21. The RN is reviewing a clients chart and notes they have a dermal cyst. In which layers would the cyst be seen? A. Adipose tissue B. Subcutaneous C. Dermis D. Epidermis
22. During an assessment of the lungs and thorax of an adult client with no history of lung diseases, a nurse should consider which of the fallowing-----: A. muffles voice sounds and symmetric tactile fremitus B. adventitious and limited chest expansions C. increased tactile fremitus and dull percussion tones D. absent voice sounds and hyper resonant percussion tones
23. When preforming a respiratory assessment on an adult client, a nurse auscultates moist, popping sounds during the inspiratory phase of------- adventitious sounds as: A. friction rub B. crackles C. wheezing D. bronchophony
24. A nurse is auscultating the aortic area of the chest and knows it is located in the fallowing site: A. 4-5TH intercostal space left of the sternal border B. 2nd intercostal space left of the sternal border C. 5th intercostal space medial to mid-clavicular line D. 2nd intercostal space right of the sternal border
26. A client presents to the emergency room with difficultly breathing. The nurse preforming the assessment would expect to find? A. rhonchi in upper lobes that clear with coughing B. pulse oxygen of 93% C. use of accessory abdominal muscles D. respiratory rate of 22
27. Which of the fallowing should a nurse expect to asses for a client with a history of chronic obstructive pulmonary disease? A. barrel chest B. unequal chest expansion C. oxygen saturation level 99% D. increased tactile fremitus
28. A nurse is preparing to asses a client who is experiencing significant shortness of breath. How should the nurse procced with the assessment? A. examine the lungs and thorax prior to preforming a complete assessment B. obtain thorough history and physical assessment information from the client’s family C. ask the client to lie down to obtain an accurate cardiac and respiratory assessment D. preform a complete history and physical assessment to obtain a baseline
29. Which of the fallowing should the nurse preform to assess the arterial function of lower extremities? A. palpating the pedal pulses B. humans sign C. Allen’s test D. assess medial malleoli for edema
30. When assessing the carotid arteries of an older client with cardiovascular disease a nurse should? A. palpate both arteries simultaneously to compare amplitude B. palpate each artery in the upper one third of the neck C. instruct the client to take a slow deep breathe during auscultation D. auscultate with the bell of the stethoscope to assess for bruits
The answer for the first question is ie, 21
21. The RN reviewing the clients charts and notes they have a dermal cyst. in which layer would the cyst be seen is
Answer: C.Dermis
The dermal cyst mainly found over of the layer of the dermis. The dermis is nothing but the living tissue which is seen below the epidermis whic forms the skin. This cyct arises from the implantation done in the epidermis in the dermis.
The remaining options are not selected because , the adipose tissue and subcutaneuos layer are found below the dermis which consists of fat deposits. And the epidermis is the put layer and protective barrier of the skin so the cyst are not found in this layer.
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