Exam 16: Lungs and Thorax

The nurse notes movement on one side of the chest while palpating respiratory expansion. Which conditions should the nurse suspect is associated with this assessment finding? Select all that apply.

The nurse is preparing to assess the client's respiratory system. Which order should the nurse conduct the assessment? A) Auscultation. B) Inspection. C) Percussion. D) Client survey. E) Palpation.

The nurse is reviewing the records of a client with severe left pleural effusion. Which assessment finding should the nurse anticipate? Select all that apply.

The nurse identifies abnormal breath sounds during an assessment. Which sounds should the nurse document as abnormal? Select all that apply.

The nurse reviewing a client's record notes that the client has a fractured floating rib. Which rib should the nurse identify has been fractured?

The nurse is preparing to auscultate the breath sounds of a client with asthma. Which breath sounds does the nurse anticipate to find upon assessment?

The nurse is assessing the client's respiratory pattern and notes periods of deep breathing alternating with periods of apnea. Which terminology should the nurse use to document the findings?

The nurse is preparing to assess a client with atelectasis. Which objective finding should the nurse anticipate?

The nurse is assessing the client's respiratory system. Which method will result in the most accurate assessment of the client's respiratory rate?

The nurse is preparing to auscultate the bronchovesicular sounds of a client. Which landmark should the nurse use to identify the correct placement of the stethoscope?

The nurse is reviewing the records of a client with chronic bronchitis. Which assessment finding should the nurse anticipate?

The nurse notes the client's respiration rate is 14 per minute and the expiration phase is the same length as the end-inspiration phase. Which term should the nurse use to document the findings?

The nurse is preparing to identify the angle of Louis prior to a thoracic assessment. Which landmark should the nurse use to identify this structure?

A client asks the nurse why they are being evaluated for weight loss during a respiratory assessment. Which response should the nurse provide the client as the primary reason weight loss is assessed?

The nurse auscultating a client's lungs notes there is a low-pitched, continuous respiratory sounds that has a snoring quality. Which terminology should the nurse use to document the finding?

Which is the primary landmark used to identify and locate all of the other landmarks on the anterior chest?

The educator has reviewed the respiratory system for a nurse. Which statement made by the nurse indicates further teaching is required?

The nurse is preparing to assess a client with scoliosis. Which assessment findings should the nurse anticipate?

The nurse notes a client has a barrel chest. Which question should the nurse ask the client?

The educator is observing the nurse's technique for a lung assessment. Which should the educator recognize demonstrates appropriate technique?