ATI LPN
Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 21 : Physical Assessment Questions
Question 1 of 5
Which of the following landmarks are used in anterior chest auscultation of the breath sounds?
Correct Answer: C,D
Rationale: Anterior chest auscultation uses the midclavicular and midsternal lines as landmarks.
Question 2 of 5
At which posterior intercostal space are the lung bases located during full inspiration?
Correct Answer: D
Rationale: The lung bases extend to the 10th intercostal space posteriorly during full inspiration.
Question 3 of 5
Which of the following assessments would be included in a focused cardiovascular assessment?
Correct Answer: A,C,E,F,G
Rationale: Cardiovascular assessment includes pulse, vital signs, edema, neck vein distention, heart sounds, and extremity color/warmth.
Question 4 of 5
During an assessment, you noted two new findings in a patient: unable to palpate peripheral pulse in lower extremities and pupils that are not equal in size and rate of constriction. Which of these two findings provides you with information about the neurological system?
Correct Answer: B
Rationale: Pupil size and constriction rate are neurological indicators, while peripheral pulses relate to the cardiovascular system.
Question 5 of 5
You have auscultated fine crackles in both the right and left lower lobes in a postoperative patient. What is the longest period of time you should allow to pass before you auscultate the breath sounds again?
Correct Answer: A
Rationale: Crackles may indicate fluid overload or atelectasis, requiring reassessment within 1 hour to monitor changes.