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An 85-year-old man has come into the clinic for a physical examination, and the nurse notes that he uses a cane. When documenting general appearance, the nurse will document this information under the section that covers: Question 41 options: posture mobility mood and affect physical deformity Question 42 (1 point) The nurse is checking the range of motion in a patient’s knee and knows that the knee is capable of the following movements: Question 42 options: Flexion and extension Supination and pronation Circumduction Inversion and eversion Thorax and Lungs Thorax and Lungs Question 43 (1 point) During percussion, the nurse knows that a dull percussion note elicited over a lung lobe most likely results from: Question 43 options: Decreased density of lung tissue Normal lung tissue. Decreased adipose tissue. Increased density of lung tissue. Question 44 (1 point) Which of the following adventitious sounds would be produced by air passing through narrowed bronchioles? Question 44 options: Wheezes Crackles Rhonchi None of the above Question 45 (1 point) While assessing the client, the nurse notes that the client has a “wet” cough. The nurse would include which of the following questions in the focused interview. Question 45 options: “Have you been losing weight? “How long have you been sick?” “Are you wheezing?” “Are you coughing up any mucus or phlegm?” Question 46 (1 point) When auscultating the lungs of an adult client, you note that over the posterior lower lobes you hear low pitched, soft breath sounds with inspiration being longer than expiration. You know that these are: Question 46 options: Bronchial breath sounds Bronchovesicular breath sounds Vesicular breath sounds Abdominal sounds radiating upwards Question 47 (1 point) When auscultating the chest in an adult, the nurse would: Question 47 options: instruct the patient to take deep, rapid breaths. hold the diaphragm of the stethoscope firmly against the chest. hold the bell of the stethoscope lightly against the chest to avoid friction. instruct the patient to breathe in and out quietly. Question 48 (1 point) A 2-year-old child’s respiratory rate is 30 per minute. The mother states, “That seems like a really high number. My healthcare provider told me my respiratory rate is only 16 per minute.” Which of the following is the nurse’s best response? Question 48 options: “This is a normal finding for your child’s age.” “Your child is exhibiting a sign of a respiratory infection.” “Your child requires further assessment.” “Your child may simply be anxious.” Question 49 (1 point) The apices of the lungs: Question 49 options: rest on the diaphragm at the fifth intercostal space in the MCL line are at the level of the second rib anteriorly extend 3-4 cm above the medial third of the clavicles are located at the sixth rib anteriorly and the eighth rib laterally Question 50 (1 point) When inspecting the anterior chest of an adult, the nurse should assess for: Question 50 options: diaphragmatic excursion. symmetrical chest expansion. the presence of breath sounds. the shape and configuration of the chest wall.
SCIENCE
HEALTH SCIENCE
NURSING
NSG 2317

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