, NURS 3320 QUIZ 2
Holistic Health Assessment Across the Lifespan
University of Texas at Arlington (UTA) 100-Question
Original Practice Quiz
2026/2027 Edition
Thorax and Lungs
1. Which breath sound is normally heard over most peripheral lung fields?
A) Pleural friction rub
B) Stridor
C) Vesicular
D) Bronchial
Correct Answer: C) Vesicular
Rationale: Vesicular breath sounds are soft and low pitched and are normally heard over peripheral lung tissue.
Bronchial sounds are normally heard over the trachea.
2. What percussion note is expected over healthy lung tissue?
A) Dullness
B) Flatness
C) Tympany
D) Resonance
Correct Answer: D) Resonance
Rationale: Normal aerated lung produces a resonant percussion note. Dullness suggests denser tissue or fluid,
while hyperresonance can occur with excess air.
3. Dullness to percussion at a lung base with decreased breath sounds most strongly suggests:
A) Asthma
B) Pneumothorax
C) Normal finding
D) Pleural effusion
Correct Answer: D) Pleural effusion
Rationale: Pleural fluid dampens sound transmission and produces dullness with reduced breath sounds over the
affected area.
4. Hyperresonance with absent unilateral breath sounds raises concern for:
A) Pneumothorax
NURS 3320 Quiz 2 Practice Assessment | 2026/2027 Edition | Page 1
, B) Lobar pneumonia
C) Bronchitis
D) Pleural effusion
Correct Answer: A) Pneumothorax
Rationale: Air in the pleural space produces hyperresonance and reduces breath sounds. Sudden dyspnea or
hemodynamic compromise increases urgency.
5. Increased tactile fremitus over one lobe suggests:
A) Normal aging
B) Pneumothorax
C) Pulmonary consolidation
D) Pleural effusion
Correct Answer: C) Pulmonary consolidation
Rationale: Consolidated lung transmits vocal vibrations better than normal aerated lung, so tactile fremitus may
increase.
6. Decreased tactile fremitus is expected over:
A) Consolidation
B) Pleural effusion
C) Normal trachea
D) Bronchial breath sounds
Correct Answer: B) Pleural effusion
Rationale: Fluid or air in the pleural space blocks transmission of vocal vibrations from the lung to the chest wall.
7. Egophony in which 'E' sounds like 'A' is associated with:
A) Isolated rhinitis
B) Otitis media
C) Normal vesicular breathing
D) Lung consolidation
Correct Answer: D) Lung consolidation
Rationale: Egophony reflects increased transmission of voice sounds through consolidated lung, as in
pneumonia.
8. Fine crackles at both lung bases in a patient with orthopnea may indicate:
A) Cerumen impaction
B) Pulmonary fluid accumulation
NURS 3320 Quiz 2 Practice Assessment | 2026/2027 Edition | Page 2
Holistic Health Assessment Across the Lifespan
University of Texas at Arlington (UTA) 100-Question
Original Practice Quiz
2026/2027 Edition
Thorax and Lungs
1. Which breath sound is normally heard over most peripheral lung fields?
A) Pleural friction rub
B) Stridor
C) Vesicular
D) Bronchial
Correct Answer: C) Vesicular
Rationale: Vesicular breath sounds are soft and low pitched and are normally heard over peripheral lung tissue.
Bronchial sounds are normally heard over the trachea.
2. What percussion note is expected over healthy lung tissue?
A) Dullness
B) Flatness
C) Tympany
D) Resonance
Correct Answer: D) Resonance
Rationale: Normal aerated lung produces a resonant percussion note. Dullness suggests denser tissue or fluid,
while hyperresonance can occur with excess air.
3. Dullness to percussion at a lung base with decreased breath sounds most strongly suggests:
A) Asthma
B) Pneumothorax
C) Normal finding
D) Pleural effusion
Correct Answer: D) Pleural effusion
Rationale: Pleural fluid dampens sound transmission and produces dullness with reduced breath sounds over the
affected area.
4. Hyperresonance with absent unilateral breath sounds raises concern for:
A) Pneumothorax
NURS 3320 Quiz 2 Practice Assessment | 2026/2027 Edition | Page 1
, B) Lobar pneumonia
C) Bronchitis
D) Pleural effusion
Correct Answer: A) Pneumothorax
Rationale: Air in the pleural space produces hyperresonance and reduces breath sounds. Sudden dyspnea or
hemodynamic compromise increases urgency.
5. Increased tactile fremitus over one lobe suggests:
A) Normal aging
B) Pneumothorax
C) Pulmonary consolidation
D) Pleural effusion
Correct Answer: C) Pulmonary consolidation
Rationale: Consolidated lung transmits vocal vibrations better than normal aerated lung, so tactile fremitus may
increase.
6. Decreased tactile fremitus is expected over:
A) Consolidation
B) Pleural effusion
C) Normal trachea
D) Bronchial breath sounds
Correct Answer: B) Pleural effusion
Rationale: Fluid or air in the pleural space blocks transmission of vocal vibrations from the lung to the chest wall.
7. Egophony in which 'E' sounds like 'A' is associated with:
A) Isolated rhinitis
B) Otitis media
C) Normal vesicular breathing
D) Lung consolidation
Correct Answer: D) Lung consolidation
Rationale: Egophony reflects increased transmission of voice sounds through consolidated lung, as in
pneumonia.
8. Fine crackles at both lung bases in a patient with orthopnea may indicate:
A) Cerumen impaction
B) Pulmonary fluid accumulation
NURS 3320 Quiz 2 Practice Assessment | 2026/2027 Edition | Page 2
