Question 1

Why would the nurse perform an inspection of the oral cavity during a complete pulmonary assessment?

Accepted Answer

A)  To provide evidence of hypoxia 
B)  To provide evidence of dyspnea 
C)  To provide evidence of dehydration 
D)  To provide evidence of nutritional status

Question 2

Which of the following chest radiography findings is consistent with a left pneumothorax?

Accepted Answer

A)  Flattening of the diaphragm 
B)  Shifting of the mediastinum to the right 
C)  Presence of a gastric air bubble 
D)  Increased radiolucency of the left lung field

Question 3

Normal anteroposterior (AP)diameter ranges from 1:2 to 5:7.An increase in AP diameter of the chest that is characterized by displacement of the sternum forward and the ribs outward is indicative of

Accepted Answer

A)  a funnel chest. 
B)  a pigeon breast. 
C)  a barrel chest. 
D)  Harrison's groove.

Question 4

Diminished to absent breath sounds on the right side, tracheal deviation to the left side, and asymmetrical chest movement are indicative of which of the following disorders?

Accepted Answer

A)  Tension pneumothorax 
B)  Pneumonia 
C)  Pulmonary fibrosis 
D)  Atelectasis

Question 5

On admission, a patient presents as follows: pH, 7.38; respiratory rate, 24 breaths/min, regular, pursed-lip breathing; PaO2, 66 mm Hg; heart rate, 112 beats/min, sinus tachycardia; PaCO2, 52 mm Hg; blood pressure, 110/68 mm Hg; HCO3, 34 mEq/L; and SpO2, 90% on O2 2 L/min nasal cannula.These gases show

Accepted Answer

A)  uncompensated metabolic alkalosis. 
B)  uncompensated respiratory acidosis. 
C)  compensated respiratory acidosis. 
D)  compensated respiratory alkalosis.

Question 6

Auscultation of the anterior chest should be performed using which of the following sequences?

Accepted Answer

A)  Right side, top to bottom, then left side, top to bottom 
B)  Left side, top to bottom, then right side, top to bottom 
C)  Side to side, bottom to top 
D)  Side to side, top to bottom

Exam 14: Pulmonary Clinical Assessment and Diagnostic Procedures

Why would the nurse perform an inspection of the oral cavity during a complete pulmonary assessment?

Which of the following chest radiography findings is consistent with a left pneumothorax?

Normal anteroposterior (AP) diameter ranges from 1:2 to 5:7.An increase in AP diameter of the chest that is characterized by displacement of the sternum forward and the ribs outward is indicative of

Diminished to absent breath sounds on the right side, tracheal deviation to the left side, and asymmetrical chest movement are indicative of which of the following disorders?

Auscultation of the anterior chest should be performed using which of the following sequences?