NR 509 APEA 3P Exam Week 8 __1
NR509
NR-509-APEA-3P-Exam-Week-8
Question 1
A 3 year-old presents with a history of fever and cough over
... [Show More] the past 24 hours. Findings on exam reveal: temperature of 102°F, apical heart rate of 157 beats/minute, and respiratory rate of 40 breaths/minute. Tachypnea in this child is most likely related to
Question 2
When percussing the lower posterior chest, begin by:
Question 3
The palpation technique used to assess respiratory expansion of the chest is placing the hands on the eight or tenth ribs posteriorly with the thumbs close to the vertebrae, sliding the hand medially and grasping a small fold of skin between the thumbs. Then:
Question 4
When trying to differentiate between hemoptysis or blood streaked material, which one of the following observations is correct?
Question 5
When percussing the chest in a patient who has left sided heart failure, the sound emanated would be:
Question 6
The line that extends through the inferior angle of the scapula when the arms are at the sides of the body is the:
Question 7
A condition associated with a chronic cough that produces copious amounts of purulent sputum is most likely:
Question 8
A patient who walked into the examination room, may be observed to be sitting and leaning forward in his chair. Lips were pursed during exhalation and arms are supported on the table. This position could be consistent with patients who have:
Question 9
Breath sounds heard over the periphery of the lung fields are:
Question 10
When percussing the posterior chest, which one of the following techniques would be omitted?
When comparing two areas on the chest, use the same percussion technique in both areas.
Question 11
When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are:
vesicular with late inspiratory crackles in the dependent portions of the lungs and resonant on percussion.
Question 12
Breath sounds consisting of a full inspiratory phase and a shortened and softer expiratory phase normally audible over the hilar region of the chest are termed:
vesicular.bronchial.bronchovesicular. Correctrhonchi.
Explanation:
Bronchovesicular breath sounds consist of a full inspiratory phase with a shortened and softer expiratory phase. They are normally heard over the hilar region (center of the lungs near the heart). Vesicular breath sounds consist of a quiet, wispy inspiratory phase followed by a short, almost silent expiratory phase. They are heard over the periphery of the lung field. Bronchial breath sounds consist of a full inspiratory and expiratory phase with the inspiratory phase usually being louder. They are normally heard over the trachea and larynx.
Question 13
An acute viral illness that presents with a burning retrosternal discomfort and a dry cough is suggestive of:
Question 14
One of the anterior thoracic landmarks is the costal angle. It is located:
Question 15
Atypical respiratory symptoms associated with gastroesophageal disease (GERD) may include all of the following except:
coughing.wheezing.aspirationpneumonia.rhinitis. Correct
Explanation:
Atypical respiratory symptoms associated with gastroesophageal disease may include coughing, wheezing, asthma, and aspiration pneumonia. Rhinitis is rarely associated with GERD.
Question 16
On auscultation of the chest, if the patient says "ninety-nine" and it is clearly heard, this is indicative of:
Question 17
Respiratory effort in the neonate is initiated at birth as a result of:
Explanation:
Crackles are termed coarse, medium, or fine and usually produce a popping, frying sound. Coarse crackles are low-pitched while fine crackles are high-pitched. Coarse sounds are heard on inspiration and sometimes expiration, medium crackles in the middle of inspiration, and fine crackles at the end of inspiration. Rhonchi are continuous, low-pitched and heard on expiration. Wheezes are continuous high- pitched and musical. A pleural friction rub produces a dry, grating sound.
Question 19
Breath sounds heard on chest over the hilar region are:
Question 20
Breath sounds consisting of a full inspiratory and expiratory phase with the inspiratory phase usually being louder and normally heard over the trachea and larynx are considered:
Question 21
Pain from pleurisy may be referred to the:
rightshoulder.retrosternal area. Incorrectepigastric area. Correctback.
Question 22
When performing a respiratory assessment on a 4-year-old child, further evaluation is warranted in the presence of:
.
Question 23
Which technique best determines whether the tissues in the chest are air-filled, fluid-filled, or solid?
Question 24
Breath sounds auscultated over the periphery of the lung fields are quiet and wispy during the inspiratory phase followed by a short, almost silent expiratory phase. These breath sounds are considered:
Question 25
A patient who presents with a long history of cigarette smoking exhibits a dry to productive cough with dyspnea and weight loss. These symptoms could be consistent with:
Question 26
The hilar region of the lungs describes:
Question 27
The anterior surface landmark on the thorax that is denoted by a hollow U-shaped depression just above the sternum and between the clavicles is termed the:
Question 29
Factors that aggravate costochondritis may include:
Question 30
To locate the twelfth rib, palpate:
Question 31
To document chest findings located between the scapulae, which one of the following terms would be used?
Question 32
The midaxillary line:
Question 33
Retractions are observed in all the following areas except the:
Question 34
When examining a patient for chest expansion, begin by:
Question 35
The lower tip of the scapula is located:
Question 36
A patient presents with a productive cough. Which one of the following descriptions of the mucus is correct?
Question 37
Diminished breath sounds should be interpreted as:
Question 38
When inspecting the chest for respiratory effort, which one of the following is not part of the inspection?
Question 39
The angle of Louis is a useful place to start counting ribs. This landmark is located:
Question 40
When auscultating breath sounds, use the diaphragm of the stethoscope by placing it initially on the:
Question 41
The line that bisects the center of each clavicle at a point halfway between the palpated sternoclavicular and acromioclavicular joints is the:
Question 42
When palpating the thorax, a crackling, popping noise under the skin is heard. On auscultation, a sound similar to hair being rubbed between the fingers is noted. These symptoms could be consistent with:
Question 43
To document chest findings located below the scapulae, which one of the following terms would be used?
Question 44
A 37-year-old female has audible stridor. This type of stridor is consistent with:
Question 45
When percussing the right upper posterior area of the chest, a dullness replaces the resonance sound usually heard in the lung. This sound would be suggestive of:
Question 46
Orthopnea is typically associated with all of the following conditions except:
Question 47
Stridor heard louder in the neck than over the chest wall indicates:
Question 48
Increased anteroposterior diameter of the chest, purse-lipped breathing, and dyspnea with talking, suggest:
Question 49
The middle section of the thoracic cavity containing the esophagus, trachea, heart, and great vessels is the:
.
Question 50
To document chest findings located at the lowermost portion of the lungs, which one of the following terms would be used?
Question 51
Which one of the following infants should be seen immediately by the nurse practitioner? [Show Less]