NR 302 CHAMBERLAIN HESI STUDY EXAM QUESTIONS

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NR 302 CHAMBERLAIN HESI STUDY EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -86 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: What is stridor?

Answer:

Stridor is an adventitious breath sound. It is a high-pitched, shrill, harsh sound generally occurring on inspiration, but it can occur on expiration. Depending on its severity, it can be heard on auscultation of the lung or with the naked ear. Stridor occurs with laryngeal obstruction (upper airway obstruction) and is associated with croup syndromes Question 2: The nurse knows that auscultation of fine crackles would most likely be noticed in:

• a healthy 5-year-old child.
• a pregnant woman.
• the immediate newborn period.
• association with a pneumothorax.

Answer:

• the immediate newborn period.

Pages: 436-437. Fine crackles are commonly heard in the immediate newborn period as a result of the opening of the airways and clearing of fluid. Persistent fine crackles would be noticed with pneumonia, bronchiolitis, or atelectasis.

Question 3: During an examination, the nurse knows that Paget's disease would be indicated by which of these assessment findings?

• Positive Macewen sign
• Premature closure of the sagittal suture
• Headache, vertigo, tinnitus, and deafness
• Elongated head with heavy eyebrow ridge

Answer:

C Paget's disease occurs more often in males and is characterized by bowed long bones, sudden fractures, and enlarging skull bones that press on cranial nerves causing symptoms of headache, vertigo, tinnitus, and progressive deafness.(This info is not in our texts for HA)

Question 4: What does an ophthalmoscope allow you to assess?

Answer:

It allows you to inspect the media (anterior chamber, lens, vitreous) and ocular fundus (internal surface of the retina).-Accomplishes this by shining a beam of light through the pupil to illuminate inner structures.Question 5: A patient has been admitted for severe psoriasis. The nurse can expect to see what finding in the patient's fingernails?

• Splinter hemorrhages
• Paronychia
• Pitting
• Beau lines

Answer:

C Pages: 236. Pitting nails are characterized by sharply defined pitting and crumbling of the nails with distal detachment, and they are associated with psoriasis. See Table 12-13 for descriptions of the other terms.

Question 6: The nurse is reviewing the technique of palpating for tactile fremitus with a new graduate. Which statement by the graduate nurse reflects a correct understanding of tactile

fremitus? "Tactile fremitus:

• is caused by moisture in the alveoli."
• indicates that there is air in the subcutaneous tissues."
• is caused by sounds generated from the larynx."
• reflects the blood flow through the pulmonary arteries."

Answer:

• is caused by sounds generated from the larynx."

Pages: 422-423. Fremitus is a palpable vibration. Sounds generated from the larynx are transmitted through patent bronchi and the lung parenchyma to the chest wall where they are felt as vibrations.Crepitus is the term for air in the subcutaneous tissues.Question 7: The nurse is examining an infant and prepares to elicit the Moro reflex at which time during the examination?

• When the infant is sleeping
• At the end of the examination
• Before auscultation of the thorax
• Halfway through the examination

Answer:

B Pg 122: Elicit the Moro or "startle" reflex at the end of the examination because it may cause the infant to cry.Question 8: A client with emphysema is admitted to the hospital with pneumonia. On the third hospital day, the client complains of a sharp pain on the right side of the chest. The nurse suspects a pneumothorax. What breath sound is most likely to be present when the nurse assesses the client's right side?1 Crackling 2 Wheezing 3 Decreased sounds 4

Adventitious sounds

Answer:

3: Decreased lung sounds

Because the affected lung will not expand, aeration of the lung is not complete, and breath sounds are diminished. Crackling sounds occur with pulmonary edema, not with a pneumothorax; with a pneumothorax there is no air in the alveoli to produce crackles. Wheezing sounds occur with asthma, not with a pneumothorax. "Adventitious sounds" is a broad term that includes all abnormal breath sounds; it is not specific to pneumothorax.Question 9: Using the Snellen eye chart, you position your patient at the appropriate 20 foot distance for the examination. The patient is unable to read the largest font on the chart. What is the next recommended step to assess the visual acuity of the patient?

Answer:

Shorten the distance between the person and the chart until they are able to read it, and then record the distance (i.e. 10/20) -If they are still not able to read, you should assess if the patient can see how many fingers a held up in front of their eyes or distinguish light perception from a penlight.

Question 10: What is an open ended question?

Answer:

These are questions that prompt the patient to elicit more information, or narrative information. It states the topic to be discussed in GENERAL terms.-Use this to begin the interview process.-Use to introduce a new section of questions -Use whenever the person introduces a new topic Question 11: An older client who lost a spouse 20 years ago comes to the community health center with a vague list of complaints and a brief life history. The couple's only child died at birth. The client lives alone and is able to perform all the activities of daily living. The client has had an active social life in the past but has outlived many friends and family members. What is an important question for the nurse to ask when taking this client's health history?1 "Are you all alone?" 2 "How did your son die?" 3 "Do you still miss your spouse?" 4 "How do you feel about your life now?"

Answer:

4