Question 1

Which type of apnea requires immediate action?

Accepted Answer

A)   Primary apnea
B)   Secondary apnea
C)   Sleep apnea
D)   Periodic apnea of the newborn

Question 2

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.

Question 3

Respiratory effort usually exhibited by a patient with cerebral brain damage is called:

Accepted Answer

A)   Cheyne-Stokes respiration.
B)   paroxysmal nocturnal dyspnea.
C)   Kussmaul breathing.
D)   Biot respiration.

Question 4

An expected finding of chest palpation in the adult would be:

Accepted Answer

A)   a costal angle of 100 degrees.
B)   cracking over the sternal notch.
C)   greater right chest expansion.
D)   inflexibility of the xiphoid.

Question 5

Which finding suggests a minor structural variation?

Accepted Answer

A)   Barrel chest
B)   Clubbed fingers
C)   Pectus carinatum
D)   Chest wall retractions

Question 6

Increased oxygen tension in the arterial blood of a newborn infant causes:

Accepted Answer

A)   closure of the ductus arteriosus.
B)   hyperinflation of the lungs.
C)   passive respiratory movements.
D)   reopening of the foramen ovale.

Question 7

Which site of chest wall retractions indicates a more severe obstruction in the asthmatic patient?

Accepted Answer

A)   Lower chest
B)   Along the anterior axillary line
C)   Above the clavicles
D)   At the nipple line

Question 8

The examiner percusses for diaphragmatic excursion along the:

Accepted Answer

A)   sternum.
B)   midvertebral line.
C)   midaxillary line.
D)   scapular line.

Question 9

Mr. Curtis is a 44-year-old patient who has presented to the emergency department with shortness of breath. During the history, the patient describes shortness of breath that gets worse when he sits up. To document this, you will use the term:

Accepted Answer

A)   platypnea.
B)   orthopnea.
C)   tachypnea.
D)   bradypnea.

Question 10

As you take vital signs on Mr. Barrow, age 78 years, you note that his respirations are 40 breaths/min. He has been resting, and his mucosa is pink. In regard to Mr. Barrow'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.

Question 11

A musical squeaking noise heard on auscultation of the lungs is called:

Accepted Answer

A)   a friction rub.
B)   rales.
C)   rhonchi.
D)   wheezing.

Question 12

You are documenting a rash between the eighth and ninth ribs on the lateral border. This intercostal space will be documented in terms of the:

Accepted Answer

A)   rib immediately above it.
B)   rib immediately below it.
C)   number of centimeters it is positioned below the clavicle.
D)   number of inches it is positioned below the clavicle.

Question 13

Which of the following is an expected finding in newborns ?

Accepted Answer

A)   Mottling of the thorax
B)   Sternal retractions
C)   Cough
D)   Sneezing

Question 14

Mr. L has cyanotic lips and nail beds. His lips are pursed, and he has nasal flaring. You suspect that he is having cardiac or pulmonary difficulty. Which additional sign would support this impression?

Accepted Answer

A)   Callus formation on the heels
B)   Clubbing of the fingers
C)   Graying hair
D)   Swollen toes and ankles

Question 15

Which chest structure contains all the thoracic viscera except the lungs?

Accepted Answer

A)   Manubrium
B)   Mediastinum
C)   Sternum
D)   Xiphoid

Question 16

Breath sounds normally heard over the trachea are called:

Accepted Answer

A)   bronchovesicular.
B)   amphoric.
C)   bronchial.
D)   vesicular.

Question 17

The middle lobe of the right lung is best auscultated in the:

Accepted Answer

A)   anterior chest.
B)   posterior chest.
C)   axilla.
D)   midclavicular line.

Question 18

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

Accepted Answer

Pleural effusion and lobar pneumonia are...

Question 19

Loud, harsh bronchovesicular breath sounds in young children are an indication of:

Accepted Answer

A)   the accumulation of fluid.
B)   malignant tumors or solid masses.
C)   normal, thin chest wall structures.
D)   pus-filled abscesses and tumors.

Question 20

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.

Exam 13: Chest and Lungs

You are documenting a rash between the eighth and ninth ribs on the lateral border. This intercostal space will be documented in terms of the:

Correct AnswerverifiedShow Answer

Respiratory effort usually exhibited by a patient with cerebral brain damage is called:

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedPleural effusion and lobar pneumonia are...View AnswerShow Answer

Increased oxygen tension in the arterial blood of a newborn infant causes:

Correct AnswerverifiedShow Answer

Mr. Curtis is a 44-year-old patient who has presented to the emergency department with shortness of breath. During the history, the patient describes shortness of breath that gets worse when he sits up. To document this, you will use the term:

Correct AnswerverifiedShow Answer

The examiner percusses for diaphragmatic excursion along the:

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Which of the following is an expected finding in newborns ?

Correct AnswerverifiedShow Answer

Breath sounds normally heard over the trachea are called:

Correct AnswerverifiedShow Answer

Which type of apnea requires immediate action?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Which finding suggests a minor structural variation?

Correct AnswerverifiedShow Answer

Expected respiratory changes of normal aging include:

Correct AnswerverifiedShow Answer

The middle lobe of the right lung is best auscultated in the:

Correct AnswerverifiedShow Answer

Loud, harsh bronchovesicular breath sounds in young children are an indication of:

Correct AnswerverifiedShow Answer

An expected finding of chest palpation in the adult would be:

Correct AnswerverifiedShow Answer

Which chest structure contains all the thoracic viscera except the lungs?

Correct AnswerverifiedShow Answer

Mr. L has cyanotic lips and nail beds. His lips are pursed, and he has nasal flaring. You suspect that he is having cardiac or pulmonary difficulty. Which additional sign would support this impression?

Correct AnswerverifiedShow Answer

A musical squeaking noise heard on auscultation of the lungs is called:

Correct AnswerverifiedShow Answer

Which site of chest wall retractions indicates a more severe obstruction in the asthmatic patient?

Correct AnswerverifiedShow Answer

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Pleural effusion and lobar pneumonia are...
View Answer

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