Which of these statements is true regarding the vertebra prominens?
NURS330 Individual Assessment
Chapter 19 Quiz
Question 1Which of these statements is true regarding the vertebra prominens?
It is the spinous process of C7.
It is nonpalpable in most individuals.
It is opposite the interior border of the scapula.
It is located next to the manubrium of the sternum.
Question 2During a morning assessment, the nurse notices that the patient’s sputum is frothy and pink. Which condition could this finding indicate?
Croup
Tuberculosis
Viral infection
Pulmonary edema
Question 3The nurse is observing the auscultation technique of a student nurse. What is the correct method to use when progressing from one auscultatory site on the thorax to another?
Side-to-side comparison
Top-to-bottom comparison
Posterior-to-anterior comparison
Interspace-by-interspace comparison
Question 4What are the primary muscles of respiration?
Diaphragm and intercostals
Sternomastoids and scaleni
Trapezii and rectus abdominis
External obliques and pectoralis major
Question 5During auscultation of the lungs, the nurse expects decreased breath sounds to be heard in which situation?
When adventitious sounds are present
When the bronchial tree is obstructed
In conjunction with whispered pectoriloquy
In conditions of consolidation, such as pneumonia
Question 6During an assessment, the nurse knows that expected assessment findings in the normal adult lung include which findings?
Adventitious sounds and limited chest expansion
Muffled voice sounds and symmetric tactile fremitus
Increased tactile fremitus and dull percussion tones
Absent voice sounds and hyperresonant percussion tones
Question 7The nurse is percussing over the lungs of a patient with pneumonia. If the patient has atelectasis, what sound will the nurse hear?
Tympany
Dullness
Resonance
Hyperresonance
Question 8When performing a respiratory assessment on a patient, the nurse notices a costal angle of approximately 90 degrees. What should the nurse recognize about this finding?
Observed in patients with kyphosis.
Indicative of pectus excavatum.
A normal finding in a healthy adult.
An expected finding in a patient with a barrel chest.
Question 9The nurse is assessing voice sounds during a respiratory assessment. Which of these findings indicates a normal assessment? (Select all that apply).
As the patient says a long “ee-ee-ee” sound, the examiner hears a long “aaaaaa” sound.
As the patient says a long “ee-ee-ee” sound, the examiner also hears a long “ee-ee-ee” sound.
As the patient repeatedly says “ninety-nine,” the examiner clearly hears the words “ninety-nine.”
Voice sounds are faint, muffled, and almost inaudible when the patient whispers “one, two, three” in a very soft voice.
When the patient speaks in a normal voice, the examiner can hear a sound but cannot exactly distinguish what is being said.
Question 10A patient with pleuritis has been admitted to the hospital and reports pain with breathing. What other key assessment finding would the nurse expect to find upon auscultation?
Stridor
Crackles
Wheezing
Friction rub
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