2
NUR 504 APEA Final Study Guide questions with accurate
|| || || || || || || || ||
solutions
Retractions are observed in all the following areas except the: || || || || || || || || ||
Supraventricular area ||
hilar area. ||
intercostal area ||
costal marginal area. - ✔✔hilar area.
|| || || || ||
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. - ✔✔the child's febrile state.
|| || || || || || ||
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 - ✔✔standing on the side rather than directly
|| || || || || || || || || || || || || || || || ||
behind the patient.
|| || ||
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
|| || || || || || || || || || || || ||
, 2
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. - ✔✔ask the patient to
|| || || || || || || || || || || || || ||
take a deep breathe and note any delay in expansion during inhalation.
|| || || || || || || || || || ||
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. - ✔✔Blood streaked
|| || || || || || || || || || || ||
material often originates from the gastrointestinal tract.
|| || || || || ||
When percussing the chest in a patient who has left sided heart failure, the sound emanated
|| || || || || || || || || || || || || || ||
would be:
|| ||
Resonant.
dull tympany.
||
Diffusely
hyper resonant - ✔✔Resonant.
|| || ||
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 ||
NUR 504 APEA Final Study Guide questions with accurate
|| || || || || || || || ||
solutions
Retractions are observed in all the following areas except the: || || || || || || || || ||
Supraventricular area ||
hilar area. ||
intercostal area ||
costal marginal area. - ✔✔hilar area.
|| || || || ||
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. - ✔✔the child's febrile state.
|| || || || || || ||
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 - ✔✔standing on the side rather than directly
|| || || || || || || || || || || || || || || || ||
behind the patient.
|| || ||
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
|| || || || || || || || || || || || ||
, 2
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. - ✔✔ask the patient to
|| || || || || || || || || || || || || ||
take a deep breathe and note any delay in expansion during inhalation.
|| || || || || || || || || || ||
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. - ✔✔Blood streaked
|| || || || || || || || || || || ||
material often originates from the gastrointestinal tract.
|| || || || || ||
When percussing the chest in a patient who has left sided heart failure, the sound emanated
|| || || || || || || || || || || || || || ||
would be:
|| ||
Resonant.
dull tympany.
||
Diffusely
hyper resonant - ✔✔Resonant.
|| || ||
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 ||
