Question 1

To properly examine the respiratory rate,you should

Accepted Answer

A)  first explain to the patient what you are doing. 
B)  count the number of respiratory cycles for one full minute. 
C)  first ask the patient to take several deep breaths through the mouth. 
D)  place your stethoscope over the patient's right lung and count the number of respiratory cycles for one full minute. 
A)  first explain to the patient what you are doing. 
B)  count the number of respiratory cycles for one full minute. 
C)  first ask the patient to take several deep breaths through the mouth. 
D)  place your stethoscope over the patient's right lung and count the number of respiratory cycles for one full minute.

Question 2

Which respiratory condition reported by a patient when you obtain the family health history is not considered to be a familial disease?

Accepted Answer

A)  lung cancer 
B)  tuberculosis 
C)  pneumonia 
D)  alpha1-antitrypsin deficiency 
A)  lung cancer 
B)  tuberculosis 
C)  pneumonia 
D)  alpha1-antitrypsin deficiency

Question 3

On expiration,the lung is approximately at the level of

Accepted Answer

A)  the fifth rib at the midaxillary line. 
B)  T3. 
C)  T10. 
D)  the oblique fissure. 
A)  the fifth rib at the midaxillary line. 
B)  T3. 
C)  T10. 
D)  the oblique fissure.

Question 4

To palpate the anterior thorax,you should use the finger pads of your dominant hand and

Accepted Answer

A)  start at the apex of the right lung (above the clavicle), move down to each rib and intercostal space, and then repeat on the left. 
B)  palpate any areas of tenderness first. 
C)  start at the base of the right lung, move upward to each rib and intercostal space, and then repeat on the left. 
D)  have the patient lift the arms over the head to stretch the skin and enhance detection of any abnormal findings. 
A)  start at the apex of the right lung (above the clavicle), move down to each rib and intercostal space, and then repeat on the left. 
B)  palpate any areas of tenderness first. 
C)  start at the base of the right lung, move upward to each rib and intercostal space, and then repeat on the left. 
D)  have the patient lift the arms over the head to stretch the skin and enhance detection of any abnormal findings.

Question 5

Hyperresonance on thoracic percussion is abnormal in the majority of adults and may indicate that the patient is experiencing a(n)_____________________.

Accepted Answer

pneumothorax
Explanation:Hyperresonance

Question 6

To determine the symmetry of a patient's chest wall,the nurse would do which of the following? Select all that apply.

Accepted Answer

A)  Stand behind the patient. 
B)  Inspect the right and the left anterior thoraxes. 
C)  Note the shoulder height, observing any differences between the two sides of the chest wall, such as the presence of masses. 
D)  Move in front of the patient. 
E)  Inspect the right and the left posterior thoraxes, comparing right and left sides.
F) Note the position of the scapula. 
A)  Stand behind the patient. 
B)  Inspect the right and the left anterior thoraxes. 
C)  Note the shoulder height, observing any differences between the two sides of the chest wall, such as the presence of masses. 
D)  Move in front of the patient. 
E)  Inspect the right and the left posterior thoraxes, comparing right and left sides.
F) Note the position of the scapula.

Question 7

Mucoid sputum is often seen in which of the following conditions? Select all that apply.

Accepted Answer

A)  Coryza 
B)  Asthma 
C)  Lung cancer 
D)  Tuberculosis 
E)  Viral infection
F) Tracheobronchitis 
A)  Coryza 
B)  Asthma 
C)  Lung cancer 
D)  Tuberculosis 
E)  Viral infection
F) Tracheobronchitis

Question 8

The right mainstem bronchus is

Accepted Answer

A)  congenitally absent in a small portion of the population. 
B)  not prone to aspiration pneumonia. 
C)  displaced by the mediastinum. 
D)  wider, shorter, and more vertical than the left. 
A)  congenitally absent in a small portion of the population. 
B)  not prone to aspiration pneumonia. 
C)  displaced by the mediastinum. 
D)  wider, shorter, and more vertical than the left.

Question 9

Ataxic breathing,or Biot's respirations,indicate damage to the ____________________.

Accepted Answer

medulla
Explanation:Biot's respirations,

Question 10

To perform anterior thoracic auscultation,you would

Accepted Answer

A)  use the bell of the stethoscope. 
B)  instruct the patient to breathe deeply and slowly through the nose. 
C)  shave areas of coarse chest hair to avoid sound distortion. 
D)  ask the patient to displace the breast tissue when necessary to auscultate the lungs. 
A)  use the bell of the stethoscope. 
B)  instruct the patient to breathe deeply and slowly through the nose. 
C)  shave areas of coarse chest hair to avoid sound distortion. 
D)  ask the patient to displace the breast tissue when necessary to auscultate the lungs.

Question 11

Your patient's medical record indicates severe chest trauma and recent onset of subcutaneous emphysema.Upon palpation of the patient's chest,you are most likely to feel

Accepted Answer

A)  beads of air under the skin that pop with the pressure of your fingers, making a crackling sound. 
B)  a hard swollen mass covering the area of trauma. 
C)  air escaping around his chest tube that is being trapped by his bandages. 
D)  air flowing into his subcutaneous tissue as his lungs attempt to reinflate. 
A)  beads of air under the skin that pop with the pressure of your fingers, making a crackling sound. 
B)  a hard swollen mass covering the area of trauma. 
C)  air escaping around his chest tube that is being trapped by his bandages. 
D)  air flowing into his subcutaneous tissue as his lungs attempt to reinflate.

Question 12

Patients experiencing hypoxemia or hypermetabolism try to increase their oxygen intake by using their sternocleidomastoid,rectus abdominis,trapezius,and scalene muscles.What are these muscles called?

Accepted Answer

A)  external intercostal muscles 
B)  internal intercostal muscles 
C)  muscles of the diaphragm 
D)  accessory muscles 
A)  external intercostal muscles 
B)  internal intercostal muscles 
C)  muscles of the diaphragm 
D)  accessory muscles

Question 13

You determine that a patient's diaphragmatic excursion is 5 cm with the diaphragm at T12 on inspiration and T10 on expiration.This finding

Accepted Answer

A)  is abnormally low, indicating hypoventilation. 
B)  is normal. 
C)  indicates a high diaphragm level with displacement possibly by ascites. 
D)  indicates the presence of atelectasis or pleural effusion in the lower lobes, producing a dull sound on percussion and leading to a false determination of high diaphragm level. 
A)  is abnormally low, indicating hypoventilation. 
B)  is normal. 
C)  indicates a high diaphragm level with displacement possibly by ascites. 
D)  indicates the presence of atelectasis or pleural effusion in the lower lobes, producing a dull sound on percussion and leading to a false determination of high diaphragm level.

Question 14

To determine a patient's costal angle,you should visually estimate the angle formed by the

Accepted Answer

A)  articulation of the manubrium and body of the sternum; it is continuous with the second rib. 
B)  costal ribs and the vertebrae. 
C)  right and left costal margins where they meet at the xiphoid process. 
D)  vertebrosternal ribs during inhalation. 
A)  articulation of the manubrium and body of the sternum; it is continuous with the second rib. 
B)  costal ribs and the vertebrae. 
C)  right and left costal margins where they meet at the xiphoid process. 
D)  vertebrosternal ribs during inhalation.

Question 15

Pectus carinatum is characterized by

Accepted Answer

A)  a depression in the lower body of the sternum. 
B)  excessive concavity of the thoracic vertebrae. 
C)  a marked protrusion of the sternum. 
D)  ribs forced upward and inward. 
A)  a depression in the lower body of the sternum. 
B)  excessive concavity of the thoracic vertebrae. 
C)  a marked protrusion of the sternum. 
D)  ribs forced upward and inward.

Question 16

Paradoxical chest wall movement in a patient with multiple fractured ribs of the right thorax is characterized by

Accepted Answer

A)  expansion of the thorax upon inspiration while the injured area of the chest wall is depressed. 
B)  bulging of the intercostal spaces during inspiration on the side of the injury. 
C)  unilateral expansion with no expansion on the side of the injury. 
D)  shallow respirations on the side of the injury. 
A)  expansion of the thorax upon inspiration while the injured area of the chest wall is depressed. 
B)  bulging of the intercostal spaces during inspiration on the side of the injury. 
C)  unilateral expansion with no expansion on the side of the injury. 
D)  shallow respirations on the side of the injury.

Question 17

Bronchovesicular sounds are normally auscultated

Accepted Answer

A)  over the trachea. 
B)  at the third and fourth intercostal spaces, lateral to the sternum. 
C)  at the first and second intercostal spaces, lateral to the sternum. 
D)  over the peripheral lung parenchyma. 
A)  over the trachea. 
B)  at the third and fourth intercostal spaces, lateral to the sternum. 
C)  at the first and second intercostal spaces, lateral to the sternum. 
D)  over the peripheral lung parenchyma.

Question 18

A 62-year-old patient with emphysema states that he typically has two alcoholic drinks each evening to "help him relax." Your best response would be to

Accepted Answer

A)  reassure him that by limiting his alcoholic intake to two drinks, he should not experience any serious effects on his respiratory functioning. 
B)  caution him that he is at risk for pneumoconiosis. 
C)  inform him that alcohol may decrease his carbon dioxide levels. 
D)  inform him that alcohol decreases the efficiency of his lung's defense mechanisms. 
A)  reassure him that by limiting his alcoholic intake to two drinks, he should not experience any serious effects on his respiratory functioning. 
B)  caution him that he is at risk for pneumoconiosis. 
C)  inform him that alcohol may decrease his carbon dioxide levels. 
D)  inform him that alcohol decreases the efficiency of his lung's defense mechanisms.

Question 19

A patient reports that he was climbing Mount Hood and noted an increase in the depth of his respirations.This physical examination finding is called

Accepted Answer

A)  apneustic respirations. 
B)  Biot's respirations. 
C)  air trapping. 
D)  hyperpnea. 
A)  apneustic respirations. 
B)  Biot's respirations. 
C)  air trapping. 
D)  hyperpnea.

Question 20

You observe a patient pursing his lips during expiration.This is most likely due to

Accepted Answer

A)  blocked nasal passages. 
B)  chronic obstructive pulmonary disease. 
C)  pneumonia. 
D)  pneumothorax. 
A)  blocked nasal passages. 
B)  chronic obstructive pulmonary disease. 
C)  pneumonia. 
D)  pneumothorax.

Exam 15: Thorax And Lungs

To properly examine the respiratory rate,you should

Which respiratory condition reported by a patient when you obtain the family health history is not considered to be a familial disease?

On expiration,the lung is approximately at the level of

To palpate the anterior thorax,you should use the finger pads of your dominant hand and

Hyperresonance on thoracic percussion is abnormal in the majority of adults and may indicate that the patient is experiencing a(n)_____________________.

To determine the symmetry of a patient's chest wall,the nurse would do which of the following? Select all that apply.

Mucoid sputum is often seen in which of the following conditions? Select all that apply.

The right mainstem bronchus is

Ataxic breathing,or Biot's respirations,indicate damage to the ____________________.

To perform anterior thoracic auscultation,you would

Your patient's medical record indicates severe chest trauma and recent onset of subcutaneous emphysema.Upon palpation of the patient's chest,you are most likely to feel

Patients experiencing hypoxemia or hypermetabolism try to increase their oxygen intake by using their sternocleidomastoid,rectus abdominis,trapezius,and scalene muscles.What are these muscles called?

You determine that a patient's diaphragmatic excursion is 5 cm with the diaphragm at T12 on inspiration and T10 on expiration.This finding

To determine a patient's costal angle,you should visually estimate the angle formed by the

Pectus carinatum is characterized by

Paradoxical chest wall movement in a patient with multiple fractured ribs of the right thorax is characterized by

Bronchovesicular sounds are normally auscultated

A 62-year-old patient with emphysema states that he typically has two alcoholic drinks each evening to "help him relax." Your best response would be to

A patient reports that he was climbing Mount Hood and noted an increase in the depth of his respirations.This physical examination finding is called

You observe a patient pursing his lips during expiration.This is most likely due to

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