TEST 2 REVIEW QUESTIONS Flashcards
When the nurse assesses a 78-year-old patient with pneumonia, what is the priority assessment?
A.Breath sounds
B.Airway patency
C.Respiratory rate
D.Percussion sounds
B
A 45-year-old man has been admitted to the hospital with suspicion of PE. Which of the following symptoms should the nurse report to the primary health practitioner immediately?
A.Chest pain
B.Shortness of breath
C.Respirations 20 breaths/min
D.Productive cough
A
A 62-year-old woman comes to the clinic with an exacerbation of asthma. Which of the following findings indicate worsening status of her asthma?
A.Increased wheezing
B.Sustained rhonchi
C.Decreased respirations
D.Oxygen saturation 94%
A
A 3-year-old boy is brought to the emergency department with stridor, nasal flaring, intercostal and supraclavicular retractions, and respiratory rate of 40 breaths/min. What type of situation is this?
A.Stable
B.Acute
C.Urgent
D.Emergency
D
A 92-year-old woman with a history of COPD presents with increasing shortness of breath, decreased lung sounds in the bases, increased ankle edema, and 5-lb weight gain in 1 week. What is the most likely problem?
A.Impaired gas exchange
B.Ineffective airway clearance
C.Activity intolerance
D.Excess fluid volume
D
Which of the following factors is the most significant risk factor for COPD?
A.Increased age
B.Immune suppression
C.Tobacco smoking
D.Occupational exposure
C
When the nurse assesses a client with respiratory symptoms, which of the following complaints should be evaluated first?
A.Chest soreness
B.Dyspnea
C.Cough
D.Sputum
B
When assessing a patient with atelectasis, what assessment findings are expected? Choose all that apply.
A.Shortness of breath
B.Decreased breath sounds
C.Decreased oxygen saturation
D.Increased tactile fremitus
E.Hyperresonance
A, B, C, D
Which assessment findings would indicate that inhaled bronchodilators have been effective
A.Expiratory wheezing, O2 saturation 94%, pallor
B.Vesicular breath sounds, O2 saturation 96%, pink
C.Bronchial breath sounds, O2 saturation 100%, erythema
D.Crackles, O2 saturation 90%, circumoral cyanosis
B
The nurse auscultates bronchovesicular breath sounds in the second ICS near the sternum. The nurse interprets this as
A.a normal finding over the trachea.
B.a normal finding over the bronchi.
C.an abnormal finding over the lung.
D.an abnormal finding over the trachea.
B
Which of the following statements describes the cardiovascular system most accurately?
A.It is a double pump circulating blood out to the lungs and body.
B.It has a heart with six chambers, great vessels, and valves.
C.It includes concepts of precontractility, postcontractility, and load.
D.It functions with a conduction system that starts in the ventricles.
A
In a healthy patient, the myocardial cells in the ventricle depolarize and contract during
A.prediastole.
B.diastole.
C.systole.
D.postsystole.
C
When the nurse listens to S1 in the mitral and tricuspid areas, the expected finding is
A.S1 greater than S2.
B.S1 is equal to S2.
C.S2 greater than S1.
D.No S1 is heard
A
The nurse assesses the neck vessels in the stable patient with heart failure to determine which of the following?
A.The bilateral carotid pulse
B.The presence of bruits
C.The highest level of jugular venous pulsation
D.The strength of the jugular veins
C
The nurse is caring for a patient with a sudden onset of chest pain. Which assessment is highest priority?
A.Auscultate heart sounds.
B.Inspect the precordium.
C.Percuss the left border.
D.Obtain pulse and blood pressure.
D
A patient who visits the clinic has the controllable risk factors of smoking, high-fat diet, overweight, decreased activity, and high blood pressure. What concept should the nurse use when performing patient teaching?
A.Teach the patient the most serious information.
B.Give the patient brochures to review before the next visit.
C.Discuss risk factors that the patient is interested in modifying.
D.Describe consequences of risk factors to motivate the patient.
C
Which of the following clusters of symptoms are common in women preceding an MI?
A.Chest pain, nausea, diaphoresis
B.Weight gain, edema, nocturia
C.Dizziness, palpitations, low pulse
D.Fatigue, difficulty sleeping, dyspnea
D
The nurse auscultates a medium-loud whooshing sound that softens between S1 and S2. The nurse documents this finding as which of the following?
A.Grade III systolic murmur
B.Grade I systolic murmur
C.Grade V diastolic murmur
D.Grade II diastolic murmur
A
The nurse auscultates an extra sound on a patient 1 week after an MI. It is immediately after S2 and is heard best at the apex. Which of the following does the nurse suspect?
A.S3 gallop
B.S4 gallop
C.Systolic ejection click
D.Split S2
A
A patient has dyspnea, edema, weight gain, and liquid intake greater than output. These symptoms are consistent with which nursing diagnosis?
A.Ineffective cardiac tissue perfusion
B.Decreased cardiac output
C.Impaired gas exchange
D.Excess fluid volume
D
Which of the following is a normal ABI?
A.56
B.87
C.1.0
D.24
C
Which of the following peripheral vascular diseases is not known to have a hereditary component?
A.Lymphadenopathy
B.Raynaud disease
C.Abdominal aortic aneurysm
D.PAD
B
When assessing the lower extremities, it is critical that the examiner
A.starts at the feet.
B.compares side to side.
C.evaluates the venous system and then the arterial system.
D.starts at the femoral area.
B
The seven Ps of an acute arterial occlusion include
A.polythermia.
B.popliteal pallor.
C.poikilothermia.
D.pitting edema.
C
