Question 1

Which of the following CANNOT be determined with detailed inspection of the chest?

Accepted Answer

A)  The patient's breathing pattern 
B)  Assess the patient's work of breathing 
C)  Determination of the type of lung disease 
D)  Identification of skeletal abnormalities 
A)  The patient's breathing pattern 
B)  Assess the patient's work of breathing 
C)  Determination of the type of lung disease 
D)  Identification of skeletal abnormalities C

Question 2

What chest wall abnormality is commonly associated with chronic lung disease due to air trapping and a loss in lung compliance and is commonly associated with COPD?

Accepted Answer

A)  Kyphosis 
B)  Pectus excavatum 
C)  Barrel chest 
D)  Kyphoscoliosis 
A)  Kyphosis 
B)  Pectus excavatum 
C)  Barrel chest 
D)  Kyphoscoliosis C

Question 3

What breathing pattern is periodic in nature,with a gradual increase in depth and respiratory rate followed by a tapering of rate and depth with periods of apnea or as a waxing and waning of respirations?

Accepted Answer

A)  Kussmaul's respirations 
B)  Cheyne-Stokes respirations 
C)  Biot's respirations 
D)  Paradoxical breathing 
A)  Kussmaul's respirations 
B)  Cheyne-Stokes respirations 
C)  Biot's respirations 
D)  Paradoxical breathing B

Question 4

Where is (are)the midclavicular line(s)located?

Accepted Answer

A)  It is an imaginary line on the anterior chest dividing the sternum vertically in half. It is a line descending from the center of the sternum to the umbilicus (navel). 
B)  They are two vertical lines on the anterior chest bisecting the collarbones. Each of these lines pass just medial to the nipples. 
C)  It is a line on the anterior chest descending vertically from the junction of the arm and torso (at the front of the armpit). 
D)  They are imaginary lines on the posterior chest bisecting the shoulder blades and descending vertically. 
A)  It is an imaginary line on the anterior chest dividing the sternum vertically in half. It is a line descending from the center of the sternum to the umbilicus (navel). 
B)  They are two vertical lines on the anterior chest bisecting the collarbones. Each of these lines pass just medial to the nipples. 
C)  It is a line on the anterior chest descending vertically from the junction of the arm and torso (at the front of the armpit). 
D)  They are imaginary lines on the posterior chest bisecting the shoulder blades and descending vertically.

Question 5

What type of skeletal abnormality has an anterior-to-posterior curvature of the upper spine and a lateral curvature that causes the vertebrae in the affected area to rotate,flattening the rib cage anteriorly?

Accepted Answer

A)  Kyphosis 
B)  Lordosis 
C)  Scoliosis 
D)  Kyphoscoliosis 
A)  Kyphosis 
B)  Lordosis 
C)  Scoliosis 
D)  Kyphoscoliosis

Question 6

Upon percussing the patient's chest,a dull percussion note is heard over the left lower lobe.What other findings would be expected to be found over the left lower lobe?

Accepted Answer

A dull percussion note is heard over are

Question 7

A patient is admitted to the hospital with an infiltrate on the chest x-ray in the left lower lobe.Explain what should be expected upon inspecting,percussing,and palpating this patient's chest wall.

Accepted Answer

Inspection of the chest will probably re

Question 8

Upon reviewing a patient's admission notes,the history states the patient has a long-standing history of emphysema.What type of percussion note would you expect over the patient's chest?

Accepted Answer

A)  Resonance 
B)  Dullness 
C)  Flatness 
D)  Hyperresonance 
A)  Resonance 
B)  Dullness 
C)  Flatness 
D)  Hyperresonance

Question 9

What is an increase in the depth of respirations to greater than normal?

Accepted Answer

A)  Hyperventilation 
B)  Hypopnea 
C)  Hyperpnea 
D)  Hypercapnia 
A)  Hyperventilation 
B)  Hypopnea 
C)  Hyperpnea 
D)  Hypercapnia

Question 10

Which way would the trachea shift if the patient had a tension pneumothorax on the right side?

Accepted Answer

A)  Toward the right 
B)  Away from the right side 
C)  Away from the left side 
D)  Superiorly on the left side 
A)  Toward the right 
B)  Away from the right side 
C)  Away from the left side 
D)  Superiorly on the left side

Question 11

What is a congenital deformity of the sternum characterized by a depression in the sternum at the level of the lower body and xyphoid process?

Accepted Answer

A)  Lordosis 
B)  Pectus excavatum 
C)  Kyphoscoliosis 
D)  Pectus carinatum 
A)  Lordosis 
B)  Pectus excavatum 
C)  Kyphoscoliosis 
D)  Pectus carinatum

Question 12

In diabetic acidosis,a condition termed metabolic acidosis is produced.What type of breathing pattern is produced to compensate for this condition?

Accepted Answer

A)  Kussmaul's respiration 
B)  Cheyne-Stokes respiration 
C)  Biot's respiration 
D)  Paradoxical breathing 
A)  Kussmaul's respiration 
B)  Cheyne-Stokes respiration 
C)  Biot's respiration 
D)  Paradoxical breathing

Question 13

Which of the following would cause a tracheal shift toward the affected side of the chest?
I.Pleural effusion
II.Atelectasis
III.Pulmonary fibrosis
IV.Tension pneumothorax

Accepted Answer

A)  III and IV 
B)  II only 
C)  I only 
D)  II and III 
A)  III and IV 
B)  II only 
C)  I only 
D)  II and III

Question 14

What is the normal diaphragmatic excursion?

Accepted Answer

A)  1:2 
B)  Between the 2nd and 4th ribs 
C)  Between the MCL and the MAL 
D)  Approximately 8 cm 
A)  1:2 
B)  Between the 2nd and 4th ribs 
C)  Between the MCL and the MAL 
D)  Approximately 8 cm

Question 15

Resonance is the sound heard in percussing normal lung tissue.Which of the following best describes this percussion note?

Accepted Answer

A)  It is a low-pitched sound of long duration. 
B)  It is a loud, low-pitched sound of long duration. 
C)  It is a sound of medium intensity and pitch with a short duration. 
D)  It is a sound of low amplitude and pitch. 
A)  It is a low-pitched sound of long duration. 
B)  It is a loud, low-pitched sound of long duration. 
C)  It is a sound of medium intensity and pitch with a short duration. 
D)  It is a sound of low amplitude and pitch.

Question 16

What is normal I:E ratio?

Accepted Answer

A)  1:2 
B)  1:4 
C)  1:6 
D)  1:8 
A)  1:2 
B)  1:4 
C)  1:6 
D)  1:8

Question 17

What is defined as the presence of air beneath the skin in the subcutaneous tissues?

Accepted Answer

A)  Tension pneumothorax 
B)  Subcutaneous emphysema 
C)  Pleural effusion 
D)  Fibrosis 
A)  Tension pneumothorax 
B)  Subcutaneous emphysema 
C)  Pleural effusion 
D)  Fibrosis

Question 18

Which type of breathing pattern is characterized by the diaphragm descending and the ribs moving up and out anteriorly and laterally and is the result of discoordinated motion of various parts of the chest wall and/or abdomen?

Accepted Answer

A)  Kussmaul's respirations 
B)  Cheyne-Stokes respirations 
C)  Biot's respirations 
D)  Paradoxical breathing 
A)  Kussmaul's respirations 
B)  Cheyne-Stokes respirations 
C)  Biot's respirations 
D)  Paradoxical breathing

Question 19

Where is (are)the midaxillary line(s)located?

Accepted Answer

A)  It is an imaginary line on the lateral chest extending downward from the posterior junction of the arm. 
B)  It is a line on the anterior chest descending vertically from the junction of the arm and torso (at the front of the armpit). 
C)  They are imaginary lines on the posterior chest bisecting the shoulder blades and descending vertically. 
D)  It is an imaginary line on the lateral chest extending downward from the center of the armpit. 
A)  It is an imaginary line on the lateral chest extending downward from the posterior junction of the arm. 
B)  It is a line on the anterior chest descending vertically from the junction of the arm and torso (at the front of the armpit). 
C)  They are imaginary lines on the posterior chest bisecting the shoulder blades and descending vertically. 
D)  It is an imaginary line on the lateral chest extending downward from the center of the armpit.

Question 20

A patient had a respiratory rate of 16/minute with an I:E ratio of 1:2.How would you record this in the patient's chart?

Accepted Answer

A)  Normocapnia 
B)  Eupnea 
C)  Hyperpnea 
D)  Normopnea 
A)  Normocapnia 
B)  Eupnea 
C)  Hyperpnea 
D)  Normopnea

Exam 3: Advanced Patient Assessment: Inspection, Palpation, and Percussion

Which of the following CANNOT be determined with detailed inspection of the chest?

What chest wall abnormality is commonly associated with chronic lung disease due to air trapping and a loss in lung compliance and is commonly associated with COPD?

What breathing pattern is periodic in nature,with a gradual increase in depth and respiratory rate followed by a tapering of rate and depth with periods of apnea or as a waxing and waning of respirations?

Where is (are)the midclavicular line(s)located?

What type of skeletal abnormality has an anterior-to-posterior curvature of the upper spine and a lateral curvature that causes the vertebrae in the affected area to rotate,flattening the rib cage anteriorly?

Upon percussing the patient's chest,a dull percussion note is heard over the left lower lobe.What other findings would be expected to be found over the left lower lobe?

A patient is admitted to the hospital with an infiltrate on the chest x-ray in the left lower lobe.Explain what should be expected upon inspecting,percussing,and palpating this patient's chest wall.

Upon reviewing a patient's admission notes,the history states the patient has a long-standing history of emphysema.What type of percussion note would you expect over the patient's chest?

What is an increase in the depth of respirations to greater than normal?

Which way would the trachea shift if the patient had a tension pneumothorax on the right side?

What is a congenital deformity of the sternum characterized by a depression in the sternum at the level of the lower body and xyphoid process?

In diabetic acidosis,a condition termed metabolic acidosis is produced.What type of breathing pattern is produced to compensate for this condition?

Which of the following would cause a tracheal shift toward the affected side of the chest? I.Pleural effusion II.Atelectasis III.Pulmonary fibrosis IV.Tension pneumothorax

What is the normal diaphragmatic excursion?

Resonance is the sound heard in percussing normal lung tissue.Which of the following best describes this percussion note?

What is normal I:E ratio?

What is defined as the presence of air beneath the skin in the subcutaneous tissues?

Which type of breathing pattern is characterized by the diaphragm descending and the ribs moving up and out anteriorly and laterally and is the result of discoordinated motion of various parts of the chest wall and/or abdomen?

Where is (are)the midaxillary line(s)located?

A patient had a respiratory rate of 16/minute with an I:E ratio of 1:2.How would you record this in the patient's chart?

Basics of Asepsis

Basic Patient Assessment: Vital Signs and Breath Sounds

Radiologic Assessment

Pulmonary Function Testing

Electrocardiography

Phlebotomy

Arterial Blood Gas Sampling

Hemodynamic Monitoring

Noninvasive Monitoring

Documentation and Goals Assessment

Oxygen Supply Systems

Oxygen Administration

Introduction to Respiratory Care Pharmacology

Humidity and Aerosol Therapy

Bronchial Hygiene Therapy

Hyperinflation Therapy

Bronchoscopy Assisting

Equipment Processing and Surveillance

Emergency Airway Management

Artificial Airway Care

Chest Tubes

Insertion and Maintenance of Intravenous Lines

Noninvasive Positive-Pressure Ventilation

Continuous Mechanical Ventilation

Advanced Modes of Mechanical Ventilation

Wave Form Analysis

Weaning and Discontinuance of Mechanical Ventilation

Neonatal Mechanical Ventilation

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