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NR 509 Week 8 APEA 3P Exam 2019 – Question and Answers 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 When percussing the lower posterior chest, begin by: 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: When trying to differentiate between hemoptysis or blood streaked material, which one of the following observations is correct? When percussing the chest in a patient who has left sided heart failure, the sound emanated would be: The line that extends through the inferior angle of the scapula when the arms are at the sides of the body is the: A condition associated with a chronic cough that produces copious amounts of purulent sputum is most likely: 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: Breath sounds heard over the periphery of the lung fields are: When percussing the posterior chest, which one of the following techniques would be omitted? When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are: Breath sounds consisting of a full inspiratory phase and a shortened and softer expiratory phase normally audible over the hilar region of the chest are termed: An acute viral illness that presents with a burning retrosternal discomfort and a dry cough is suggestive of: One of the anterior thoracic landmarks is the costal angle. It is located nr 509 week 8 apea 3p exam Atypical respiratory symptoms associated with gastroesophageal disease (GERD) may include all of the following except: On auscultation of the chest, if the patient says “ninety-nine” and it is clearly heard, this is indicative of: Respiratory effort in the neonate is …..at birth as a result of: Adventitious breath sounds, such as crackles, are: Breath sounds heard on chest over the hilar region are nr 509 week 8 apea 3p exam 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…….. Pain from pleurisy may be refer to the: When performing a respiratory assessment on a 4-year-old child, further evaluation is ……..in the presence of: Which technique best determines whether the tissues in the chest are …….or solid? Breath sounds ……over the periphery of the lung fields are quiet and wispy during the inspiratory phase …..by a short, almost silent expiratory phase. These breath sounds are ……. 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: The hilar region of the lungs describes: 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: Factors that aggravate costochondritis may include: To locate the twelfth rib, palpate: To document chest findings located between the scapulae, which one of the following terms would be used? The midaxillary line: Retractions are ……in all the following areas except the: When examining a patient for chest expansion, begin by: Question: The lower tip of the scapula is located: A patient presents with a productive cough. Which one of the following descriptions of the mucus is correct? Diminished breath sounds should be……… When inspecting the chest for respiratory effort, which one of the following is not part of the inspection? The angle of Louis is a useful place to start counting ribs. This landmark is located: When auscultating breath sounds, use the diaphragm of the stethoscope by placing it initially on the: The line that bisects the center of each clavicle at a point halfway between the palpated sternoclavicular and acromioclavicular joints is the: When palpating the thorax, a crackling, popping noise under the skin is …… On auscultation, a sound similar to hair being …..between the fingers is noted. These symptoms could be consistent with: To document chest findings located below the scapulae, which one of the following terms would be used? A 37-year-old female has audible stridor. This type of stridor is consistent with: nr 509 week 8 apea 3p exam 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: Orthopnea is typically ……with all of the following conditions except nr 509 week 8 apea 3p exam Stridor heard louder in the neck than over the chest wall indicates: Increased anteroposterior diameter of the chest, purse-lipped breathing, and dyspnea with talking, suggest: The middle section of the thoracic cavity containing the esophagus, trachea, heart, and great vessels is the: Which one of the following infants should be seen immediately by the nurse practitioner?