When systematically auscultating a client’s anterior breath sounds, the nurse should begin by placing the stethoscope over which location?

Clavicle.

Lung apex.

Aortic site.

Sternum.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Placing the stethoscope over the clavicle is not the correct starting point for systematically auscultating anterior breath sounds.
Choice B rationale
The nurse should begin by placing the stethoscope over the lung apex, which is located just above the clavicle. This ensures a systematic approach to auscultation.
Choice C rationale
The aortic site is not relevant for auscultating breath sounds; it is used for cardiac auscultation.
Choice D rationale
Placing the stethoscope over the sternum is not the correct starting point for auscultating breath sounds.

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Correct Answer is ["A","E"]

Explanation

Choice A rationale
Packs of cigarettes smoked per day is essential information for calculating smoking pack years.
Choice B rationale
The number of attempts to quit smoking is not required for calculating smoking pack years.
Choice C rationale
The client’s current age is not required for calculating smoking pack years.
Choice D rationale
While this helps you calculate the total years if the client hasn't done the math themselves, the ageitself is not a variable in the final formula.
Choice E rationale
The number of years the client smoked is essential for calculating smoking pack years.

A. Benign variation. B. Cardiac enlargement. C. Cardiac atrophy. D. Expected finding.

Correct Answer is B

Explanation

Choice A rationale
A benign variation would not typically present with a pattern of dullness extending from the 5th left intercostal space to the 2nd left intercostal space at the sternal border. This pattern suggests an abnormality rather than a benign variation.
Choice B rationale
Cardiac enlargement is indicated by an area of dullness extending from the 5th left intercostal space to the 2nd left intercostal space at the sternal border. This finding suggests an enlarged heart, which can be due to conditions such as cardiomegaly or left ventricular hypertrophy.
Choice C rationale
Cardiac atrophy refers to a decrease in the size or mass of the heart muscle, resulting in a smaller than normal heart. The described findings indicate dullness extending upward, suggesting an enlargement rather than atrophy of the heart.
Choice D rationale
An expected finding would not typically present with the described pattern of dullness. The normal area of cardiac dullness is more limited and does not extend as described.

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When systematically auscultating a client’s anterior breath sounds, the nurse should begin by placing the stethoscope over which location?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While obtaining a client’s health history related to smoking cigarettes, the nurse plans to determine the client’s smoking pack years. What information should the nurse obtain for this calculation? Select all that apply.

Correct Answer is ["A","E"]

Explanation

While percussing the borders of the heart, the nurse picks up an area of dullness beginning at the 5th left intercostal space and moving upward to the 2nd left intercostal space at the sternal border. What do these findings indicate?

Correct Answer is B

Explanation

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