Question 1

Changes in clarity and volume of spoken sounds during auscultation of the lungs can help you distinguish

Accepted Answer

A)  crepitus from stridor.
B)  a foreign body from a purulent exudate.
C)  pulmonary edema from pleurisy.
D)  a right from left tracheal deviation.
E)  consolidation from airway constriction.F) A) and B)
G) A) and C)

Question 2

The examiner percusses for diaphragmatic excursion along the

Accepted Answer

A)  vertebral column.
B)  midvertebral line.
C)  midaxillary line.
D)  scapular line.
E)  sternum.F) A) and E)
G) C) and D)

Question 3

The anteroposterior diameter of the chest is normally approximately the same as the transverse diameter in which age group?

Accepted Answer

A)  Infants
B)  School-age children
C)  Adolescents
D)  Young adults
E)  Older adultsF) A) and D)
G) C) and D)

Question 4

A 29-year-old patient presents with a new complaint of productive cough with purulent sputum. He also complains of right lower quadrant abdominal pain. You suspect pneumonia in the _____ lobe.

Accepted Answer

A)  right lower
B)  right middle
C)  right upper
D)  left upper
E)  left lowerF) None of the above
G) A) and D)

Question 5

In the most effective percussion technique of the posterior lung fields, the patient cooperates by

Accepted Answer

A)  folding the arms in front.
B)  bending the head back.
C)  standing and bending forward.
D)  lying on the side and extending the top arm.
E)  lying prone.F) B) and D)
G) A) and D)

Question 6

The diaphragm of the stethoscope is better than the bell for auscultation of the lungs because it

Accepted Answer

A)  amplifies all types of sounds.
B)  filters extraneous sounds.
C)  pinpoints focal sound areas.
D)  transmits high-pitched sounds.
E)  transmits low-pitched sounds.F) B) and D)
G) B) and E)

Question 7

Both pleural effusion and lobar pneumonia are characterized by _____ percussion.

Accepted Answer

A)  tympany heard with
B)  dullness heard on
C)  resonance heard on
D)  hyperresonance heard on
E)  occasional hyperresonance heard onF) B) and E)
G) A) and E)

Question 8

Your trauma patient has no auscultated breath sounds in the right lung field. You can hear adequate sounds in the left side. A likely cause of this abnormality could be that the patient

Accepted Answer

A)  has a closed head injury.
B)  has minimal fluid in the pleural space.
C)  is moaning and in severe pain.
D)  is receiving high oxygen flow.
E)  has a pneumothorax.F) B) and C)
G) None of the above

Question 9

To begin counting 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.
E)  clavicle.F) A) and E)
G) B) and C)

Question 10

Laryngeal obstructions would elicit which breath sound?

Accepted Answer

A)  Fremitus
B)  Stridor
C)  Rhonchi
D)  Crepitus
E)  WheezingF) B) and E)
G) A) and C)

Question 11

Bronchovesicular breath sounds in young children that are loud and harsh are an indication of

Accepted Answer

A)  an accumulation of fluid.
B)  malignant tumors or solid masses.
C)  normal, thin chest wall structures.
D)  pus-filled abscesses and tumors.
E)  tension pneumothorax.F) A) and D)
G) B) and D)

Question 12

To distinguish crackles from rhonchi, you should auscultate the lungs

Accepted Answer

A)  before and after the patient coughs.
B)  first at the lung base and then at the apex.
C)  with the patient inhaling and then exhaling.
D)  with the patient prone and then supine.
E)  with the patient recumbent and then sitting.F) B) and D)
G) B) and C)

Question 13

A patient describes shortness of breath that gets worse when he sits up. Which term documents this?

Accepted Answer

A)  Platypnea
B)  Orthopnea
C)  Tachypnea
D)  Bradypnea
E)  HypopneaF) All of the above
G) A) and B)

Question 14

The respiratory rate of a newborn infant is expected to range from _____ breaths/min.

Accepted Answer

A)  10 to 20
B)  20 to 30
C)  40 to 60
D)  30 to 80
E)  greater than 80F) A) and E)
G) None of the above

Question 15

Breath sounds normally heard over the trachea are called

Accepted Answer

A)  bronchovesicular.
B)  amphoric.
C)  crepitus.
D)  vesicular.
E)  bronchial.F) A) and D)
G) A) and C)

Question 16

In which patient situation would you expect to assess tachypnea?

Accepted Answer

A)  Patient with depression
B)  Patient who abuses narcotics
C)  Patient with metabolic acidosis
D)  Patient with myasthenia gravis
E)  Patient with metabolic alkalosisF) C) and E)
G) A) and B)

Question 17

Which condition requires immediate emergency intervention?

Accepted Answer

A)  Patient with pleuritic pain without dyspnea
B)  Patient with fever and a productive cough
C)  Patient with tachypnea but no chest retractions
D)  Patient with pleuritic pain and rib tenderness
E)  Patient with absent breath sounds and dull percussion tonesF) A) and E)
G) A) and D)

Question 18

Expected respiratory changes of normal aging include

Accepted Answer

A)  increased chest expansion.
B)  more frequent use of respiratory muscles.
C)  accentuated lumbar curve.
D)  more prominent bony structures.
E)  flattening of the dorsal thoracic curve.F) B) and C)
G) A) and E)

Question 19

Epiglottitis has frequently associated with infection by which organism?

Accepted Answer

A)  Respiratory syncytial virus
B)  Haemophilus influenzae type B
C)  Adenovirus
D)  Parainfluenza virus
E)  Human metapneumovirusF) A) and D)
G) B) and D)

Question 20

As you take vital signs on Mr. B, age 78 years, you note that his respirations are 40 breaths/min. He has been resting, and his mucosa is pink. Concerning Mr. B'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.
E)  ignore one abnormal result.F) A) and B)
G) A) and C)

Exam 13: Chest and Lungs

Changes in clarity and volume of spoken sounds during auscultation of the lungs can help you distinguish

Correct AnswerverifiedShow Answer

Your trauma patient has no auscultated breath sounds in the right lung field. You can hear adequate sounds in the left side. A likely cause of this abnormality could be that the patient

Correct AnswerverifiedShow Answer

A patient describes shortness of breath that gets worse when he sits up. Which term documents this?

Correct AnswerverifiedShow Answer

Which condition requires immediate emergency intervention?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Epiglottitis has frequently associated with infection by which organism?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Laryngeal obstructions would elicit which breath sound?

Correct AnswerverifiedShow Answer

To distinguish crackles from rhonchi, you should auscultate the lungs

Correct AnswerverifiedShow Answer

Breath sounds normally heard over the trachea are called

Correct AnswerverifiedShow Answer

In which patient situation would you expect to assess tachypnea?

Correct AnswerverifiedShow Answer

Both pleural effusion and lobar pneumonia are characterized by _____ percussion.

Correct AnswerverifiedShow Answer

A 29-year-old patient presents with a new complaint of productive cough with purulent sputum. He also complains of right lower quadrant abdominal pain. You suspect pneumonia in the _____ lobe.

Correct AnswerverifiedShow Answer

The diaphragm of the stethoscope is better than the bell for auscultation of the lungs because it

Correct AnswerverifiedShow Answer

Expected respiratory changes of normal aging include

Correct AnswerverifiedShow Answer

In the most effective percussion technique of the posterior lung fields, the patient cooperates by

Correct AnswerverifiedShow Answer

Bronchovesicular breath sounds in young children that are loud and harsh are an indication of

Correct AnswerverifiedShow Answer

The examiner percusses for diaphragmatic excursion along the

Correct AnswerverifiedShow Answer

The anteroposterior diameter of the chest is normally approximately the same as the transverse diameter in which age group?

Correct AnswerverifiedShow Answer

The respiratory rate of a newborn infant is expected to range from _____ breaths/min.

Correct AnswerverifiedShow Answer

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