Assessment of a patient’s cranial nerves
The nurse auscultates the thorax and lungs and hears
coarse gurgling sounds on expiration. The nurse would
describe these sounds as:
a. Adventitious breath sounds
b. Bronchovesicular breath sounds
c. Vesicular breath sounds
d. Bronchial sounds
11. When assessing heart sounds, the nurse understands
that the sounds heard reflect which of the following?
a. Blood flow through the heart
b. Blood moving into the heart from the aorta
c. Closure of the heart valves
d. Contraction of the cardiac muscle
12. When palpating the breast of a woman during an
assessment, the nurse would divide the breast into
which of the following?
c. Entire breast tissue
d. Bilateral comparison
13. After inspecting a patient’s abdomen, which technique
would the nurse do next?
d. Whichever the patient agrees to
14. When assessing a patient’s mental status, which of the
following would the nurse be least likely to include
when evaluating level of awareness?
a. Orientation to time
b. Ability to state where he is
c. Ability to state name
d. Level of consciousness
15. A nurse is conducting an assessment of a patient’s cranial
nerves. The nurse asks the patient to raise the eyebrows,
smile, and show the teeth to assess which cranial nerve?
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