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NU 518 EXAM WITH OVER 400 QUESTIONS AND
CORRECT ANSWERS/ NEW NU 528 EXAM 2
PRACTICE TEST QUESTIONS AND ANSWERS (NEW!)
A young man is concerned about a hard mass he has just noticed in the midline of his palate. On examination, it is indeed hard and in the midline. There are no mucosal abnormalities associated with this lesion. He is experiencing no other symptoms. What will you tell him is the most likely diagnosis? A) Leukoplakia B) Torus palatinus C) Thrush (candidiasis) D) Kaposi's sarcoma - CORRECT ANSWER>>B A patient is examined with the ophthalmoscope and found to have red reflexes bilaterally. Which of the following have you essentially excluded from your differential? A) Retinoblastoma B) Cataract C) Artificial eye D) Hypertensive retinopathy - CORRECT ANSWER>>D A patient presents with ear pain. She is an avid swimmer. The history includes pain and drainage from the left ear. On examination, she has pain when the ear is manipulated, including manipulation of the tragus. The canal is narrowed and erythematous, with some white debris in the canal. The rest of the examination is normal. What diagnosis would you assign this patient? A) Otitis media B) External otitis C) Perforation of the tympanum D) Cholesteatoma - CORRECT ANSWER>>B A patient with hearing loss by whisper test is further examined with a tuning fork, using the Weber and Rinne maneuvers. The abnormal results are as follows: bone conduction is greater than air on the left, and the patient hears the sound of the tuning fork better on the left. Which of the following is most likely? A) Otosclerosis of the left ear B) Exposure to chronic loud noise of the right ear C) Otitis media of the right ear D) Perforation of the right eardrum - CORRECT ANSWER>>A A 38-year-old accountant comes to your clinic for evaluation of a headache. The throbbing sensation is located in the right temporal region and is an 8 on a scale of 1 to 10. It started a few hours ago, and she has noted nausea with sensitivity to light; she has had headaches like this in
the past, usually less than one per week, but not as severe. She does not know of any inciting factors. There has been no change in the frequency of her headaches. She usually takes an over the-counter analgesic, and this results in resolution of the headache. Based on this description, what is the most likely diagnosis of the type of headache? A) Tension B) Migraine C) Cluster D) Analgesic rebound - CORRECT ANSWER>>B A 29-year-old computer programmer comes to your office for evaluation of a headache. The tightening sensation is located all over the head and is of moderate intensity. It used to last minutes, but this time it has lasted for 5 days. He denies photophobia and nausea. He spends several hours each day at a computer monitor/keyboard. He has tried over-the-counter medication; it has dulled the pain but not taken it away. Based on this description, what is your most likely diagnosis? A) Tension B) Migraine C) Cluster D) Analgesic rebound - CORRECT ANSWER>>A Which of the following is a symptom involving the eye? A) Scotomas B) Tinnitus C) Dysphagia D) Rhinorrhea - CORRECT ANSWER>>A A 49-year-old administrative assistant comes to your office for evaluation of dizziness. You elicit the information that the dizziness is a spinning sensation of sudden onset, worse with head position changes. The episodes last a few seconds and then go away, and they are accompanied by intense nausea. She has vomited one time. She denies tinnitus. You perform a physical examination of the head and neck and note that the patient's hearing is intact to Weber and Rinne and that there is nystagmus. Her gait is normal. Based on this description, what is the most likely diagnosis? A) Benign positional vertigo B) Vestibular neuronitis C) Ménière's disease D) Acoustic neuroma - CORRECT ANSWER>>A A 55-year-old bank teller comes to your office for persistent episodes of dizziness. The first episode started suddenly and lasted 3 to 4 hours. He experienced a lot of nausea with vomiting; the episode resolved spontaneously. He has had five episodes in the past 1½ weeks. He does note some tinnitus that comes and goes. Upon physical examination, you note that he has a normal gait. The Weber localizes to the right side and the air conduction is equal to the bone
20/20 in each eye and 20/20 bilaterally. There is a homogeneous, sharply demarcated area at the lateral aspect of the base of the left eye. The cornea is clear. Based on this description, what is the most likely diagnosis? A) Conjunctivitis B) Acute iritis C) Corneal abrasion D) Subconjunctival hemorrhage - CORRECT ANSWER>>D A 67-year-old lawyer comes to your clinic for an annual examination. He denies any history of eye trauma. He denies any visual changes. You inspect his eyes and find a triangular thickening of the bulbar conjunctiva across the outer surface of the cornea. He has a normal pupillary reaction to light and accommodation. Based on this description, what is the most likely diagnosis? A) Corneal arcus B) Cataracts C) Corneal scar D) Pterygium - CORRECT ANSWER>>D Which of the following is a "red flag" regarding patients presenting with headache? A) Unilateral headache B) Pain over the sinuses C) Age over 50 D) Phonophobia and photophobia - CORRECT ANSWER>>C A sudden, painless unilateral vision loss may be caused by which of the following? A) Retinal detachment B) Corneal ulcer C) Acute glaucoma D) Uveitis - CORRECT ANSWER>>A Sudden, painful unilateral loss of vision may be caused by which of the following conditions? A) Vitreous hemorrhage B) Central retinal artery occlusion C) Macular degeneration D) Optic neuritis - CORRECT ANSWER>>D Diplopia, which is present with one eye covered, can be caused by which of the following problems? A) Weakness of CN III B) Weakness of CN IV C) A lesion of the brainstem D) An irregularity in the cornea or lens - CORRECT ANSWER>>D A patient complains of epistaxis. Which other cause should be considered?
A) Intracranial hemorrhage B) Hematemesis C) Intestinal hemorrhage D) Hematoma of the nasal septum - CORRECT ANSWER>>B Glaucoma is the leading cause of blindness in African Americans and the second leading cause of blindness overall. What features would be noted on funduscopic examination? A) Increased cup-to-disc ratio B) AV nicking C) Cotton wool spots D) Microaneurysms - CORRECT ANSWER>>A Very sensitive methods for detecting hearing loss include which of the following? A) The whisper test B) The finger rub test C) The tuning fork test D) Audiometric testing - CORRECT ANSWER>>D Which area of the fundus is the central focal point for incoming images? A) The fovea B) The macula C) The optic disk D) The physiologic cup - CORRECT ANSWER>>A A light is pointed at a patient's pupil, which contracts. It is also noted that the other pupil contracts as well, though it is not exposed to bright light. Which of the following terms describes this latter phenomenon? A) Direct reaction B) Consensual reaction C) Near reaction D) Accommodation - CORRECT ANSWER>>B A patient is assigned a visual acuity of 20/100 in her left eye. Which of the following is true? A) She obtains a 20% correct score at 100 feet. B) She can accurately name 20% of the letters at 20 feet. C) She can see at 20 feet what a normal person could see at 100 feet. D) She can see at 100 feet what a normal person could see at 20 feet. - CORRECT ANSWER>>C On visual confrontation testing, a stroke patient is unable to see your fingers on his entire right side with either eye covered. Which of the following terms would describe this finding? A) Bitemporal hemianopsia B) Right temporal hemianopsia C) Right homonymous hemianopsia D) Binasal hemianopsia - CORRECT ANSWER>>C
c At the level of the C7 vertebra. d At the level of the T11 vertebra. - CORRECT ANSWER>>C A mother brings her 2-month-old daughter in for an examination and says, My daughter rolled over against the wall, and now I have noticed that she has this spot that is soft on the top of her head. Is something terribly wrong? The nurses best response would be: a Perhaps that could be a result of your dietary intake during pregnancy. b Your baby may have craniosynostosis, a disease of the sutures of the brain. c That soft spot may be an indication of cretinism or congenital hypothyroidism. d That soft spot is normal, and actually allows for growth of the brain during the first year of your baby's life. - CORRECT ANSWER>>D The nurse notices that a patients palpebral fissures are not symmetric. On examination, the nurse may find that damage has occurred to which cranial nerve (CN)? a III b V c VII d VIII - CORRECT ANSWER>>C A patient is unable to differentiate between sharp and dull stimulation to both sides of her face. The nurse suspects: a Bell palsy. b Damage to the trigeminal nerve. c Frostbite with resultant paresthesia to the cheeks. d Scleroderma. - CORRECT ANSWER>>B When examining the face of a patient, the nurse is aware that the two pairs of salivary glands that are accessible to examination are the and glands. a Occipital; submental b Parotid; jugulodigastric c Parotid; submandibular d Submandibular; occipital - CORRECT ANSWER>>C A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her head. The nurse suspects damage to CN and proceeds with the examination by a XI; palpating the anterior and posterior triangles b XI; asking the patient to shrug her shoulders against resistance c XII; percussing the sternomastoid and submandibular neck muscles d XII; assessing for a positive Romberg sign - CORRECT ANSWER>>B When examining a patient's CN function, the nurse remembers that the muscles in the neck that are innervated by CN XI are the: a Sternomastoid and trapezius. b Spinal accessory and omohyoid.
c Trapezius and sternomandibular. d Sternomandibular and spinal accessory. - CORRECT ANSWER>>A A patients laboratory data reveal an elevated thyroxine (T4) level. The nurse would proceed with an examination of the gland. a Thyroid b Parotid c Adrenal d Parathyroid - CORRECT ANSWER>>A A patient says that she has recently noticed a lump in the front of her neck below her Adams apple that seems to be getting bigger. During the assessment, the finding that leads the nurse to suspect that this may not be a cancerous thyroid nodule is that the lump (nodule): a Is tender. B Is mobile and not hard. C Disappears when the patient smiles. D Is hard and fixed to the surrounding structures. - CORRECT ANSWER>>B The nurse notices that a patients submental lymph nodes are enlarged. In an effort to identify the cause of the node enlargement, the nurse would assess the patients: a Infraclavicular area. B Supraclavicular area. C Area distal to the enlarged node. D Area proximal to the enlarged node. - CORRECT ANSWER>>D The nurse is aware that the four areas in the body where lymph nodes are accessible are the: A Head, breasts, groin, and abdomen. B Arms, breasts, inguinal area, and legs. C Head and neck, arms, breasts, and axillae. D Head and neck, arms, inguinal area, and axillae - CORRECT ANSWER>>D A mother brings her newborn in for an assessment and asks, Is there something wrong with my baby? His head seems so big. Which statement is true regarding the relative proportions of the head and trunk of the newborn? A At birth, the head is one fifth the total length. B Head circumference should be greater than chest circumference at birth. C The head size reaches 90% of its final size when the child is 3 years old. D When the anterior fontanel closes at 2 months, the head will be more proportioned to the body. - CORRECT ANSWER>>B A patient, an 85-year-old woman, is complaining about the fact that the bones in her face have become more noticeable. What explanation should the nurse give her? A Diets low in protein and high in carbohydrates may cause enhanced facial bones.
b Vagus nerve. c Tragus. d Mandible. - CORRECT ANSWER>>C A patient has come in for an examination and states, I have this spot in front of my ear lobe on my cheek that seems to be getting bigger and is tender. What do you think it is? The nurse notes swelling below the angle of the jaw and suspects that it could be an inflammation of his: a Thyroid gland. B Parotid gland. C Occipital lymph node. D Submental lymph node. - CORRECT ANSWER>>B A male patient with a history of acquired immunodeficiency syndrome (AIDS) has come in for an examination and he states, I think that I have the mumps. The nurse would begin by examining the: a Thyroid gland. B Parotid gland. C Cervical lymph nodes. D Mouth and skin for lesions. - CORRECT ANSWER>>B The nurse suspects that a patient has hyperthyroidism, and the laboratory data indicate that the patients T4 and T3 hormone levels are elevated. Which of these findings would the nurse most likely find on examination? A Tachycardia B Constipation C Rapid dyspnea D Atrophied nodular thyroid gland - CORRECT ANSWER>>A A visitor from Poland who does not speak English seems to be somewhat apprehensive about the nurse examining his neck. He would probably be more comfortable with the nurse examining his thyroid gland from: a Behind with the nurses hands placed firmly around his neck. B The side with the nurses eyes averted toward the ceiling and thumbs on his neck. C The front with the nurses thumbs placed on either side of his trachea and his head tilted forward. D The front with the nurses thumbs placed on either side of his trachea and his head tilted backward. - CORRECT ANSWER>>C A patient's thyroid gland is enlarged, and the nurse is preparing to auscultate the thyroid gland for the presence of a bruit. A bruit is a sound that is heard best with the of the stethoscope. A Low gurgling; diaphragm B Loud, whooshing, blowing; bell C Soft, whooshing, pulsatile; bell
D High-pitched tinkling; diaphragm - CORRECT ANSWER>>C The nurse notices that an infant has a large, soft lump on the side of his head and that his mother is very concerned. She tells the nurse that she noticed the lump approximately 8 hours after her babys birth and that it seems to be getting bigger. One possible explanation for this is: a Hydrocephalus. B Craniosynostosis. C Cephalhematoma. D Caput succedaneum. - CORRECT ANSWER>>C A mother brings in her newborn infant for an assessment and tells the nurse that she has noticed that whenever her newborns head is turned to the right side, she straightens out the arm and leg on the same side and flexes the opposite arm and leg. After observing this on examination, the nurse tells her that this reflex is: a Abnormal and is called the atonic neck reflex. B Normal and should disappear by the first year of life. C Normal and is called the tonic neck reflex, which should disappear between 3 and 4 months of age. D Abnormal. The baby should be flexing the arm and leg on the right side of his body when the head is turned to the right. - CORRECT ANSWER>>C A 21-year-old college senior presents to your clinic, complaining of shortness of breath and a nonproductive nocturnal cough. She states she used to feel this way only with extreme exercise, but lately she has felt this way continuously. She denies any other upper respiratory symptoms, chest pain, gastrointestinal symptoms, or urinary tract symptoms. Her past medical history is significant only for seasonal allergies, for which she takes a nasal steroid spray but is otherwise on no other medications. She has had no surgeries. Her mother has allergies and eczema and her father has high blood pressure. She is an only child. She denies smoking and illegal drug use but drinks three to four alcoholic beverages per weekend. She is a junior in finance at a local university and she has recently started a job as a bartender in town. On examination she is in no acute distress and her temperature is 98.6. Her blood pressure is - CORRECT ANSWER>>C A 47-year-old receptionist comes to your office, complaining of fever, shortness of breath, and a productive cough with golden sputum. She says she had a cold last week and her symptoms have only gotten worse, despite using over-the-counter cold remedies. She denies any weight gain, weight loss, or cardiac or gastrointestinal symptoms. Her past medical history includes type 2 diabetes for 5 years and high cholesterol. She takes an oral medication for both diseases. She has had no surgeries. She denies tobacco, alcohol, or drug use. Her mother has diabetes and high blood pressure. Her father passed away from colon cancer. On examination you see a middleaged woman appearing her stated age. She looks ill and her temperature is elevated, at
- Her blood pressure and pulse are unremarkable. Her head, eyes, ears, nose, and throat examinations are unremarkable except for edema of the nasal turbinates. On auscultation she - CORRECT ANSWER>>D
several minutes the pain goes away. Ibuprofen, Tylenol, and antacids have not improved his symptoms. He reports no recent weight gain, weight loss, fever, or night sweats. He has a past medical history of high blood pressure and arthritis. He quit smoking 10 years ago after smoking one pack a day for 40 years. He denies any recent alcohol use and reports no drug use. He is married and has two healthy children. His mother died of breast cancer and his father died of a stroke. His younger brother has had bypass surgery. On examination you find - CORRECT ANSWER>>A A 75-year-old retired teacher presents to your clinic, complaining of severe, unrelenting anterior chest pain radiating to her back. She describes it as if someone is "ripping out her heart." It began less than an hour ago. She states she is feeling very nauseated and may pass out. She denies any trauma or recent illnesses. She states she has never had pain like this before. Nothing seems to make the pain better or worse. Her medical history consists of difficult-to-control hypertension and coronary artery disease requiring two stents in the past. She is a widow. She denies any alcohol, tobacco, or illegal drug use. Her mother died of a stroke and her father died of a heart attack. She has one younger brother who has had bypass surgery. On examination you see an elderly female in a great deal of distress. She is lying on the table, curled up, holding her left and right arms against her chest and is restless, trying t - CORRECT ANSWER>>C A 25-year-old accountant presents to your clinic, complaining of intermittent lower right sided chest pain for several days. He describes it as knifelike and states it only lasts for 3 to 5 seconds, taking his breath away. He states he feels like he has to breathe shallowly to keep it from recurring. The only thing that makes it better is lying quietly on his right side. It is much worse when he takes a deep breath. He has taken some Tylenol and put a heating pad on his side but neither has helped. He remembers that 2 weeks ago he had an upper respiratory infection with a severe hacking cough. He denies any recent trauma. His past medical history is unremarkable. His parents and siblings are in good health. He has recently married, and his wife has a baby due in 2 months. He denies any smoking or illegal drug use. He drinks two to three beers once a month. He states that he eats a healthy diet and runs regularly, but - CORRECT ANSWER>>C A 60-year-old baker presents to your clinic, complaining of increasing shortness of breath and nonproductive cough over the last month. She feels like she can't do as much activity as she used to do without becoming tired. She even has to sleep upright in her recliner at night to be able to breathe comfortably. She denies any chest pain, nausea, or sweating. Her past medical history is significant for high blood pressure and coronary artery disease. She had a hysterectomy in her 40s for heavy vaginal bleeding. She is married and is retiring from the local bakery soon. She denies any tobacco, alcohol, or drug use. Her mother died of a stroke and her father died from prostate cancer. She denies any recent upper respiratory illness, and she has had no other symptoms. On examination she is in no acute distress. Her blood pressure is 160/100 and her pulse is 100. She is afebrile and her respiratory rate is 16. With auscul - CORRECT ANSWER>>D
A grandmother brings her 13-year-old grandson to you for evaluation. She noticed last week when he took off his shirt that his breastbone seemed collapsed. He seems embarrassed and tells you that it has been that way for quite a while. He states he has no symptoms from it and he just tries not to take off his shirt in front of anyone. He denies any shortness of breath, chest pain, or lightheadedness on exertion. His past medical history is unremarkable. He is in sixth grade and just moved in with his grandmother after his father was deployed to the Middle East. His mother died several years ago in a car accident. He states that he does not smoke and has never touched alcohol. On examination you see a teenage boy appearing his stated age. On visual examination of his chest, you see that the lower portion of the sternum is depressed. Auscultation of the lungs and heart are unremarkable. What disorder of the thorax best - CORRECT ANSWER>>B Which of the following anatomic landmark associations is correct? A) 2nd intercostal space for needle insertion in tension pneumothorax B) T6 for lower margin of endotracheal tube C) Sternal angle marks the 4th rib D) 5th intercostal space for chest tube insertion - CORRECT ANSWER>>A A 55-year-old smoker complains of chest pain and gestures with a closed fist over her sternum to describe it. Which of the following diagnoses should you consider because of her gesture? A) Bronchitis B) Costochondritis C) Pericarditis D) Angina pectoris - CORRECT ANSWER>>D A 62-year-old smoker complains of "coughing up small amounts of blood," so you consider hemoptysis. Which of the following should you also consider? A) Intestinal bleeding B) Hematoma of the nasal septum C) Epistaxis D) Bruising of the tongue - CORRECT ANSWER>>C Which of the following occurs in respiratory distress? A) Speaking in sentences of 10-20 words B) Skin between the ribs moves inward with inspiration C) Neck muscles are relaxed D) Patient torso leans posteriorly - CORRECT ANSWER>>B Which of the following is consistent with good percussion technique? A) Allow all of the fingers to touch the chest while performing percussion. B) Maintain a stiff wrist and hand. C) Leave the plexor finger on the pleximeter after each strike. D) Strike the pleximeter over the distal interphalangeal joint. - CORRECT ANSWER>>D
You are at your family reunion playing football when your uncle takes a hit to his right lateral thorax and is in pain. He asks you if you think he has a rib fracture. You are in a very remote area. What would your next step be? A) Call a medevac helicopter B) Drive him to the city (4 hours away) C) Press on his sternum and spine simultaneously D) Examine him for tenderness over the injured area - CORRECT ANSWER>>C Which of these statements is true regarding the vertebra prominens? The vertebra prominens is: a The spinous process of C7. B Usually nonpalpable in most individuals. C Opposite the interior border of the scapula. D Located next to the manubrium of the sternum. - CORRECT ANSWER>>A When performing a respiratory assessment on a patient, the nurse notices a costal angle of approximately 90 degrees. This characteristic is: a Observed in patients with kyphosis. B Indicative of pectus excavatum. C A normal finding in a healthy adult. D An expected finding in a patient with a barrel chest. - CORRECT ANSWER>>C When assessing a patients lungs, the nurse recalls that the left lung: A Consists of two lobes. B Is divided by the horizontal fissure. C Primarily consists of an upper lobe on the posterior chest. D Is shorter than the right lung because of the underlying stomach. - CORRECT ANSWER>>A Which statement about the apices of the lungs is true? The apices of the lungs: A Are at the level of the second rib anteriorly. B Extend 3 to 4 cm above the inner third of the clavicles. C Are located at the sixth rib anteriorly and the eighth rib laterally. D Rest on the diaphragm at the fifth intercostal space in the midclavicular line (MCL). - CORRECT ANSWER>>B During an examination of the anterior thorax, the nurse is aware that the trachea bifurcates anteriorly at the: a Costal angle. B Sternal angle. C Xiphoid process. D Suprasternal notch. - CORRECT ANSWER>>B During an assessment, the nurse knows that expected assessment findings in the normal adult lung include the presence of:
a Adventitious sounds and limited chest expansion. b Increased tactile fremitus and dull percussion tones. c Muffled voice sounds and symmetric tactile fremitus. d Absent voice sounds and hyperresonant percussion tones. - CORRECT ANSWER>>C The primary muscles of respiration include the: A Diaphragm and intercostals. B Sternomastoids and scaleni. C Trapezii and rectus abdominis. d External obliques and pectoralis major. - CORRECT ANSWER>>A A 65-year-old patient with a history of heart failure comes to the clinic with complaints of being awakened from sleep with shortness of breath. Which action by the nurse is most appropriate? A Obtaining a detailed health history of the patients allergies and a history of asthma b Telling the patient to sleep on his or her right side to facilitate ease of respirations c Assessing for other signs and symptoms of paroxysmal nocturnal dyspnea d Assuring the patient that paroxysmal nocturnal dyspnea is normal and will probably resolve within the next week - CORRECT ANSWER>>C When assessing tactile fremitus, the nurse recalls that it is normal to feel tactile fremitus most intensely over which location? A Between the scapulae B Third intercostal space, MCL C Fifth intercostal space, midaxillary line (MAL) d Over the lower lobes, posterior side - CORRECT ANSWER>>A The nurse is reviewing the technique of palpating for tactile fremitus with a new graduate. Which statement by the graduate nurse reflects a correct understanding of tactile fremitus? Tactile fremitus: A Is caused by moisture in the alveoli. B Indicates that air is present in the subcutaneous tissues. C Is caused by sounds generated from the larynx. D Reflects the blood flow through the pulmonary arteries. - CORRECT ANSWER>>C During percussion, the nurse knows that a dull percussion note elicited over a lung lobe most likely results from: a Shallow breathing. B Normal lung tissue. C Decreased adipose tissue. D Increased density of lung tissue. - CORRECT ANSWER>>D
A mother brings her 3-month-old infant to the clinic for evaluation of a cold. She tells the nurse that he has had a runny nose for a week. When performing the physical assessment, the nurse notes that the child has nasal flaring and sternal and intercostal retractions. The nurses next action should be to: a Assure the mother that these signs are normal symptoms of a cold. B Recognize that these are serious signs, and contact the physician. C Ask the mother if the infant has had trouble with feedings. D Perform a complete cardiac assessment because these signs are probably indicative of early heart failure. - CORRECT ANSWER>>B When assessing the respiratory system of a 4-year-old child, which of these findings would the nurse expect? A Crepitus palpated at the costochondral junctions B No diaphragmatic excursion as a result of a childs decreased inspiratory volume C Presence of bronchovesicular breath sounds in the peripheral lung fields D Irregular respiratory pattern and a respiratory rate of 40 breaths per minute at rest - CORRECT ANSWER>>C When inspecting the anterior chest of an adult, the nurse should include which assessment? A Diaphragmatic excursion B Symmetric chest expansion C Presence of breath sounds D Shape and configuration of the chest wall - CORRECT ANSWER>>D The nurse knows that auscultation of fine crackles would most likely be noticed in: A A healthy 5-year-old child. B A pregnant woman. C The immediate newborn period. D Association with a pneumothorax. - CORRECT ANSWER>>C During an assessment of an adult, the nurse has noted unequal chest expansion and recognizes that this occurs in which situation? A In an obese patient B When part of the lung is obstructed or collapsed C When bulging of the intercostal spaces is present D When accessory muscles are used to augment respiratory effort - CORRECT ANSWER>>B During auscultation of the lungs of an adult patient, the nurse notices the presence of bronchophony. The nurse should assess for signs of which condition? A Airway obstruction B Emphysema C Pulmonary consolidation D Asthma - CORRECT ANSWER>>C
The nurse is reviewing the characteristics of breath sounds. Which statement about bronchovesicular breath sounds is true? Bronchovesicular breath sounds are: a Musical in quality. b Usually caused by a pathologic disease. c Expected near the major airways. d Similar to bronchial sounds except shorter in duration. - CORRECT ANSWER>>C The nurse is listening to the breath sounds of a patient with severe asthma. Air passing through narrowed bronchioles would produce which of these adventitious sounds? a Wheezes b Bronchial sounds c Bronchophony d Whispered pectoriloquy - CORRECT ANSWER>>A You are performing a thorough cardiac examination. Which of the following chambers of the heart can you assess by palpation? A) Left atrium B) Right atrium C) Right ventricle D) Sinus node - CORRECT ANSWER>>C What is responsible for the inspiratory splitting of S2? A) Closure of aortic, then pulmonic valves B) Closure of mitral, then tricuspid valves C) Closure of aortic, then tricuspid valves D) Closure of mitral, then pulmonic valves - CORRECT ANSWER>>A A 25-year-old optical technician comes to your clinic for evaluation of fatigue. As part of your physical examination, you listen to her heart and hear a murmur only at the cardiac apex. Which valve is most likely to be involved, based on the location of the murmur? A) Mitral B) Tricuspid C) Aortic D) Pulmonic - CORRECT ANSWER>>A A 58-year-old teacher presents to your clinic with a complaint of breathlessness with activity. The patient has no chronic conditions and does not take any medications, herbs, or supplements. Which of the following symptoms is appropriate to ask about in the cardiovascular review of systems? A) Abdominal pain B) Orthopnea C) Hematochezia D) Tenesmus - CORRECT ANSWER>>B
