ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 21 : Physical Assessment Questions
Question 1 of 5
The bottom of the lower lobes of the lungs extends down to which of the following?
Correct Answer: E,F
Rationale: The lower lobes extend to the 8th intercostal space posteriorly and 10th intercostal space laterally.
Question 2 of 5
You have just completed auscultation of the patient's lungs. The sounds that you heard were sort of rattling; however, they cleared when the patient coughed. What term accurately describes what you heard?
Correct Answer: B
Rationale: Rhonchi are rattling sounds that often clear with coughing, indicating mucus in the larger airways.
Question 3 of 5
If you hear a shrill, high-pitched, crowing sound coming from the room of a 3-year-old child who has croup, you recognize the ominous sign known as
Correct Answer: E
Rationale: Stridor is a high-pitched, crowing sound associated with upper airway obstruction, common in croup.
Question 4 of 5
At which of the following locations can you best hear the sound of the aortic valve?
Correct Answer: C
Rationale: The aortic valve is best heard at the right 2nd intercostal space near the sternum.
Question 5 of 5
The off-going nurse reported to you that one of your patients had been having an irregular pulse for several hours. You plan to assess this patient's heart rate carefully during your initial patient rounds at the beginning of your shift. Which of the following would be the most accurate way to do this?
Correct Answer: B
Rationale: Auscultating the apical pulse for 60 seconds provides the most accurate heart rate, especially for irregular rhythms.