Chapter 19 Health Assessment in Nursing 5th Edition by Janet R. Weber, Jane H. Kelley

Chapter 19 Health Assessment in Nursing 5th Edition by Janet R. Weber, Jane H. Kelley

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1. When assessing whispered pectoriloquy, the nurse should instruct a client to do which
of the following?
A) Softly repeat the words ìone-two-three.î
B) Say the number ìninety-nine.î
C) Cough each time the stethoscope is moved.
D) Say the letter ìeî until instructed to stop.
2. When preparing to assess a client’s thoracic cage, the nurse should locate which
landmark when determining where to begin the assessment of the ribs and intercostal
spaces?
A) Scapula
B) Suprasternal notch
C) Sternal angle
D) Sternal border
3. The nurse is assessing a client who has been admitted for the treatment of severe
dehydration. What might the nurse expect to hear when auscultating the lungs of a client
with this fluid volume deficit?
A) Friction rub
B) Decreased breath sounds
C) Sibilant wheeze
D) Stridor
4. A client has sustained a brain stem injury and is being treated in the intensive care unit.
Which of the following would the nurse need to consider when assessing this client’s
respiratory status?
A) The client will have a loss of involuntary respiratory control.
B) The client will respond negatively to increased stimuli.
C) The client will have greatly increased respiratory effort.
D) The client will exhibit Cheyne-Stokes respirations.
5. During the health interview, a client tells the nurse that he ìcan’t breathe all that wellî at
night when he is lying down and that this significantly disrupts his sleep. The nurse
should assess this client further for which of the following health problems?
A) Pneumonia
B) Tuberculosis
C) Bronchitis
D) Heart failure

Answer Key
1. A
2. C
3. A
4. A
5. D