Exam 16: Bedside Assessment of the Patient

In which of the following conditions might the intensity of the heart sounds be reduced? 1) Heart failure 2) Severe cachexia 3) Pneumothorax 4) Pleural effusion

What is indicated by the presence of central cyanosis?

While palpating the chest of a patient who repeats the words "ninety-nine," you note an area of increased tactile fremitus over the left lower lobe. Which of the following could explain this finding? 1) Pneumothorax 2) Emphysema 3) Pneumonia 4) Pleural effusions

The patient interview conducted by the clinician is done in which space?

While percussing a patient's chest wall, you detect an abnormal increase in resonance. Which of the following are possible causes of this finding? 1) Asthma 2) Pneumothorax 3) Emphysema 4) Pneumonia

Splitting of the second heart sound (S₂) is normally most pronounced during which of the following?

An emergency room patient is lying on his bed with his head elevated at a 45-degree angle. An RT, who is coming to examine the patient, notices that the patient's jugular vein extends approximately 7 cm above his sternal angle. What can the RT assume about this patient's condition?

On palpating the neck region of a patient on a mechanical ventilator, you notice a crackling sound and sensation. What is the most likely cause of this observation?

What term is used to describe the chest pain associated with blockage of the coronary arteries?

A clinician unsuccessfully tried to take the pulse of a patient who is suffering from an asthma attack in the ER. The patient's breath sounds are diminished to absent bilaterally with a BP of 110 mm Hg systolic and 90 mm Hg diastolic. What can be concluded about this patient's condition? 1) Abdominal paradox is present. 2) Lung hyperinflation is present. 3) Pulsus paradoxus is present. 4) Pulse pressure is greater than 30 mm Hg.

Which of the following are associated with diaphoresis? 1) Fever 2) Severe stress 3) Acute anxiety 4) Hemoptysis

Which of the following conditions would tend to shift the point of maximal impulse (PMI) farther to the left? 1) Pulmonary emphysema 2) Collapse of the left lower lobe 3) Collapse of the right lower lobe 4) Right-sided tension pneumothorax

While observing a patient's breathing, you note that the depth and rate first increase, then decrease, followed by a period of apnea. Which of the following terms would you use in charting this observation?

What term is used to describe difficult breathing in the reclining position?

A creaking or grating sound that increases in intensity with deep breathing and is similar to coarse crackles, but is not affected by coughing, best describes which of the following?

In auscultating the heart sounds of a patient with chronic hypoxemia, you notice a marked increase in the intensity of the second heart sound (S₂) and no splitting during inhalation. This finding is most consistent with which of the following?

While observing a patient's breathing, you note that the depth and rate first increase, then decrease, followed by a period of apnea. Which of the following are potential causes of this abnormality? 1) Central nervous system disorder 2) Congestive heart failure 3) Metabolic acidosis

Which of the following characteristics are typical for pleuritic chest pain? 1) Located laterally. 2) Sharp and stabbing in nature. 3) Increases with breathing. 4) Radiates to the arm.

A patient with asthma would tend to exhibit which of the following?

What term is used to describe the absence of breathing?