NURS 313 Test 3 Questions With Complete Solutions
A barrel-shaped chest is characterized by: Correct Answers (a)
EQUAL ANTEROPOSTERIOR-TO-TRANSVERSE
DIAMETER AND RIBS BEING HORIZONTAL
(b) anteroposterior-to-transverse diameter 1:2 and an elliptical
shape
(c) anteroposterior-to-transverse diameter of 2:1 and ribs being
elevated
(d) anteroposterior-to-transverse diameter of 3:7 and ribs sloping
back
A clinical manifestation common in an individual with COPD
is: Correct Answers (b) PURSED-LIP BREATHING (an
individual with COPD may purse the lips in a whistling position.
By exhaling slowly and against a narrow opening, the pressure
in the bronchial tree remains positive, and fewer airways
collapse.)
A normal voice sound is: Correct Answers muffled, soft,
indistinct
A plueral friction rub is best detected by: Correct Answers
AUSCULTATION
Absence of diaphragmatic excursion occurs with: Correct
Answers (a) asthma
(b) an unusually thick chest wall
(c) PLUERAL EFFUSION OR ATELECTASIS OF THE
LOWER LOBES
(d) age-related changes in the chest wall
,Acute arterial symp: Correct Answers throbbing pain, sudden
onset less than an hour
Pain
Pallor
Pulselessness
Paresthesia(numb)
Poikilothermia(coldness)
Paralysis
Risk: history of vascular surgery, abdominal aneurysm(emboli),
trauma
Acute symptoms Correct Answers < 3 weeks
After examining a patient, you make the following notation:
Increased respiratory rate, chest expansion decreased on the left
side, dull to percussion over left lower lobe, breath sounds
louder with fine crackles over left lower lobe. These findings are
consistent with a diagnosis of: Correct Answers (a) bronchitis
(b) asthma
(c) plueral effusion
(d) LOBAR PNEUMONIA
Allen test Correct Answers use your radial & ulnar and press on
them both at the same time, make tight fist
evaluates arterial supply to hand
An increase in the transverse diameter of the chest cage in a
pregnant female is due to a(n): Correct Answers INCREASE IN
ESTROGEN the increase in estrogen level during pregnancy
relaxes the chest cage ligaments. This allows an increase in the
, transverse diameter of the chest cage by 2 cm, and the costal
angle widens.
Arterial insufficiency characteristics: Correct Answers Color:
pale with rubber w/ dependence
Temp: cool-blood can't get there
Pulse: decreased or absent
Edema: absent or mild
Skin changes: shiny skin; decreased hair growth, thick nails
Arteries Correct Answers Heart pumps oxygenated blood
through arteries
function: provide O2 and nutrients to tissues
high pressure system
stretch(contract) with systole
relax(relaxation) with diastole
Auscultation of breath sounds is an important component of
respiratory assessment. Select the most accurate description of
this part of the examination. Correct Answers (a) hold the bell
of the stethoscope against the chest wall; listen to the entire right
field and then the entire left field
(b) HOLD THE DIAPHRAGM OF THE STETHOSCOPE
AGAINST THE CHEST WALL; LISTEN TO ONE FULL
RESPIRATION IN EACH LOCATION, BEING SURE TO DO
SIDE-TO-SIDE COMPARISONS
(c) listen from the apices to the bases of each lung field using
the bell of the stethoscope
(d) select the bell or diaphragm depending upon the quality of
sounds heard; listen for one respiration in each location, moving
from side to side
A barrel-shaped chest is characterized by: Correct Answers (a)
EQUAL ANTEROPOSTERIOR-TO-TRANSVERSE
DIAMETER AND RIBS BEING HORIZONTAL
(b) anteroposterior-to-transverse diameter 1:2 and an elliptical
shape
(c) anteroposterior-to-transverse diameter of 2:1 and ribs being
elevated
(d) anteroposterior-to-transverse diameter of 3:7 and ribs sloping
back
A clinical manifestation common in an individual with COPD
is: Correct Answers (b) PURSED-LIP BREATHING (an
individual with COPD may purse the lips in a whistling position.
By exhaling slowly and against a narrow opening, the pressure
in the bronchial tree remains positive, and fewer airways
collapse.)
A normal voice sound is: Correct Answers muffled, soft,
indistinct
A plueral friction rub is best detected by: Correct Answers
AUSCULTATION
Absence of diaphragmatic excursion occurs with: Correct
Answers (a) asthma
(b) an unusually thick chest wall
(c) PLUERAL EFFUSION OR ATELECTASIS OF THE
LOWER LOBES
(d) age-related changes in the chest wall
,Acute arterial symp: Correct Answers throbbing pain, sudden
onset less than an hour
Pain
Pallor
Pulselessness
Paresthesia(numb)
Poikilothermia(coldness)
Paralysis
Risk: history of vascular surgery, abdominal aneurysm(emboli),
trauma
Acute symptoms Correct Answers < 3 weeks
After examining a patient, you make the following notation:
Increased respiratory rate, chest expansion decreased on the left
side, dull to percussion over left lower lobe, breath sounds
louder with fine crackles over left lower lobe. These findings are
consistent with a diagnosis of: Correct Answers (a) bronchitis
(b) asthma
(c) plueral effusion
(d) LOBAR PNEUMONIA
Allen test Correct Answers use your radial & ulnar and press on
them both at the same time, make tight fist
evaluates arterial supply to hand
An increase in the transverse diameter of the chest cage in a
pregnant female is due to a(n): Correct Answers INCREASE IN
ESTROGEN the increase in estrogen level during pregnancy
relaxes the chest cage ligaments. This allows an increase in the
, transverse diameter of the chest cage by 2 cm, and the costal
angle widens.
Arterial insufficiency characteristics: Correct Answers Color:
pale with rubber w/ dependence
Temp: cool-blood can't get there
Pulse: decreased or absent
Edema: absent or mild
Skin changes: shiny skin; decreased hair growth, thick nails
Arteries Correct Answers Heart pumps oxygenated blood
through arteries
function: provide O2 and nutrients to tissues
high pressure system
stretch(contract) with systole
relax(relaxation) with diastole
Auscultation of breath sounds is an important component of
respiratory assessment. Select the most accurate description of
this part of the examination. Correct Answers (a) hold the bell
of the stethoscope against the chest wall; listen to the entire right
field and then the entire left field
(b) HOLD THE DIAPHRAGM OF THE STETHOSCOPE
AGAINST THE CHEST WALL; LISTEN TO ONE FULL
RESPIRATION IN EACH LOCATION, BEING SURE TO DO
SIDE-TO-SIDE COMPARISONS
(c) listen from the apices to the bases of each lung field using
the bell of the stethoscope
(d) select the bell or diaphragm depending upon the quality of
sounds heard; listen for one respiration in each location, moving
from side to side
