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NSG 6020 RESPIRATION QUESTIONS AND ANSWERS/ ALREADY GRADED A

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NSG 6020 Respiratory - Question and Answers The anterior surface landmark on the thorax that is denoted by a hollow U-shaped depression just above the sternum and betweenthe clavicles is termed the Increased anteroposterior diameter of the chest, purse-lipped breathing, and dyspnea with talking, suggest The line that extends through the inferior angle of the scapula when the arms are at the sides of the body is the The lower tip of the scapula is located Stridor heard louder in the neck than over the chest wall indicates A 37-year-old female has audible stridor. This type of stridor is consistent with When palpating the thorax, a crackling, popping noise under the skin is heard. On auscultation, a sound similar to hair beingrubbed between the fingers is noted. These symptoms could be consistent with: To locate the twelfth rib, palpate 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 40breaths/minute. Tachypnea in this child is most likely related to 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 One of the anterior thoracic landmarks is the costal angle. It is located A patient who walked into the examination room, may be observed to be sitting and leaning forward in his chair. Lips were pursedduring exhalation and arms are supported on the table. This position could be consistent with patients who have Atypical respiratory symptoms associated with gastroesophageal disease (GERD) may include all of the following except Diminished breath sounds should be interpreted as A 65-year-old obese man with a past medical history of hypertension complains of increased fatigue during the day. Thepractitioner orders a polysomnogram to test for An acute viral illness that presents with a burning retrosternal discomfort and a dry cough is suggestive of Breath sounds consisting of a full inspiratory and expiratory phase with the inspiratory phase usually being louder and normallyheard over the trachea and larynx are considered On auscultation of the chest, if the patient says "ninety-nine" and it is clearly heard, this is indicative of The palpation technique used to assess respiratory expansion of the chest is placing the hands on the eight or tenth ribsposteriorly with the thumbs close to the vertebrae, sliding the hand medially and grasping a small fold of skin between the thumbs. Then When trying to differentiate between hemoptysis or blood streaked material, which one of the following observations is correct? Breath sounds heard over the periphery of the lung fields are A condition associated with a chronic cough that produces copious amounts of purulent sputum is most likely Which technique best determines whether the tissues in the chest are air-filled, fluid-filled, or solid? When percussing the chest in a patient who has left sided heart failure, the sound emanated would be To document chest findings located below the scapulae, which one of the following terms would be used? The middle section of the thoracic cavity containing the esophagus, trachea, heart, and great vessels is the Respiratory effort in the neonate is initiated at birth as a result of The midaxillary line To document chest findings located between the scapulae, which one of the following terms would be used? When percussing the lower posterior chest, begin by When examining a patient for chest expansion, begin by When percussing the posterior chest, which one of the following techniques would be omitted? When inspecting the chest for respiratory effort, which one of the following is not part of the inspection? The line that bisects the center of each clavicle at a point halfway between the palpated sternoclavicular and acromioclavicular joints is the The angle of Louis is a useful place to start counting ribs. This landmark is located The hilar region of the lungs describes A patient presents with a productive cough. Which one of the following descriptions of the mucus is correct? When performing a respiratory assessment on a 4-year-old child, further evaluation is warranted in the presence of Breath sounds consisting of a full inspiratory phase and a shortened and softer expiratory phase normally audible over the hilarregion of the chest are termed Breath sounds auscultated over the periphery of the lung fields are quiet and wispy during the inspiratory phase followed by ashort, almost silent expiratory phase. These breath sounds are considered: When auscultating breath sounds, use the diaphragm of the stethoscope by placing it initially on the Orthopnea is typically associated with all of the following conditions except To document chest findings located at the lowermost portion of the lungs, which one of the following terms would be used? Pain from pleurisy may be referred to the Which one of the following infants should be seen immediately by the nurse practitioner? 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 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 Retractions are observed in all the following areas except the When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are Adventitious breath sounds, such as crackles, are Breath sounds heard on chest over the hilar region are Factors that aggravate costochondritis may include The anterior surface landmark on the thorax that is denoted by a hollow U-shaped depression just above the sternum and betweenthe clavicles is termed

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NSG 6020 RESPIRATION QUESTIONS AND ANSWERS

1. 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
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
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, 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




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