Exam 19: Thorax and Lungs

Which of these statements is true regarding the vertebra prominens?

What are the primary muscles of respiration?

The nurse is assessing voice sounds during a respiratory assessment. Which of these findings indicates a normal assessment? (Select all that apply).

The nurse is observing the auscultation technique of a student nurse. What is the correct method to use when progressing from one auscultatory site on the thorax to another?

A 70-year-old patient is being seen in the clinic for severe exacerbation of his heart failure. Which of these findings is the nurse most likely to observe in this patient?

A woman in her 26th week of pregnancy states that she is "not really short of breath" but feels that she is aware of her breathing and the need to breathe. What is the best reply by the nurse?

During percussion, the nurse hears a dull percussion note elicited over a lung lobe. What is the most likely cause of this finding?

The nurse is reviewing the technique of palpating for tactile fremitus with a new graduate. Which statement by the graduate nurse reflects a correct understanding of tactile fremitus?

During auscultation of breath sounds, the nurse should correctly use the stethoscope in which of the following ways?

Where does the trachea bifurcate on the anterior chest?

The nurse is auscultating the chest in an adult. Which technique is correct?

A patient with pleuritis has been admitted to the hospital and reports pain with breathing. What other key assessment finding would the nurse expect to find upon auscultation?

The nurse is auscultating the lungs of a patient who had been sleeping and notices short, popping, crackling sounds that stop after a few breaths. What does this finding indicate?

A patient has a long history of chronic obstructive pulmonary disease (COPD). During the assessment, the nurse will most likely observe which of these?

During an assessment of an adult, the nurse has noted unequal chest expansion and recognizes that this occurs in which situation?

A patient comes to the clinic reporting a cough that is worse at night but not as bad during the day. What does the nurse suspect?

Which statement about the apices of the lungs is true?

A 65-year-old patient with a history of heart failure comes to the clinic stating "I keep waking up from sleep with shortness of breath." Which action by the nurse is most appropriate?

The nurse is reviewing the characteristics of breath sounds. Which statement about bronchovesicular breath sounds is true?

During an assessment, the nurse knows that expected assessment findings in the normal adult lung include which findings?