NUR 504 APEA Final Study Guide / NUR 504
APEA Final Study Guide | Comprehensive
Notes & Practice Questions
Retractions are observed in all the following areas except the:
Supraventricular area
hilar area.
intercostal area
costal marginal area. - ---✔✔✔ANSWER----hilar area.
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
Paradoxical respirations.
,the child's febrile state.
the child's age.
an airway obstruction. - ---✔✔✔ANSWER----the child's febrile state.
When percussing the lower posterior chest, begin by:
standing on the side rather than directly behind the patient.
having the patient lie supine on the examining table.
carefully palpating any area the patient has reported pain.
using the ball or the ulnar surface of the hand - ---✔✔✔ANSWER----
standing on the side rather than directly behind the patient.
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 cough and note chest expansion.
ask the patient to take a deep breathe and note any delay in expansion during
inhalation.
have the patient hold his breath for 15 seconds then note chest expansion.
have the patient exhale forcefully noting expansion on expiration. - ---
✔✔✔ANSWER----ask the patient to take a deep breathe and note any delay
in expansion during inhalation.
, When trying to differentiate between hemoptysis or blood streaked material,
which one of the following observations is correct?
Hemoptysis is seen frequently in infants, children, and adolescents with allergic
rhinitis.
Blood originating in the stomach is usually brighter than blood originating from
the respiratory tract.
Hemoptysis is common in children with cystic fibrosis.
Blood streaked material often originates from the gastrointestinal tract. - ---
✔✔✔ANSWER----Blood streaked material often originates from the
gastrointestinal tract.
When percussing the chest in a patient who has left sided heart failure, the sound
emanated would be:
Resonant.
dull tympany.
Diffusely
hyper resonant - ---✔✔✔ANSWER----Resonant.
The line that extends through the inferior angle of the scapula when the arms are
at the sides of the body is the:
mid vertebral line
Scapular line.
midclavicular line
mid-spinal line - ---✔✔✔ANSWER----Scapular line.
APEA Final Study Guide | Comprehensive
Notes & Practice Questions
Retractions are observed in all the following areas except the:
Supraventricular area
hilar area.
intercostal area
costal marginal area. - ---✔✔✔ANSWER----hilar area.
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
Paradoxical respirations.
,the child's febrile state.
the child's age.
an airway obstruction. - ---✔✔✔ANSWER----the child's febrile state.
When percussing the lower posterior chest, begin by:
standing on the side rather than directly behind the patient.
having the patient lie supine on the examining table.
carefully palpating any area the patient has reported pain.
using the ball or the ulnar surface of the hand - ---✔✔✔ANSWER----
standing on the side rather than directly behind the patient.
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 cough and note chest expansion.
ask the patient to take a deep breathe and note any delay in expansion during
inhalation.
have the patient hold his breath for 15 seconds then note chest expansion.
have the patient exhale forcefully noting expansion on expiration. - ---
✔✔✔ANSWER----ask the patient to take a deep breathe and note any delay
in expansion during inhalation.
, When trying to differentiate between hemoptysis or blood streaked material,
which one of the following observations is correct?
Hemoptysis is seen frequently in infants, children, and adolescents with allergic
rhinitis.
Blood originating in the stomach is usually brighter than blood originating from
the respiratory tract.
Hemoptysis is common in children with cystic fibrosis.
Blood streaked material often originates from the gastrointestinal tract. - ---
✔✔✔ANSWER----Blood streaked material often originates from the
gastrointestinal tract.
When percussing the chest in a patient who has left sided heart failure, the sound
emanated would be:
Resonant.
dull tympany.
Diffusely
hyper resonant - ---✔✔✔ANSWER----Resonant.
The line that extends through the inferior angle of the scapula when the arms are
at the sides of the body is the:
mid vertebral line
Scapular line.
midclavicular line
mid-spinal line - ---✔✔✔ANSWER----Scapular line.
