NR 302 Week 5 Edapt
Complete Quiz Review
(Questions & Solutions)
2025
1
, 1. Multiple Choice
Mr. Booker, 73, is transferred from the ED with shortness of breath.
Which assessment will give the most immediate information about the
effectiveness of his gas exchange?
A. Auscultate bilateral breath sounds
B. Measure oxygen saturation with pulse oximetry
C. Inspect for use of accessory muscles
D. Obtain a focused health history
ANS: B
Rationale: SpO₂ provides a rapid, objective index of oxygenation and
should be measured first in any unstable respiratory patient .
---
2. True/False
In adults, a normal anteroposterior (AP) to transverse chest diameter is
approximately 1:2.
ANS: True
Rationale: A 1:2 ratio reflects adequate lung development; ratios
approaching 1:1 suggest barrel chest (e.g., emphysema).
---
3. Fill-in-the-Blank
When percussing healthy adult lung tissue, the expected tone is
___________.
ANS: resonance
Rationale: Air-filled alveoli produce a low-pitched, hollow resonance;
dullness suggests consolidation or effusion.
2
, ---
4. Multiple Response (Select all)
Which clinical cues indicate increased work of breathing in a 6-month-
old infant?
[ ] A. Nasal flaring
[ ] B. Seesaw (paradoxical) chest movement
[ ] C. Respiratory rate 26/min
[ ] D. Suprasternal retractions
[ ] E. Grunting exhalations
ANSs: A, B, D, E
Rationale: Flaring, paradoxical movement, retractions, and grunting are
compensatory signs; an RR of 26 is low-normal only for adults.
---
5. Multiple Choice
During inspection you note a right chest wall lag on inspiration in a
trauma patient. Which pathology is most likely?
A. Atelectasis of right lung
B. Left-sided pleural effusion
C. Simple pneumothorax on right
D. Acute bronchitis
ANS: A
Rationale: Collapse of right alveoli limits expansion, causing unilateral
lag; effusion or pneumothorax would produce bulging or
hyperexpansion.
---
6. True/False
Hyperresonance to percussion bilaterally is a normal finding in thin
3
Complete Quiz Review
(Questions & Solutions)
2025
1
, 1. Multiple Choice
Mr. Booker, 73, is transferred from the ED with shortness of breath.
Which assessment will give the most immediate information about the
effectiveness of his gas exchange?
A. Auscultate bilateral breath sounds
B. Measure oxygen saturation with pulse oximetry
C. Inspect for use of accessory muscles
D. Obtain a focused health history
ANS: B
Rationale: SpO₂ provides a rapid, objective index of oxygenation and
should be measured first in any unstable respiratory patient .
---
2. True/False
In adults, a normal anteroposterior (AP) to transverse chest diameter is
approximately 1:2.
ANS: True
Rationale: A 1:2 ratio reflects adequate lung development; ratios
approaching 1:1 suggest barrel chest (e.g., emphysema).
---
3. Fill-in-the-Blank
When percussing healthy adult lung tissue, the expected tone is
___________.
ANS: resonance
Rationale: Air-filled alveoli produce a low-pitched, hollow resonance;
dullness suggests consolidation or effusion.
2
, ---
4. Multiple Response (Select all)
Which clinical cues indicate increased work of breathing in a 6-month-
old infant?
[ ] A. Nasal flaring
[ ] B. Seesaw (paradoxical) chest movement
[ ] C. Respiratory rate 26/min
[ ] D. Suprasternal retractions
[ ] E. Grunting exhalations
ANSs: A, B, D, E
Rationale: Flaring, paradoxical movement, retractions, and grunting are
compensatory signs; an RR of 26 is low-normal only for adults.
---
5. Multiple Choice
During inspection you note a right chest wall lag on inspiration in a
trauma patient. Which pathology is most likely?
A. Atelectasis of right lung
B. Left-sided pleural effusion
C. Simple pneumothorax on right
D. Acute bronchitis
ANS: A
Rationale: Collapse of right alveoli limits expansion, causing unilateral
lag; effusion or pneumothorax would produce bulging or
hyperexpansion.
---
6. True/False
Hyperresonance to percussion bilaterally is a normal finding in thin
3
