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Exam 18: Thorax and Lungs

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Question 21

Multiple Choice

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When performing a respiratory assessment on a patient,the nurse notes a costal angle of approximately 90 degrees.This characteristic is:

A) seen in patients with kyphosis.
B) indicative of pectus excavatum.
C) a normal finding in a healthy adult.
D) an expected finding in a patient with a barrel chest.

E) A) and B)
F) None of the above

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Question 22

Multiple Choice

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When auscultating the chest in an adult,the nurse would:

A) instruct the patient to take deep,rapid breaths.
B) instruct the patient to breathe in and out through his or her nose.
C) use the diaphragm of the stethoscope held firmly against the chest.
D) use the bell of the stethoscope held lightly against the chest to avoid friction.

E) All of the above
F) B) and C)

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Question 23

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A patient has a long history of chronic obstructive pulmonary disease.During the assessment,the nurse is most likely to observe:

Which of the following is true regarding the vertebra prominens? The vertebra prominens is:

During an examination of the anterior thorax,the nurse recalls that the trachea bifurcates anteriorly at the:

Air passing through narrowed bronchioles would produce which of the following adventitious sounds?

Which of the following describes normal changes in the respiratory system of the older adult?

During an assessment,the nurse knows that expected assessment findings in the normal adult lung include the presence of:

The nurse knows that a normal finding when assessing the respiratory system of an elderly adult is:

During percussion,the nurse knows that a dull percussion note elicited over a lung lobe most likely results from:

The nurse knows that percussion over an area of atelectasis in the lungs would reveal:

When assessing tactile fremitus,the nurse recalls that it is normal to feel tactile fremitus most intensely over which location?

MATCHING The nurse is assessing voice sounds during a respiratory assessment.Match the assessment with the correct technique: -B = Bronchophony

A teenage patient comes to the emergency department with complaints of an inability to "breathe and a sharp pain in my left chest." The assessment findings include the following: cyanosis,tachypnea,tracheal deviation to the right,decreased tactile fremitus on the left,hyperresonance on the left,and decreased breath sounds on the left.This description is consistent with:

A 35-year-old recent immigrant is being seen in the clinic for complaints of a cough that is associated with rust-colored sputum,low-grade afternoon fevers,and night sweats for the past 2 months.The nurse's preliminary analysis,based on this history,is that this patient may be suffering from:

When inspecting the anterior chest of an adult,the nurse should assess for:

The nurse is auscultating the lungs of a patient who had been sleeping and notes short,popping,crackling sounds that stop after a few breaths.The nurse recognizes that these breath sounds are:

Which statement about the apices of the lungs is true? The apices of the lungs:

A 70-year-old patient is being seen in the clinic for severe exacerbation of his heart failure.Which of the following findings is the nurse most likely to observe in this situation?