Exam 2 Health Assessment Slide Questions

Inspection of the chest includes assessing the anteriorposterior: lateral ratio. The normal finding for an adult is: 1:1 1:2 1:3 1:4

1:2

The nurse auscultates an extra sound over the left lower lobe. The nurse should: Document finding Notify physician Ask client to cough Reassess in one hour

Ask client to cough

The nurse is performing a respiratory assessment and detects a low pitch, soft sound. The inspiratory phase is longer than expiration. The nurse interrupts this as: Vesicular sound Bronchovesicular Bronchial Tracheal

Bronchovesicular

A client arrives at the emergency room with a foreign body in the left ear that has been determined to be an insect. Which intervention would the nurse anticipate to be prescribed initially? 1. Irrigation of the ear. 2. Instillation of diluted alcohol. 3. Instillation of antibiotic ear drops. 4. Instillation of corticosteroid ointments.

Irrigation of the ear.

The client's vision is tested with a Snellen's chart. The results of the tests are documented as 20/60. The nurse interprets this as:1. The client is legally blind. 2. The client's vision is normal. 3. The client can read only at a distance of 20 feet what a client with normal vision can read at 60 feet. 4. The client can read at a distance of 60 feet what a client with normal vision can read at 20 feet.

The client can read only at a distance of 20 feet what a client with normal vision can read at 60 feet.

A child is scheduled for a tonsillectomy. A nurse plans care, knowing that which of the following would present the highest risk of aspiration during surgery? 1. Difficulty in swallowing 2. The presence of loose teeth 3. Bleeding during surgery 4. Exudate in the throat area

The presence of loose teeth