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18. Which of the following is true about the respiratory system: A. The second rib connects at the level of the sternal angle B. The left lobos is divided into three lobes C. The first ten pairs of ribs connect directly to the sternum D. Each lobe is divided into bronchi 19. During a cardiac assessment of a client experiencing chest pain, a une finds the following Jugular vein pulations 4 cm above sternal angle with a head of bed 45 degrees, blood pressure 986mmlig pulse 130 bpm, bilateral ankle edema, difficulty breathing when spine en S3 heart sound and capillary refill of 4 seconds. These findings most likely weggest which of the following conditions? A. Fluid and electrolyte imbalance B. Atrial-septal defect C. Peripheral vascular disease D. Heart Failure 20. A nurse is performing a cardiac assessment and auscultates an S4 heart sound. The nurse should recognize that this mostly likely indicates A. Right bundle branch block and Ischemic B. Mitral valve stenosis C. Pulmonic valve insufficiency D. Younger than 30 21. The RN is reviewing a client’s chart and notes they have a dermal cyst. In which layers would this cyst be seen? A. Adipose tissue B. Subcutaneous C. Dermis D. Epidermis 22. During the assessment of the lungs and thorax of an adult client with no history of lung disease, a nurse should consider which of the following A. Muffled voice sounds and symmetric tactile fremitus B. Adventitious sounds and limited chest expansion C. Increased tactile fremitus and dull percussion tones D. Absent voice sounds and hyperresonant percussion ones. 23. When performing a respiratory assessment on a adult client, a nurse aucultates most popping sounds during the inspiratory phase of adventitious sounds as A Friction rub B. Crackles I’m not sure C. Wheezing D. Bronchophony 24. The nurse is auscultating the aortic area of the chest and knows it is located in the following Site: A. 4-5th intercostal space left of sternal border B. 2nd intercostal space left of the sternal border C. Sth intercostal space medial to mid- clavicular line D. 2nd intercostal space right of the sternal border 25. 26. A client presents to the emergency room with difculty breathing. The mure performing the assessment would expect to find: A. Rhonchi in upper lobes that clear with coughing B. Pulse oxygenation of 93% C. Use of accessory abdominal muscle D. Respiratory rate of 22
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