HA Quiz #4 and #5

Question 1

To assess the dorsalis pedis artery, you would palpate:

a. ) In the groove behind the medial malleolus
b. ) Lateral to the extensor tendon of the great toe
c. ) Over the lateral malleolus
d. ) Behind the knee

Answer 1

b.) Lateral to the extensor tendon of the great toe

Question 2

A visible apical impulse in the 5th intercostal space at the left midclavicular line is an abnormal finding in an adult client.

a. ) true
b. ) false

Answer 2

b.) false

Question 3

The nurse is about to assess a client’s jugular venous pressure. The nurse places the client in the following position in order to carry out the assessment:

a. ) Supine
b. ) Supine with head of bed elevated 90 degrees
c. ) Prone
d. ) Supine with head of bed elevated 30 degrees

Answer 3

d.) Supine with head of bed elevated 30 degrees

Question 4

The student nurse is observing the auscultation technique of a staff nurse. The correct method to use when progressing from one auscultatory site on the thorax to another is ______ comparison.

a. ) top-to-bottom
b. ) interspace-by-interspace
c. ) side-to-side
d. ) posterior-to-anterior

Answer 4

c.) side-to-side

Question 5

The following lung sounds are adventitious:

a. ) Fine crackles, wheeze, pleural friction rub.
b. ) Rhonchi, crackles, egophony.
c. ) Bronchial, crackles, wheeze.
d. ) Coarse crackles, vesicular, bronchophony.

Answer 5

a.) Fine crackles, wheeze, pleural friction rub.

Question 6

When assessing Mr. Jones’ carotid arteries, the nurse should:

a. ) Palpate lateral to the sternomastoid muscles
b. ) Palpate gently in the lower half of the neck
c. ) Palpate both carotid arteries simultaneously and compare findings bilaterally
d. ) Palpate carotid arteries with his/her thumb

Answer 6

b.) Palpate gently in the lower half of the neck

Question 7

The area of the anterior chest overlying the heart and great vessels is called the:

a. ) Pericardium
b. ) Endocardium
c. ) Precordium
d. ) Myocardium

Answer 7

c.) Precordium

Question 8

When reviewing your client’s medical record, you note that the physician documented that a “thrill” is present. This means that:

a. ) A palpable vibration is present when palpating the client’s chest overlying the heart
b. ) The client has an elevated jugular venous pressure
c. ) A heave or lift is visible at the apical area
d. ) The client is a thrill seeker

Answer 8

a.) A palpable vibration is present when palpating the client’s chest overlying the heart

Question 9

When auscultating Mr. Smith’s apical area, the nurse hears a murmur. The nurse knows that a murmur signifies turbulent blood flow in the heart.

a. ) true
b. ) false

Answer 9

a.) true

Question 10

S1 is the first heart sound and occurs when the atrioventricular (AV) valves close and indicates the beginning of systole.

a. ) true
b. ) false

Answer 10

a.) true

Question 11

The student nurse is reviewing the characteristics of breath sounds. Which statement about bronchovesicular breath sounds is true? They are:

a. ) Musical in quality.
b. ) Similar to bronchial sounds except that they are shorter in duration.
c. ) Usually pathologic.
d. ) Expected near the major airways.

Answer 11

d.) Expected near the major airways.

Question 12

The best way to position a client for assessing the respiratory system is:

a. ) supine.
b. ) standing.
c. ) upright.
d. ) Fowlers.

Answer 12

c.) upright.

Question 13

Percussion over healthy lung tissue normally elicits which sound?

a. ) resonance.
b. ) hyperresonance.
c. ) dullness.
d. ) tympany.

Question 14

A client has a positive Homan’s sign. You know that a positive Homan’s sign:

a. ) Occurs with venous insufficiency
b. ) Indicates arterial insufficiency
c. ) Occurs with pitting edema
d. ) May be indicative of deep vein thrombosis

Answer 14

d.) May be indicative of deep vein thrombosis

Question 15

Normal bronchial sounds are high-pitched and are heard:

a. ) Over the trachea.
b. ) Over peripheral lung tissue.
c. ) Throughout healthy lung tissue.
d. ) Over consolidation of lung tissue where there is more vibration.

Answer 15

a.) Over the trachea.

Question 16

When inspecting the posterior chest of an adult, the nurse should include which assessment?

a. ) The quality of breath sounds.
b. ) Diaphragmatic excursion.
c. ) The shape and configuration of the chest wall.
d. ) Thoracic expansion.

Answer 16

c.) The shape and configuration of the chest wall.

Question 17

Which of the following is true regarding the modified Allen test?

a. ) When the fist is unclenched, color returns in 2-5 seconds
b. ) It is used to assess the patency of the brachial arteries
c. ) It aids in the detection of varicosities in the lower extremities
d. ) It is used to assess the patency of the femoral arteries

Answer 17

a.) When the fist is unclenched, color returns in 2-5 seconds

Question 18

Breath sounds heard over peripheral lung tissue with the longest inspiratory phase are:

a. ) vesicular.
b. ) bronchial.
c. ) bronchovesicular.
d. ) tracheal.

Answer 18

a.) vesicular.

Question 19

During auscultation, you ask your client to:

a. ) Breathe normally with mouth open.
b. ) Breathe normally with mouth closed.
c. ) Breathe a little bit deeper than normal through the nose.
d. ) Breathe a little bit deeper than normal through the mouth.

Answer 19

d.) Breathe a little bit deeper than normal through the mouth.

Question 20

During an assessment, the nurse knows that expected assessment findings in the normal adult lung include the presence of:

a. ) increased tactile fremitus and dull percussion tones.
b. ) hyperresonant percussion tones.
c. ) adventitious sounds and limited chest expansion.
d. ) muffled voice sounds and symmetrical tactile fremitus.

Answer 20

d.) muffled voice sounds and symmetrical tactile fremitus.