over most of the patient's lungs?
Bronchovesicular
Vesicular
Bronchial
Tracheal

A)
B)
C)
D)

6.While a patient is saying the letter E during the assessment of transmitted voice sounds,
the nurse auscultates the letter A. Which pathological process does this finding suggest to
the nurse?
Chronic obstructive pulmonary disease
Emphysema
Pneumonia
Pneumothorax

A)
B)
C)
D)
E)

7.During a health history of the respiratory system, a patient complains of having a cough
for several months. Which questions would the nurse ask for more information about the
duration of this symptom? (Select all that apply.)
Does this occur at a particular time of day?
Is it continuous or intermittent?
Does it occur at rest or with exercise?
Does it wake you at night?
Do you cough up mucus or phlegm?

A)
B)
C)
D)

8.The nurse obtains a flat sound when percussing the right lower lobe of a patient. What
does this assessment finding indicate to the nurse?
Healthy lung tissue
Gastric air bubble
Chronic bronchitis
Pleural effusion
9.The nurse is assessing a patient's readiness to quit smoking. Place in order the steps in
which the nurse will conduct this assessment.
a. Arrange follow-up
b. Ask about tobacco use

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A)
B)
C)
D)
E)

A)
B)
C)
D)
E)

c. Assist to quit
d. Advise to quit
e. Assess willingness to quit
b, e, d, c, a
e, b, d, a, c
b, d, e, c, a
a, b, e, d, c
a, d, e, c, b
10.The nurse is determining the number of annual influenza inoculations that will need to be
provided to a group of community members. Which members would benefit from
receiving this vaccination? (Select all that apply.)
Adult patient with chronic obstructive pulmonary disease
Young adult patient who lives alone
Adult patient caring for children under age 5
Older adult attending adult day care
Adolescent patient being home schooled

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Answer Key
1.D
2.B
3.A
4.D
5.B
6.C
7.A, B, C, D
8.D
9.C
10.A, C, D

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