A.,nurse.,suspects.,a.,viral.,infection.,or.,upper.,respiratory.,allergies.,when.,the.,
patient.,describes.,the.,sputum.,as.,being.,which.,color?
1..,Green
2..,Clear
3..,Yellow
4..,Pink.,tinged.,-.,correct.,answer.,✔ ✔ 2..,Clear
During.,inspection.,of.,the.,respiratory.,system.,the.,nurse.,documents.,which.,fi
nding.,as.,abnormal?
1..,Skin.,color.,consistent.,with.,patient's.,race
2..,1:2.,ratio.,of.,anteroposterior.,to.,lateral.,diameter
3..,Respiratory.,rate.,of.,20.,breaths.,per.,minute
4..,Patient.,leaning.,forward.,with.,arms.,braced.,on.,the.,knees.,-
.,correct.,answer.,✔ ✔
4..,Patient.,leaning.,forward.,with.,arms.,braced.,on.,the.,knees
,A.,patient.,has.,an.,infection.,of.,the.,terminal.,bronchioles.,and.,alveoli.,that.,inv
olves.,the.,right.,lower.,lobe.,of.,the.,lung..,Which.,abnormal.,findings.,are.,expec
ted?
1..,Dyspnea.,with.,diminished.,breath.,sounds.,bilaterally
2..,Asymmetric.,chest.,expansion.,and.,rhonchi.,on.,the.,right.,side
3..,Fever.,and.,tachypnea.,with.,crackles.,over.,the.,right.,lower.,lobe
4..,Prolonged.,expiration.,with.,an.,occasional.,wheeze.,in.,the.,right.,lower.,lobe
.,-.,correct.,answer.,✔ ✔
3..,Fever.,and.,tachypnea.,with.,crackles.,over.,the.,right.,lower.,lobe
On.,auscultation.,of.,a.,patient's.,lungs,.,the.,nurse.,hears.,a.,low-
pitched,.,coarse,.,loud,.,and.,low.,snoring.,sound..,Which.,term.,does.,the.,nurse.,
use.,to.,document.,this.,finding?
1..,Rhonchi
2..,Wheeze
3..,Crackles
4..,Pleural.,friction.,rub.,-.,correct.,answer.,✔ ✔ 1..,Rhonchi
A.,nurse.,finds.,the.,patient's.,AP.,diameter.,of.,the.,chest.,to.,be.,the.,same.,as.,the.,l
ateral.,diameter..,Based.,on.,this.,finding,.,what.,additional.,data.,would.,the.,nur
se.,anticipate?
, 1..,Bronchial.,breath.,sounds.,in.,the.,posterior.,thorax
2..,Decrease.,in.,respiratory.,rate
3..,Decreased.,breath.,sounds.,on.,auscultation
4..,Complaint.,of.,sharp.,chest.,pain.,on.,inspiration.,-.,correct.,answer.,✔ ✔
3..,Decreased.,breath.,sounds.,on.,auscultation
How.,does.,the.,nurse.,palpate.,the.,chest.,for.,tenderness,.,bulges,.,and.,symmetr
y?
1..,Uses.,the.,fist.,of.,the.,dominant.,hand.,to.,gently.,tap.,the.,anterior,.,lateral,.,an
d.,posterior.,chest,.,comparing.,one.,side.,with.,another
2..,Uses.,the.,ulnar.,surface.,of.,one.,hand.,to.,palpate.,the.,anterior,.,posterior,.,an
d.,lateral.,chest,.,comparing.,one.,side.,with.,another
3..,Uses.,the.,tips.,of.,the.,fingers.,to.,palpate.,the.,skin.,over.,the.,chest.,and.,the.,ali
gnment.,of.,vertebrae
4..,Uses.,the.,palmar.,surface.,of.,fingers.,of.,both.,hands.,to.,feel.,the.,texture.,of.,t
he.,skin.,over.,the.,chest.,and.,the.,alignment.,of.,vertebrae.,-.,correct.,answer.,✔
✔
4..,Uses.,the.,palmar.,surface.,of.,fingers.,of.,both.,hands.,to.,feel.,the.,texture.,of.
,the.,skin.,over.,the.,chest.,and.,the.,alignment.,of.,vertebrae
Which.,breath.,sounds.,are.,expected.,over.,the.,posterior.,chest.,of.,an.,adult?