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NUR 504 APEA Final Study Guide: Respiratory Assessment & Chest Exam Questions

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Prepare for the NUR 504 APEA final with detailed verified answers on pediatric and adult respiratory assessment, breath sounds, percussion, and clinical findings.

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NUR 504 APEA FINAL STUDY GUIDE QUESTIONS
WITH DETAILED VERIFIED 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
Paradoxical respirations.
the child's febrile state.
the child's age.
an airway obstruction. - correct answer- the child's febrile
state.


A 37-year-old female has audible stridor. This type of stridor is
consistent with:
bronchiectasis.
pulmonary fibrosis.
cystic fibrosis.
a foreign object lodged in the upper trachea - correct answer-
a foreign object lodged in the upper trachea

,A patient presents with a productive cough. Which one of the
following descriptions of the mucus is correct?
Mucoid sputum is green, white, or pale yellow.
Tenacious sputum is consistent with patients who have cystic
fibrosis.
Foul-smelling sputum is present in bronchitis.
Large volumes of purulent sputum are present in patients who
have asthma. - correct answer- Tenacious sputum is
consistent with patients who have cystic fibrosis.


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:
a pulmonary embolus.
asthma.
a neoplasm of the lung.
chronic obstructive pulmonary disease. - correct answer- a
neoplasm of the lung.


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:

, pneumonia.
chronic obstructive pulmonary disease (COPD)
asthma
croup. - correct answer- chronic obstructive pulmonary
disease (COPD)


Adventitious breath sounds, such as crackles, are:
-low-pitched, dry, grating sounds heard on inspiration and
expiration.
continuous, high-pitched, and musical heard on inspiration and
expiration.
continuous, low-pitched and prolonged and heard on expiration.
popping, frying sounds, may be low or high-pitched and usually
heard on inspiration - correct answer- popping, frying
sounds, may be low or high-pitched and usually heard on
inspiration


An acute viral illness that presents with a burning retrosternal
discomfort and a dry cough is suggestive of:
tracheobronchitis.
Chronic bronchitis.
bronchiectasis.

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