Question 1

A patient is admitted with diminished to absent breath sounds on the right side,tracheal deviation to the left side,and asymmetric chest movement.These findings are indicative of which disorder?

Accepted Answer

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

Question 2

When assessing a patient,the use of observation is referred to as what technique?

Accepted Answer

A)   Inspection
B)   Palpation
C)   Percussion
D)   Auscultation A

Question 3

A patient is admitted with acute lung failure secondary to chronic obstructive pulmonary disease (COPD).Upon inspection of the patient,the nurse observes that the patient's fingers appear discolored.What does this finding indicate the presence of?

Accepted Answer

A)   Clubbing
B)   Central cyanosis
C)   Peripheral cyanosis
D)   Chronic tuberculosis C

Question 4

The nurse is performing a pulmonary assessment on a patient with pulmonary fibrosis.Which finding is unexpected?

Accepted Answer

A)   Diminished thoracic expansion
B)   Tracheal deviation to the most affected side
C)   Hyperresonant percussion tones
D)   Decreased breath sounds

Question 5

What assessment technique involves having the patient breathe in and out slowly with an open mouth?

Accepted Answer

A)   Inspection
B)   Palpation
C)   Percussion
D)   Auscultation

Question 6

The nurse is caring for a patient with respiratory failure.The nurse notes the patient's diaphragmatic excursing is 8 cm.What coexisting conditions could account for this finding?

Accepted Answer

A)   Asthma and emphysema
B)   Hepatomegaly and ascites
C)   Atelectasis and pleural effusion
D)   Pneumonia and pneumothorax

Question 7

Which statement describes the major difference between tachypnea and hyperventilation?

Accepted Answer

A)   Tachypnea has increased rate; hyperventilation has decreased rate.
B)   Tachypnea has decreased rate; hyperventilation has increased rate.
C)   Tachypnea has increased depth; hyperventilation has decreased depth.
D)   Tachypnea has decreased depth; hyperventilation has increased depth.

Question 8

In what condition are bronchophony,egophony,and whispering pectoriloquy increased?

Accepted Answer

A)   Pneumonia with consolidation
B)   Pneumothorax
C)   Asthma
D)   Bronchiectasis

Question 9

A patient is admitted with an exacerbation of chronic obstructive pulmonary disease (COPD).The nurses notes that the patient has difficulty getting breath out.Which phrase best describes the patient's breathing pattern?

Accepted Answer

A)   Deep sighing breaths without pauses
B)   Rapid, shallow breaths
C)   Normal breathing pattern interspersed with forced expirations
D)   Irregular breathing pattern with both deep and shallow breaths

Question 10

Which conditions will commonly reveal breath sounds with inspiration greater than expiration on assessment?

Accepted Answer

A)   Normal lung
B)   Bronchiectasis
C)   Emphysema
D)   Acute bronchitis
E)   Diffuse pulmonary fibrosis

Question 11

Which condition is an example of a disorder with increased tactile fremitus?

Accepted Answer

A)   Emphysema
B)   Pleural effusion
C)   Pneumothorax
D)   Pneumonia

Question 12

A patient is admitted with acute respiratory failure secondary to pneumonia.Upon auscultation,the nurse hears creaking,leathery,coarse breath sounds in the lower anterolateral chest area during inspiration and expiration.This finding is indicative of what condition?

Accepted Answer

A)   Emphysema
B)   Atelectasis
C)   Pulmonary fibrosis
D)   Pleural effusion

Question 13

While palpating a patient's lungs the nurse notes fremitus over the patient's trachea but not the lung periphery.What do these findings indicate?

Accepted Answer

A)   Bilateral pleural effusion
B)   Bronchial obstruction
C)   A normal finding
D)   Apical pneumothorax

Question 14

The nurse is performing a pulmonary assessment on a patient with acute bronchitis.Which finding is unexpected?

Accepted Answer

A)   Rasping productive cough
B)   Decreased tactile fremitus
C)   Resonant percussion tones
D)   Crackles and wheezes

Question 15

While conducting a physical assessment on a patient with chronic obstructive pulmonary disease (COPD),the nurse notes that the patient's breathing is rapid and shallow.What is this type of breathing pattern called?

Accepted Answer

A)   Hyperventilation
B)   Tachypnea
C)   Obstructive breathing
D)   Bradypnea

Question 16

Which chest wall deformity is characterized by an increase in anteroposterior (AP)diameter with displacement of the sternum forward and the ribs outward?

Accepted Answer

A)   Funnel chest
B)   Pigeon breast
C)   Barrel chest
D)   Harrison's groove

Question 17

The nurse is observing a new graduate listen to a patient's lungs.Which action by the new graduate indicates a need to review auscultation skills?

Accepted Answer

A)   The nurse starts at the apices and moves to the bases.
B)   The nurse compares breath sounds from side to side.
C)   The nurse listens during inspiration.
D)   The nurse listens posteriorly, laterally, and anteriorly.

Question 18

A patient just involved in a motor vehicle accident has sustained blunt chest trauma as part of his injuries.The nurse notes absent breath sounds on the left side.A left-sided pneumothorax is suspected and is further validated when assessment of the trachea reveals what finding?

Accepted Answer

A)   A shift to the right
B)   A shift to the left
C)   No deviation
D)   Subcutaneous emphysema

Question 19

When assessing a patient,the use of touch to judge the character of the body surface and underlying organs is known as what technique?

Accepted Answer