Question 1

Which type of apnea requires immediate action?

Accepted Answer

A)   Primary apnea
B)   Secondary apnea
C)   Sleep apnea
D)   Periodic apnea of the newborn B

Question 2

Which finding suggests a minor structural variation?

Accepted Answer

A)   Barrel chest
B)   Clubbed fingers
C)   Pectus carinatum
D)   Chest wall retractions C

Question 3

Mr. Curtis is a 44-year-old patient who has presented to the emergency department with shortness of breath. During the history, the patient describes shortness of breath that gets worse when he sits up. To document this, you will use the term:

Accepted Answer

A)   platypnea.
B)   orthopnea.
C)   tachypnea.
D)   bradypnea. A

Question 4

To count the ribs and the intercostal spaces, you begin by palpating the reference point of the:

Accepted Answer

A)   distal point of the xiphoid.
B)   manubriosternal junction.
C)   suprasternal notch.
D)   acromion process.

Question 5

An Apgar score of __________ is given to the infant who demonstrates irregular respiratory effort.

Accepted Answer

The answer of An Apgar score of __________ is given...

Question 6

With consolidation in the lung tissue, the breath sounds are louder and easier to hear, whereas healthy lung tissue produces softer sounds. This is because:

Accepted Answer

A)   consolidation echoes in the chest.
B)   consolidation is a poor conductor of sound.
C)   air-filled lung sounds are from smaller spaces.
D)   air-filled lung tissue is an insulator of sound.

Question 7

You would expect to document the presence of a pleural friction rub for a patient being treated for:

Accepted Answer

A)   pneumonia.
B)   atelectasis.
C)   pleurisy.
D)   emphysema.

Question 8

In which patient situation would you expect to assess tachypnea?

Accepted Answer

A)   Patient who is depressed
B)   Patient who abuses narcotics
C)   Patient with metabolic acidosis
D)   Patient with myasthenia gravis

Question 9

Which site of chest wall retractions indicates a more severe obstruction in the asthmatic patient?

Accepted Answer

A)   Lower chest
B)   Along the anterior axillary line
C)   Above the clavicles
D)   At the nipple line

Question 10

Which lung sounds are associated with atelectasis? (Select all that apply.)

Accepted Answer

A)   Wheezes
B)   Ronchi
C)   Crackles
D)   Crepitus
E)   Rales

Question 11

As you take vital signs on Mr. Barrow, age 78 years, you note that his respirations are 40 breaths/min. He has been resting, and his mucosa is pink. In regard to Mr. Barrow's respirations, you would:

Accepted Answer

A)   document his rate as normal.
B)   do nothing because his color is pink.
C)   note that his rate is below normal.
D)   report that he has an above-average rate.

Question 12

A 44-year-old male patient who complains of a cough has presented to the emergency department. He admits to smoking one pack per day. During your inspection of his chest, the most appropriate lighting source to highlight chest movement is:

Accepted Answer

A)   bright tangential lighting.
B)   daylight from a window.
C)   flashlight in a dark room.
D)   fluorescent ceiling lights.

Question 13

Ms. Rudman, age 74 years, has no known health problems or diseases. You are doing a preventive healthcare history and examination. Which symptom is associated with intrathoracic infection?

Accepted Answer

A)   Barrel chest
B)   Cor pulmonale
C)   Funnel chest
D)   Malodorous breath

Question 14

The best time to observe and count respirations is while:

Accepted Answer

A)   the patient is answering questions.
B)   weighing the patient.
C)   palpating the pulse.
D)   the patient is sleeping.

Question 15

When auscultating the apex of the lung, you should listen at a point:

Accepted Answer

A)   even with the second rib.
B)   4 cm above the first rib.
C)   higher on the right side.
D)   on the convex diaphragm surface.

Exam 14: Chest and Lungs