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HA_Post Assessment

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.

In assessing the lateral deviation of the spine by asking client to stand then bend forward at the waist. What is the position of the nurse when assessing?

a)

  The nurse is standing behind the client

b)

The nurse is sitting behind the client

c)

The nurse is standing beside the client

d)

The nurse is sitting behind the client

2.

What is the nursing consideration when palpating a client who have  respiratory complaints?

a)

Avoid deep palpation for painful areas, especially if fractured rib is suspected.

b)

Skip palpating the painful areas

c)

Skip palpating those areas with abnormal movements

d)

Only palpate chest areas with bulges

3.

  When palpating the chest form vocal fremitus what should the nurse instruct to the patient?

a)

Ask the patient to cough

b)

Ask the patient to repeat words like “ blue moon, or stress stress”

c)

Ask  the patient to take a deep breath

d)

  Ask the patient to bend head & fold arms forward across chest

4.

  In percussing the ICS using a pattern in the posterior thorax, what is the nurse expect as normal sound in thin patients and those with decreased musculature?

a)

Resonant Sound

b)

Hyperresonant Sound

c)

Tympany

d)

Dullness

5.

The nurse is assessing the anterior thorax of the patient, the nurse heard the loudest fremitus in which part of the patient?

a)

apex

b)

upper rib

c)

base of the lungs

d)

scapula

6.

When auscultating for the breath sounds the nurse must

a)

Listen to at least one full respiration in each location

b)

Always ask the patient to take slow, deep breaths.

c)

Listen when the patient inhales and then going to the next site during exhalation

d)

Ask the patient to remove his/her entire clothing

7.

A nurse auscultates a client's lungs and hears fine crackles. What is an appropriate action by the nurse?

a)

Instruct the client to cough forcefully

b)

Listen again with the bell of the stethoscope

c)

Have the client breathe through the mouth

d)

Assess for the use of accessory muscles

8.

What is/are the normal finding of Posterior Thorax?

a)

A small protrusion noted at same location

b)

Temperature warm to touch and equal bilaterally

c)

Perspiration noted and equal tactile fremitus

d)

Skin is intact and with uniform temperature

9.

When auscultating the lungs, it is important to:

a)

Compare each side bilaterally

b)

Note abnormal sounds

c)

Ask the patient to take slow, deep breaths

d)

All of the above.

10.

Which action by a nurse demonstrates proper technique for assessment of chest expansion?

a)

Beginning at the scapular line, percuss the intercostal spaces along both sides of the posterior chest

b)

Place both hands on the posterior chest at T9, press thumbs together, and then ask client to take a deep breath

c)

Place the stethoscope on the posterior chest wall, ask the client to take a deep breath, and observe chest rise and fall

d)

Use the ball of both hands to feel for vibrations in a symmetrical pattern across the posterior chest