Which of the following are considered normal findings for assessment of the respiratory system? Select all that apply.

Elliptical chest configuration.

Eupnea.

Resonance.

Inspiratory wheezing.

Answer and Explanation

Correct Answer : A,B,C

Choice A rationale

An elliptical chest configuration is considered a normal shape for the thorax. This configuration allows for optimal lung expansion and function. Deviations from this shape, such as a barrel chest, might indicate underlying pulmonary conditions.

Choice B rationale

Eupnea refers to normal, unlabored breathing, which is an expected finding during a respiratory assessment. It indicates that the individual is not experiencing respiratory distress and that their respiratory rate, rhythm, and effort are within normal limits.

Choice C rationale

Resonance is a normal percussion sound heard over healthy lung tissue. It indicates that the underlying lung areas are filled with air, which is a positive sign of healthy lung function.

Choice D rationale

Inspiratory wheezing, a high-pitched whistling sound during breathing, is typically indicative of narrowed or obstructed airways, often associated with conditions such as asthma or chronic obstructive pulmonary disease, and is not considered a normal finding.

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Correct Answer is A

Explanation

Choice A rationale

Vitiligo is a condition caused by the destruction or malfunction of melanocytes, the cells responsible for producing melanin pigment. This leads to the development of white patches on the skin, as melanin is absent in these areas. Vitiligo is an autoimmune condition and can affect any part of the body, including the skin, hair, and mucous membranes.

Choice B rationale

Excess apocrine glands in the feet are not related to vitiligo. Apocrine glands are sweat glands found primarily in the underarm and genital areas and are responsible for the secretion of a thick, odorless fluid. Their overactivity does not result in the white patches seen in vitiligo.

Choice C rationale

Impetigo is a bacterial skin infection characterized by red sores, blisters, and crusting. It is not related to vitiligo and does not cause depigmentation. Impetigo is treated with antibiotics, whereas vitiligo requires different management strategies to address the loss of pigment.

Choice D rationale

Vitiligo is not caused by an excess of melanin pigment. Rather, it is the result of melanin loss or the absence of melanocytes in certain areas of the skin, leading to the characteristic white patches.

A. Patient would be unable to pass the Snellen exam. B. Difficulty seeing from far or at a distance. C. Inability to see objects or letters close in range. D. Patient most likely will pass the Rosenbaum chart.

Correct Answer is C

Explanation

Choice A rationale

Patients with hyperopia (farsightedness) are able to see distant objects clearly but may have difficulty focusing on near objects. They can pass the Snellen exam, which measures distance vision, but may struggle with close-up tasks.

Choice B rationale

Hyperopia involves difficulty seeing close objects, not distant ones. Therefore, patients with hyperopia would not have difficulty seeing from far or at a distance, making this statement incorrect.

Choice C rationale

Hyperopia, or farsightedness, is characterized by the inability to see objects or letters that are close in range. It occurs when the eye's shape causes light to focus behind the retina instead of directly on it, leading to blurred near vision. Corrective lenses can help focus light properly on the retina.

Choice D rationale

The Rosenbaum chart is used to assess near vision acuity, which would highlight issues with hyperopia. However, patients with hyperopia would pass the Snellen exam, which tests distance vision, but might struggle with the Rosenbaum chart. .

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Which of the following are considered normal findings for assessment of the respiratory system? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is especially worried about an area of skin on her feet that has turned white.The health care provider has told her that her condition is vitiligo.The nurse explains to her that vitiligo is:

Correct Answer is A

Explanation

Which of the following is true in regards to hyperopia?

Correct Answer is C

Explanation

A nurse in an ophthalmology clinic is interviewing a client who was referred by his primary care provider for suspicion of cataracts.The nurse should expect the client to report:

On assessment of the client's tongue, the client is unable to protrude the tongue and has poor strength on testing against resistance.This would indicate dysfunction of which cranial nerve?

A client reports dizziness on her yearly physical exam.Which of the following tests would be the most appropriate to assess the client's equilibrium?

A student nurse is reviewing for an upcoming examination and recognizes in the ECG readings that the QRS wave represents which of the following?

Which cranial nerve is assessed by using the Snellen visual acuity chart?

The nurse is speaking to the client and suspects a weakness in eye muscle after observing the eyes cross.What test should the nurse administer to further assess this problem?

The daughter of an elderly client diagnosed with macular degeneration asks the nurse to explain this disorder.In formulating a response, the nurse would include information that this condition is characterized by which of the following?

When inspecting a patient's eyes, the nurse assesses the presence of cranial nerve III (oculomotor nerve) by observing the eyelids open and close bilaterally.What other technique does a nurse use to test the function of this cranial nerve?