Respiratory Q_A Complete Solution
1. The anterior surface landmark on the thorax that is denoted by a hollow U-shaped depression just above the sternum
... [Show More] and between the clavicles is termed the: suprasternal notch
2. Increased anteroposterior diameter of the chest, purse-lipped breathing, and dyspnea with talking, suggest: chronic obstructive pulmonary disease
3. The line that extends through the inferior angle of the scapula when the arms are at the sides of the body is the: scapular line
4. The lower tip of the scapula is located: around the seventh or eighth rib
5. Stridor heard louder in the neck than over the chest wall indicates: a partial obstruction in the larynx
6. A 37-year-old female has audible stridor. This type of stridor is consistent with: a foreign object lodged in the upper trachea
7. 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:
8. To locate the twelfth rib, palpate: between the spine and the lateral chest
9. A 3-year-old presents with a history of fever and cough over the past 24 hours. Findings on exam reveal: temperature of 102F, apical heart rate of 157 beats/minute, and respiratory rate of 40 breaths/minute. Tachypnea in this child is most likely related to: the child's febrile state
10. 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: pneumonia
11. One of the anterior thoracic landmarks is the costal angle. It is located: where the right and left costal margins form an angle where they meet at the xiphoid process
12. 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: chronic obstructive pulmonary disease
13. Atypical respiratory symptoms associated with gastroesophageal disease (GERD) may include all of the following except: rhinitis
14. Diminished breath sounds should be interpreted as: an abnormal finding warranting further evaluation
15. A 65-year-old obese man with a past medical history of hypertension complains of increased fatigue during the day. The practitioner orders a polysomnogram to test for: obstructive sleep apnea (OSA)
16. An acute viral illness that presents with a burning retrosternal discomfort and a dry cough is suggestive of: tracheobronchitis
17. 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: bronchial
18. On auscultation of the chest, if the patient says "ninety-nine" and it is clearly heard, this is indicative of: lung density in the area
19. 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 take a deep breathe and note any delay in expansion during inhalation
20. When trying to differentiate between hemoptysis or blood streaked material, which one of the following observations is correct? Hemoptysis is common in children with cystic fibrosis
21. Breath sounds heard over the periphery of the lung fields are: vesicular
22. A condition associated with a chronic cough that produces copious amounts of purulent sputum is most likely: bronchiectasis
23. Which technique best determines whether the tissues in the chest are air-filled, fluid-filled, or solid? Percussion
24. When percussing the chest in a patient who has left sided heart failure, the sound emanated would be: resonant
25. To document chest findings located below the scapulae, which one of the following terms would be used? Infrascapular
26. The middle section of the thoracic cavity containing the esophagus, trachea, heart, and great vessels is the: mediastinum
27. Respiratory effort in the neonate is initiated at birth as a result of: chemical, thermal, and mechanical factors
28. The midaxillary line: runs down from the apex of the axilla and lies between and parallel to the anterior and posterior lines
29. To document chest findings located between the scapulae, which one of the following terms would be used? Interscapular
30. When percussing the lower posterior chest, begin by: standing on the side rather than directly behind the patient
31. When examining a patient for chest expansion, begin by: placing the thumbs of the examiner at about the level of the tenth ribs with the fingers loosely grasping and parallel to the lateral rib cage
32. When percussing the posterior chest, which one of the following techniques would be omitted? Percuss the areas over the scapulae
33. When inspecting the chest for respiratory effort, which one of the following is not part of the inspection? Assessment for tactile fremitus
34. The line that bisects the center of each clavicle at a point halfway between the palpated sternoclavicular and acromioclavicular joints is the: midclavicular line
35. The angle of Louis is a useful place to start counting ribs. This landmark is located: on the manubrium and body of the sternum
36. The hilar region of the lungs describes: the area around the heart
37. A patient presents with a productive cough. Which one of the following descriptions of the mucus is correct? Tenacious sputum is consistent with patients who have cystic fibrosis
38. When performing a respiratory assessment on a 4-year-old child, further evaluation is warranted in the presence of: supraclavicular retractions
39. 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: bronchovesicular
40. 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: vesicular
41. When auscultating breath sounds, use the diaphragm of the stethoscope by placing it initially on the: posterior chest at the cervical 7 level
42. Orthopnea is typically associated with all of the following conditions except: pulmonary embolus
43. To document chest findings located at the lowermost portion of the lungs, which one of the following terms would be used? Bases of the lungs
44. Pain from pleurisy may be referred to the: epigastric area
45. Which one of the following infants should be seen immediately by the nurse practitioner? A two-week-old infant with nasal congestion and a respiratory rate of 64 breaths/minute
46. 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: a neoplasm of the lung
47. 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: lobar pneumonia
48. Retractions are observed in all the following areas except the: hilar area
49. 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
50. Adventitious breath sounds, such as crackles, are: popping, frying sounds, may be low or high-pitched and usually heard on inspiration
51. Breath sounds heard on chest over the hilar region are: bronchovesicular
52. Factors that aggravate costochondritis may include: movement of the chest, trunk, and arms
53. 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: suprasternal notch
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