NUR 504 APEA FINAL EXAM STUDY GUIDE
With the exception of the following locations, retractions are seen in:
area over the ventricle
hilarious region.
The intercostal space
marginal coastal area. ANSWER hilar region.
A 3-year-old presents with a 24-hour history of coughing and fever. A
temperature of 102°F, an apical heart rate of 157 beats per minute, and a
respiratory rate of 40 breaths per minute are the results of the examination. This
child's tachypnea is most likely caused by
respiratory paradoxes.
the feverish condition of the youngster.
the age of the child.
a blockage of the airway. ANSWER: The child is feverish.
The first step in percussion for the lower posterior chest is to:
standing to the side of the patient instead of directly behind them.
placing the patient on the examination table in a supine position.
gently feeling any location where the patient has complained of pain.
ANSWER standing on the side, not immediately behind the patient, utilizing the
ball or the ulnar surface of the hand.
Placing the hands on the eighth or tenth ribs posteriorly, with the thumbs near
the vertebrae, sliding the hand medially, and grabbing a tiny fold of skin
between the thumbs is the palpation technique used to evaluate respiratory
expansion of the chest. Next,
When the patient coughs, observe the expansion of their chest.
A deep breath should be taken by the patient, and any delay in expansion during
inhalation should be noted.
After 15 seconds of holding his breath, see the patient's chest expanding.
Observe the patient's enlargement upon expiration by having them exhale
forcefully. ANSWER: Instruct the patient to inhale deeply and observe any
pause in expansion.
, Which of the following observations is true when attempting to distinguish
between hemoptysis and blood-stained material?
In children, adolescents, and babies with allergic rhinitis, hemoptysis is
common.
Generally speaking, blood from the stomach is brighter than blood from the
respiratory system.
Children with cystic fibrosis frequently have hemoptysis.
The gastrointestinal system is frequently the source of blood-stained material.
ANSWER The gastrointestinal tract is frequently the source of blood-stained
material.
The sound produced when a patient with left-sided heart failure has their chest
percussioned would be:
resonant.
drab tympany.
The diffusely
extremely resonant—ANSWER Resonant.
When the arms are at the sides of the body, the line that passes through the
inferior angle of the scapula is the:
midline of the vertebrae
scapular line.
The midclavicular line
Answer: Scapular line, mid-spinal line.
The following conditions are most likely linked to a persistent cough that
generates large volumes of purulent sputum:
tracheobronchitis.
persistent bronchitis.
bronchiectasis.
laryngitis. The ANSWER is bronchiectasis.
It is possible to see a patient sitting and leaning forward in his chair when he
first entered the examination room. Arms were propped up on the table and lips
were pursed during the exhale. This stance might be appropriate for patients
who have:
pneumonia.
With the exception of the following locations, retractions are seen in:
area over the ventricle
hilarious region.
The intercostal space
marginal coastal area. ANSWER hilar region.
A 3-year-old presents with a 24-hour history of coughing and fever. A
temperature of 102°F, an apical heart rate of 157 beats per minute, and a
respiratory rate of 40 breaths per minute are the results of the examination. This
child's tachypnea is most likely caused by
respiratory paradoxes.
the feverish condition of the youngster.
the age of the child.
a blockage of the airway. ANSWER: The child is feverish.
The first step in percussion for the lower posterior chest is to:
standing to the side of the patient instead of directly behind them.
placing the patient on the examination table in a supine position.
gently feeling any location where the patient has complained of pain.
ANSWER standing on the side, not immediately behind the patient, utilizing the
ball or the ulnar surface of the hand.
Placing the hands on the eighth or tenth ribs posteriorly, with the thumbs near
the vertebrae, sliding the hand medially, and grabbing a tiny fold of skin
between the thumbs is the palpation technique used to evaluate respiratory
expansion of the chest. Next,
When the patient coughs, observe the expansion of their chest.
A deep breath should be taken by the patient, and any delay in expansion during
inhalation should be noted.
After 15 seconds of holding his breath, see the patient's chest expanding.
Observe the patient's enlargement upon expiration by having them exhale
forcefully. ANSWER: Instruct the patient to inhale deeply and observe any
pause in expansion.
, Which of the following observations is true when attempting to distinguish
between hemoptysis and blood-stained material?
In children, adolescents, and babies with allergic rhinitis, hemoptysis is
common.
Generally speaking, blood from the stomach is brighter than blood from the
respiratory system.
Children with cystic fibrosis frequently have hemoptysis.
The gastrointestinal system is frequently the source of blood-stained material.
ANSWER The gastrointestinal tract is frequently the source of blood-stained
material.
The sound produced when a patient with left-sided heart failure has their chest
percussioned would be:
resonant.
drab tympany.
The diffusely
extremely resonant—ANSWER Resonant.
When the arms are at the sides of the body, the line that passes through the
inferior angle of the scapula is the:
midline of the vertebrae
scapular line.
The midclavicular line
Answer: Scapular line, mid-spinal line.
The following conditions are most likely linked to a persistent cough that
generates large volumes of purulent sputum:
tracheobronchitis.
persistent bronchitis.
bronchiectasis.
laryngitis. The ANSWER is bronchiectasis.
It is possible to see a patient sitting and leaning forward in his chair when he
first entered the examination room. Arms were propped up on the table and lips
were pursed during the exhale. This stance might be appropriate for patients
who have:
pneumonia.
