Answer to Question 1
Correct Answer: 4, 5
The nurse should inspect the client's chest for heaves or lifts while the client is sitting upright. The nurse should inspect the client's chest for heaves or lifts while the client is in a semi-fowler position with the head of bed at 30 degrees. The client should not be placed into Trendelenburg position to assess for heaves or lifts. The client does not need to turn to the left side to evaluate the presence of heaves or lifts. The nurse should not evaluate the client's chest for the presence of heaves or lifts while the client is in a prone position.
Answer to Question 2
Correct Answer: 4
The point of maximum impulse (PMI) is located at the fifth intercostal space in the left midclavicular line.