Exam 2 Advanced Health Assessment
questions and answers
What causes barrel chest? - This results from comprised respirations d/t chronic
asthma, emphysema, or cystic fibrosis.
Indication of pectus carinatum, often referred to as pigeon chest
Present with prominent sternal protrusion
Characteristics of barrel chest - The AP diameter approaches or equals the lateral
diameter with a ratio 1.0 or even greater suggest a chronic respirator condition
that causes barrel chest
What is tachypnea? - RR >20/min hyperventilation, pt may be splinting d/t px from
fx rib or pleurisy, increase liver size, and ascites that prevents the diaphragm
decent
What is bradypnea? - RR<12/min may be neurologic, electrolyte disturbances,
infection, pt protection self from px, too much sedation/px med or excellent
cardiovascular fitness.
Areas of hyperresonance are percussed over the lung fields in which condition? -
Emphysema, areas of trapped air that occur with emphysema
,Exam 2 Advanced Health Assessment
questions and answers
Pleruisy causes what sound? - -a friction rub with auscultation
PNA and pleural effusion are likely to cause what sounds? - Squeaking or grating
sounds of the pleural linings rubbing together
The manubriosternal angle (angle of Louis) is continuous with which anatomical
landmark? - Second rib
Which findings on the pt hx is suspicious for pulmonary tuberculosis? - -Night
sweats
Which assessment findings of the resp. sys in a 2 month old infant is considered
abnormal? - grunting
Which assessment finding suggests a child has epiglottis? - -difficulty swallowing
-a harsh barking cough occurs with acute laryngotracheitis or croup
A pt with metabolic acidosis is likely to display which type of respiration? - A rapid
deep breathing
,Exam 2 Advanced Health Assessment
questions and answers
Kussmaul respirations occur with metabolic acidosis. The pt breathes deeply and
rapidly as the body blows off CO2 to compensate
In which condition is fluid present in the pleural space? - Pleural effusion
During a hx a client tells the nurse that he has smoked 2 packs of cigarettes per
day for 10 years and 1 pack per day for the past 15 years - 35?
Define vesicular breath sounds? - Normal, soft and low-pitched over peripheral
lung fields, Inspiration is longer and louder than expiration phase, heard over
healthy lung tissue
Bronchovesicular sounds are heard where? - Over the main bronchus and over the
upper right posterior lung. Medium pitch with equal expiration and inspiration
What does wheezing sound like? - -musical noise like a whistle
-usually louder on expiration
-heard continuously during inspiration and expiration
, Exam 2 Advanced Health Assessment
questions and answers
What does rhonchi sound like? and what does it indicate? - -snoring or rattling
noises heard upon auscultation
-they indicate obstructions by thick secretions of mucus. Quality of sound changes
if the person coughs or sometimes changes position
What does a pleural friction rub sound like and what is it caused by? - -dry rubbing
or grating sounds
-caused by inflammation or pleural spaces
Rate and depth of breathing will increase with? - -acidosis
-CNS lesion (pons)
-anxiety
-ASA poisoning
-oxygen need (hypoxemia)
-pain
Rate and depth of breathing will decrease with? - -alkalosis (metabolic)
-CNS lesion (cerebrum)
-Myasthenia gravis
questions and answers
What causes barrel chest? - This results from comprised respirations d/t chronic
asthma, emphysema, or cystic fibrosis.
Indication of pectus carinatum, often referred to as pigeon chest
Present with prominent sternal protrusion
Characteristics of barrel chest - The AP diameter approaches or equals the lateral
diameter with a ratio 1.0 or even greater suggest a chronic respirator condition
that causes barrel chest
What is tachypnea? - RR >20/min hyperventilation, pt may be splinting d/t px from
fx rib or pleurisy, increase liver size, and ascites that prevents the diaphragm
decent
What is bradypnea? - RR<12/min may be neurologic, electrolyte disturbances,
infection, pt protection self from px, too much sedation/px med or excellent
cardiovascular fitness.
Areas of hyperresonance are percussed over the lung fields in which condition? -
Emphysema, areas of trapped air that occur with emphysema
,Exam 2 Advanced Health Assessment
questions and answers
Pleruisy causes what sound? - -a friction rub with auscultation
PNA and pleural effusion are likely to cause what sounds? - Squeaking or grating
sounds of the pleural linings rubbing together
The manubriosternal angle (angle of Louis) is continuous with which anatomical
landmark? - Second rib
Which findings on the pt hx is suspicious for pulmonary tuberculosis? - -Night
sweats
Which assessment findings of the resp. sys in a 2 month old infant is considered
abnormal? - grunting
Which assessment finding suggests a child has epiglottis? - -difficulty swallowing
-a harsh barking cough occurs with acute laryngotracheitis or croup
A pt with metabolic acidosis is likely to display which type of respiration? - A rapid
deep breathing
,Exam 2 Advanced Health Assessment
questions and answers
Kussmaul respirations occur with metabolic acidosis. The pt breathes deeply and
rapidly as the body blows off CO2 to compensate
In which condition is fluid present in the pleural space? - Pleural effusion
During a hx a client tells the nurse that he has smoked 2 packs of cigarettes per
day for 10 years and 1 pack per day for the past 15 years - 35?
Define vesicular breath sounds? - Normal, soft and low-pitched over peripheral
lung fields, Inspiration is longer and louder than expiration phase, heard over
healthy lung tissue
Bronchovesicular sounds are heard where? - Over the main bronchus and over the
upper right posterior lung. Medium pitch with equal expiration and inspiration
What does wheezing sound like? - -musical noise like a whistle
-usually louder on expiration
-heard continuously during inspiration and expiration
, Exam 2 Advanced Health Assessment
questions and answers
What does rhonchi sound like? and what does it indicate? - -snoring or rattling
noises heard upon auscultation
-they indicate obstructions by thick secretions of mucus. Quality of sound changes
if the person coughs or sometimes changes position
What does a pleural friction rub sound like and what is it caused by? - -dry rubbing
or grating sounds
-caused by inflammation or pleural spaces
Rate and depth of breathing will increase with? - -acidosis
-CNS lesion (pons)
-anxiety
-ASA poisoning
-oxygen need (hypoxemia)
-pain
Rate and depth of breathing will decrease with? - -alkalosis (metabolic)
-CNS lesion (cerebrum)
-Myasthenia gravis
