The nurse is assessing for clubbing of the fingernails and expects to find:

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Vital Signs Assessment Chapter 7 Questions

Question 1 of 5

The nurse is assessing for clubbing of the fingernails and expects to find:

Correct Answer: D

Rationale: The normal nail is firm at its base and has an angle of 160 degrees. In clubbing, the angle straightens to 180 degrees or greater and the nail base feels spongy.

Question 2 of 5

Which of the following is true regarding breast self-examination?

Correct Answer: C

Rationale: Although self-examination has not been shown to reduce mortality and is not recommended by all groups making screening recommendations, many choose to teach women a systematic method in which to examine their breasts. A high proportion of breast masses are detected by breast self-examination.

Question 3 of 5

A physical therapist plans to measure blood pressure and identifies the patient's brachial artery. The therapist knows that proper positioning of the cuff is essential. To avoid errors, the cuff should be positioned:

Correct Answer: C

Rationale: Proper blood pressure measurement requires the cuff to be directly over the brachial artery.

Question 4 of 5

During an assessment, the nurse uses the profile sign to detect:

Correct Answer: B

Rationale: The nurse should use the profile sign (viewing the finger from the side) to detect early clubbing.

Question 5 of 5

The nurse is auscultating the lungs and hears a high-pitched sound during expiration. What does this finding most likely indicate?

Correct Answer: A

Rationale: Wheezing during expiration is a common sign of asthma, where bronchospasm causes airflow obstruction.

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