NR509 APEA Exam 3P (3 P -physical, pathophysiology, and pharmacology) (Latest): Advanced physical assessment: Chamberlain College of Nursing
Question
... [Show More] 1
A 3 year-old presents with a history of fever and cough over 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
Paradoxical respirations.
the child's febrile state.
the child's age.
an airway obstruction.
Question 2
When percussing the lower posterior chest, begin by:
standing on the side rather than directly behind the patient.
having the patient lie supine on the examining table.
carefully palpating any area the patient has reported pain.
using the ball or the ulnar surface of the hand.
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:
ask the patient to cough and note chest expansion.
ask the patient to take a deep breathe and note any delay in expansion during inhalation.
have the patient hold his breath for 15 seconds then note chest expansion.
have the patient exhale forcefully noting expansion on expiration.
Question 4
When trying to differentiate between hemoptysis or blood streaked material, which one of the following observations is correct?
Hemoptysis is seen frequently in infants, children, and adolescents with allergic rhinitis.
Blood originating in the stomach is usually brighter than blood originating from the respiratory tract.
Hemoptysis is common in children with cystic fibrosis.
Blood streaked material often originates from the gastrointestinal tract.
Question 5
When percussing the chest in a patient who has left sided heart failure, the sound emanated would be:
resonant.
dulltympany.
Diffusely
hyperresonant.
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:
mid vertebral line.
scapular line.
midclavicular line.
mid-spinal line.
Question 7
A condition associated with a chronic cough that produces copious amounts of purulent sputum is most likely:
tracheobronchitis.
chronic bronchitis.
bronchiectasis.
laryngitis.
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:
pneumonia.
chronic
obstructive pulmonary disease.
asthma.
croup.
Question 9
Breath sounds heard over the periphery of the lung fields are:
bronchial.
abnormal.
bronchovesicular.
vesicular.
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.
Percuss one side of the chest then the other at each level.
Percuss the areas over the scapulae.
If a louder note is needed, apply more pressure with the
pleximeter finger.
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.
bronchial with late inspiratory crackles over the involved area and dull on percussion.
vesicular without adventitious sounds and resonant on percussion.
decreased with some audible wheezes and diffusely
hyperresonant 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.
rhonchi.
Question 13
An acute viral illness that presents with a burning retrosternal discomfort and a dry cough is suggestive of:
tracheobronchitis.
chronicbronchitis.
bronchiectasis.
laryngitis
and many more.....50+ [Show Less]