Question 1

A normal finding when examining thoracic expansion is separation of the thumbs by

Accepted Answer

A)  2-3 cm on inspiration with return to the midline on expiration. 
B)  3-5 cm on inspiration with return to the midline on expiration. 
C)  3-5 cm on inspiration and 1-2 cm on expiration. 
D)  5-7 cm on inspiration and 3-5 cm on expiration. 
A)  2-3 cm on inspiration with return to the midline on expiration. 
B)  3-5 cm on inspiration with return to the midline on expiration. 
C)  3-5 cm on inspiration and 1-2 cm on expiration. 
D)  5-7 cm on inspiration and 3-5 cm on expiration. B

Question 2

In a normal adult,the shape of the thorax is

Accepted Answer

A)  wider from front to back than from side to side. 
B)  wider from side to side than from front to back. 
C)  the same width side to side as front to back. 
D)  the same in infancy and throughout adulthood. 
A)  wider from front to back than from side to side. 
B)  wider from side to side than from front to back. 
C)  the same width side to side as front to back. 
D)  the same in infancy and throughout adulthood. B

Question 3

The recommended procedure for locating the site of a fractured rib is to have the patient point to the site of pain after

Accepted Answer

A)  you have systematically palpated each rib on the side of injury. 
B)  the patient has taken a deep breath. 
C)  you have lightly depressed the middle of the patient's sternum. 
D)  you have applied pressure to the chest wall on the uninjured side. 
A)  you have systematically palpated each rib on the side of injury. 
B)  the patient has taken a deep breath. 
C)  you have lightly depressed the middle of the patient's sternum. 
D)  you have applied pressure to the chest wall on the uninjured side. C

Question 4

The auscultation of bronchophony,egophony,and whispered pectoriloquy provides useful information to determine if the lungs are filled with air or fluid.Which guideline is recommended for examining these voice sounds?

Accepted Answer

A)  Only one of the three techniques needs to be performed, because they all provide the same information. 
B)  All of the techniques need to be included in a comprehensive examination if tactile fremitus has been performed. 
C)  All three techniques should be performed if an abnormality is detected during the general auscultation, percussion, or palpation. 
D)  Two of the three techniques should be performed if an abnormality is detected during the general auscultation, percussion, or palpation. 
A)  Only one of the three techniques needs to be performed, because they all provide the same information. 
B)  All of the techniques need to be included in a comprehensive examination if tactile fremitus has been performed. 
C)  All three techniques should be performed if an abnormality is detected during the general auscultation, percussion, or palpation. 
D)  Two of the three techniques should be performed if an abnormality is detected during the general auscultation, percussion, or palpation.

Question 5

Foul-smelling sputum is an abnormal finding and most likely indicates

Accepted Answer

A)  anaerobic infection. 
B)  poor oral hygiene. 
C)  lung cancer. 
D)  viral infection. 
A)  anaerobic infection. 
B)  poor oral hygiene. 
C)  lung cancer. 
D)  viral infection.

Question 6

Areas of the thorax where breath sounds are decreased may indicate

Accepted Answer

A)  a lung tumor that has displaced normal lung tissue. 
B)  large distance between the lungs and the chest wall. 
C)  a pneumothorax with collapse of the lung. 
D)  complete airway obstruction. 
A)  a lung tumor that has displaced normal lung tissue. 
B)  large distance between the lungs and the chest wall. 
C)  a pneumothorax with collapse of the lung. 
D)  complete airway obstruction.

Question 7

A patient complains of dyspnea,which has gradually worsened over the past few years.To examine the quantity of the patient's dyspnea,you should determine

Accepted Answer

A)  how far she can walk before she experiences shortness of breath. 
B)  how many packs of cigarettes she smokes a day. 
C)  whether she experiences shortness of breath during the night. 
D)  whether sitting up alleviates the dyspnea. 
A)  how far she can walk before she experiences shortness of breath. 
B)  how many packs of cigarettes she smokes a day. 
C)  whether she experiences shortness of breath during the night. 
D)  whether sitting up alleviates the dyspnea.

Question 8

A patient reports that he has worked with ceramics for over 35 years.You recognize that this length of exposure to potentially hazardous substances increases her risk for

Accepted Answer

A)  asbestosis. 
B)  byssinosis. 
C)  silicosis. 
D)  pulmonary neoplasms. 
A)  asbestosis. 
B)  byssinosis. 
C)  silicosis. 
D)  pulmonary neoplasms.

Question 9

A respiratory rate of more than 20 breaths per minute in an adult is called

Accepted Answer

A)  apneustic respirations. 
B)  hyperpnea. 
C)  tachypnea. 
D)  eupnea. 
A)  apneustic respirations. 
B)  hyperpnea. 
C)  tachypnea. 
D)  eupnea.

Question 10

Upon performing egophony over a patient's anterior chest as he repeats the sound "ee," you clearly hear the sound "ay," spoken with a nasal quality.This finding most likely indicates

Accepted Answer

A)  healthy lungs. 
B)  a pneumothorax. 
C)  pneumonia. 
D)  asthma. 
A)  healthy lungs. 
B)  a pneumothorax. 
C)  pneumonia. 
D)  asthma.

Question 11

Which finding from your inspection of a patient's thorax is normal?

Accepted Answer

A)  a costal angle of 95° 
B)  ribs at a 45° angle with the sternum 
C)  bulging of intercostal spaces 
D)  dilated superficial veins on the anterior chest wall 
A)  a costal angle of 95° 
B)  ribs at a 45° angle with the sternum 
C)  bulging of intercostal spaces 
D)  dilated superficial veins on the anterior chest wall

Question 12

Regular respirations characterized by increased rate and depth are an abnormal pattern known as

Accepted Answer

A)  air trapping. 
B)  Kussmaul's respirations. 
C)  sighing. 
D)  hyperpnea. 
A)  air trapping. 
B)  Kussmaul's respirations. 
C)  sighing. 
D)  hyperpnea.

Question 13

Retractions of the intercostal spaces generally occur

Accepted Answer

A)  upon inspiration. 
B)  upon expiration. 
C)  while coughing. 
D)  throughout the respiratory cycle. 
A)  upon inspiration. 
B)  upon expiration. 
C)  while coughing. 
D)  throughout the respiratory cycle.

Question 14

To examine forced expiratory time,with your stethoscope over the patient's trachea,you measure the length of time that passes when the patient

Accepted Answer

A)  takes a deep breath and exhales as much as possible through the mouth. 
B)  exhales forcefully through the mouth. 
C)  inflates a balloon with air. 
D)  takes a normal breath and exhales as much as possible through the nose. 
A)  takes a deep breath and exhales as much as possible through the mouth. 
B)  exhales forcefully through the mouth. 
C)  inflates a balloon with air. 
D)  takes a normal breath and exhales as much as possible through the nose.

Question 15

Tactile fremitus is more pronounced in which area of the thorax?

Accepted Answer

A)  near the major bronchi and trachea 
B)  over the ribs 
C)  in the periphery of the lung 
D)  over the scapula 
A)  near the major bronchi and trachea 
B)  over the ribs 
C)  in the periphery of the lung 
D)  over the scapula

Question 16

The thoracic anatomic landmark at the junction of the manubrium and the sternum is called the ____________________.

Accepted Answer

sternal angle
Explanation:Often called t

Question 17

Which of the following is a priority to include in the instructions given to a patient who has bronchitis?

Accepted Answer

A)  Avoid malnutrition. 
B)  Decrease overweight status. 
C)  Increase activity. 
D)  Avoid cigarette smoking. 
A)  Avoid malnutrition. 
B)  Decrease overweight status. 
C)  Increase activity. 
D)  Avoid cigarette smoking.

Question 18

Which of the following is an example of a high-pitched adventitious breath sound that is heard predominantly on expiration?

Accepted Answer

A)  fine crackle 
B)  sibilant wheeze 
C)  sonorous wheeze 
D)  stridor 
A)  fine crackle 
B)  sibilant wheeze 
C)  sonorous wheeze 
D)  stridor

Question 19

Using the recommended approach,you should conduct your examination from the right anterior thorax at the apex of the lung for comparison with the

Accepted Answer

A)  right anterior thorax at the base. 
B)  left anterior thorax at the apex. 
C)  right posterior thorax at the apex. 
D)  left lateral thorax at the apex. 
A)  right anterior thorax at the base. 
B)  left anterior thorax at the apex. 
C)  right posterior thorax at the apex. 
D)  left lateral thorax at the apex.

Question 20

Rust or blood-tinged sputum may be indicative of which of the following? Select all that apply.

Accepted Answer

A)  Pneumonia 
B)  Tuberculosis 
C)  Pulmonary edema 
D)  Lung cancer 
E)  Bacterial infection
F) Pulmonary infarction 
A)  Pneumonia 
B)  Tuberculosis 
C)  Pulmonary edema 
D)  Lung cancer 
E)  Bacterial infection
F) Pulmonary infarction

Exam 15: Thorax And Lungs

A normal finding when examining thoracic expansion is separation of the thumbs by

In a normal adult,the shape of the thorax is

The recommended procedure for locating the site of a fractured rib is to have the patient point to the site of pain after

The auscultation of bronchophony,egophony,and whispered pectoriloquy provides useful information to determine if the lungs are filled with air or fluid.Which guideline is recommended for examining these voice sounds?

Foul-smelling sputum is an abnormal finding and most likely indicates

Areas of the thorax where breath sounds are decreased may indicate

A patient complains of dyspnea,which has gradually worsened over the past few years.To examine the quantity of the patient's dyspnea,you should determine

A patient reports that he has worked with ceramics for over 35 years.You recognize that this length of exposure to potentially hazardous substances increases her risk for

A respiratory rate of more than 20 breaths per minute in an adult is called

Upon performing egophony over a patient's anterior chest as he repeats the sound "ee," you clearly hear the sound "ay," spoken with a nasal quality.This finding most likely indicates

Which finding from your inspection of a patient's thorax is normal?

Regular respirations characterized by increased rate and depth are an abnormal pattern known as

Retractions of the intercostal spaces generally occur

To examine forced expiratory time,with your stethoscope over the patient's trachea,you measure the length of time that passes when the patient

Tactile fremitus is more pronounced in which area of the thorax?

The thoracic anatomic landmark at the junction of the manubrium and the sternum is called the ____________________.

Which of the following is a priority to include in the instructions given to a patient who has bronchitis?

Which of the following is an example of a high-pitched adventitious breath sound that is heard predominantly on expiration?

Using the recommended approach,you should conduct your examination from the right anterior thorax at the apex of the lung for comparison with the

Rust or blood-tinged sputum may be indicative of which of the following? Select all that apply.

Critical Thinking And The Nursing Process

Communication Techniques And The Patient Interview

The Complete Health History Including Documentation

Developmental Assessment

Cultural Assessment

Spiritual Assessment

Nutritional Assessment

Physical Examination Techniques

General Survey, vital Signs, and Pain

Skin, hair, and Nails

Head, neck, and Regional Lymph Nodes

Eyes

Ears, nose, mouth, and Throat

Breasts And Regional Nodes

Heart

Peripheral Vasculature And Lymphatic System

Abdomen

Musculoskeletal System

Mental Status And Neurological Techniques

Female Genitalia

Male Genitalia

Anus, rectum, and Prostate

The Pregnant Patient

The Pediatric Patient

The Older Adult Patient

The Complete Health History And Physical Examination

Filters