NUR 504 APEA Final Study Guide | High-Yield
Actual Questions, Differential Diagnoses,
Clinical Guidelines, Pharmacology &
Comprehensive Exam Review | Expert
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Retractions are observed in all the following areas except the:
Supraventricular area
hilar area.
intercostal area
costal marginal area.
Correct Answer: hilar area.
When percussing the posterior chest, which one of the following techniques
would be omitted?
-When comparing two areas on the chest, use the same percussion technique in
both areas.
-Percuss one side of the chest then the other at each level.
-Percuss the areas over the scapulae.
-If a louder note is needed, apply more pressure with the pleximeter finger.
Correct Answer: Percuss the areas over the scapulae.
When auscultating breath sounds in a patient who has left sided heart failure,
the breath sounds are:
-vesicular with late inspiratory crackles in the dependent portions of the lungs
and resonant on percussion.
bronchial with late inspiratory crackles over the involved area and dull on
percussion.
vesicular without adventitious sounds and resonant on percussion.
,Incorrect: decreased with some audible wheezes and diffusely
hyperresonant on percussion.
Correct Answer: vesicular with late inspiratory crackles in the dependent
portions of the lungs and resonant on percussion.
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.
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
Correct 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.
Correct 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.
Correct 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
Correct 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
Correct Answer: Scapular line.
condition associated with a chronic cough that produces copious amounts of
purulent sputum is most likely:
tracheobronchitis.
chronic bronchitis.
Bronchiectasis.
laryngitis.
Correct Answer: Bronchiectasis.
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)
, Breath sounds heard over the periphery of the lung fields are:
bronchial.
abnormal.
bronchovesicular.
vesicular
Correct Answer: vesicular
Breath sounds consisting of a full inspiratory phase and a shortened and softer
expiratory phase normally audible over the hilar region of the chest are termed:
vesicular.
Bronchial
Bronchovesicular.
rhonchi.
Correct Answer: Bronchovesicular.
An acute viral illness that presents with a burning retrosternal discomfort and a
dry cough is suggestive of:
tracheobronchitis.
Chronic bronchitis.
bronchiectasis.
laryngitis.
Correct Answer: tracheobronchitis.
One of the anterior thoracic landmarks is the costal angle. It is located:
-where the manubrium and body of the sternum intersect.
-where the right and left costal margins form an angle where they meet at the
xiphoid process.
-where the suprasternal notch and the sternum form an angle.
-at the angle where the ninth and tenth ribs are fused.
Correct Answer: where the right and left costal margins form an angle where
they meet at the xiphoid process.
Atypical respiratory symptoms associated with gastroesophageal disease
(GERD) may include all of the following except:
Coughing
wheezing.
Aspiration pneumonia.
rhinitis.
Correct Answer: rhinitis.
Actual Questions, Differential Diagnoses,
Clinical Guidelines, Pharmacology &
Comprehensive Exam Review | Expert
Guarantee Pass ,Graded A+ ,100% Accurate|
Newest Version and Latest Exam
Retractions are observed in all the following areas except the:
Supraventricular area
hilar area.
intercostal area
costal marginal area.
Correct Answer: hilar area.
When percussing the posterior chest, which one of the following techniques
would be omitted?
-When comparing two areas on the chest, use the same percussion technique in
both areas.
-Percuss one side of the chest then the other at each level.
-Percuss the areas over the scapulae.
-If a louder note is needed, apply more pressure with the pleximeter finger.
Correct Answer: Percuss the areas over the scapulae.
When auscultating breath sounds in a patient who has left sided heart failure,
the breath sounds are:
-vesicular with late inspiratory crackles in the dependent portions of the lungs
and resonant on percussion.
bronchial with late inspiratory crackles over the involved area and dull on
percussion.
vesicular without adventitious sounds and resonant on percussion.
,Incorrect: decreased with some audible wheezes and diffusely
hyperresonant on percussion.
Correct Answer: vesicular with late inspiratory crackles in the dependent
portions of the lungs and resonant on percussion.
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.
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
Correct 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.
Correct 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.
Correct 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
Correct 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
Correct Answer: Scapular line.
condition associated with a chronic cough that produces copious amounts of
purulent sputum is most likely:
tracheobronchitis.
chronic bronchitis.
Bronchiectasis.
laryngitis.
Correct Answer: Bronchiectasis.
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)
, Breath sounds heard over the periphery of the lung fields are:
bronchial.
abnormal.
bronchovesicular.
vesicular
Correct Answer: vesicular
Breath sounds consisting of a full inspiratory phase and a shortened and softer
expiratory phase normally audible over the hilar region of the chest are termed:
vesicular.
Bronchial
Bronchovesicular.
rhonchi.
Correct Answer: Bronchovesicular.
An acute viral illness that presents with a burning retrosternal discomfort and a
dry cough is suggestive of:
tracheobronchitis.
Chronic bronchitis.
bronchiectasis.
laryngitis.
Correct Answer: tracheobronchitis.
One of the anterior thoracic landmarks is the costal angle. It is located:
-where the manubrium and body of the sternum intersect.
-where the right and left costal margins form an angle where they meet at the
xiphoid process.
-where the suprasternal notch and the sternum form an angle.
-at the angle where the ninth and tenth ribs are fused.
Correct Answer: where the right and left costal margins form an angle where
they meet at the xiphoid process.
Atypical respiratory symptoms associated with gastroesophageal disease
(GERD) may include all of the following except:
Coughing
wheezing.
Aspiration pneumonia.
rhinitis.
Correct Answer: rhinitis.
