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OVERVIEW:
NSG 6020 Week 3 Respiratory Quiz – 2026/2027 covers comprehensive thoracic
assessment including inspection, palpation, percussion, auscultation, landmark
identification, breath sounds, adventitious sounds, chest expansion, tactile
fremitus, bronchophony, and common pathologies like bronchiectasis,
pneumonia, COPD, asthma, costochondritis, pleurisy, OSA, GERD-related cough,
plus pediatric and neonatal respiratory distress evaluation emphasizing
reasoning, documentation terminology, and recognition of abnormal findings
warranting urgent intervention.
Answers are in bold Green, with rationales after.
1. A condition associated with a chronic cough that produces copious amounts of
purulent sputum is most likely:
A. Acute bronchitis
B. Bronchiectasis
C. Asthma
D. Pleural effusion
Rationale: Bronchiectasis causes permanent bronchial dilation and impaired
mucociliary clearance, leading to chronic infection and production of large volumes of
thick purulent sputum.
,2. When performing a respiratory assessment on a 4-year-old child, further
evaluation is warranted in the presence of:
A. Nasal flaring without distress
B. Supraclavicular retractions
C. Respiratory rate 25/min
D. Abdominal breathing
Rationale: Supraclavicular, intercostal, or sternal retractions indicate increased work
of breathing and airway obstruction in children and require immediate further
evaluation.
3. When percussing the chest in a patient who has left sided heart failure, the sound
emanated would be:
A. Hyperresonant
B. Resonant
C. Dull
D. Tympanic
Rationale: In uncomplicated left-sided HF, lung fields remain air-filled so percussion is
resonant. If pulmonary edema progresses to pleural effusion or alveolar filling, bases
may become dull - which would then warrant further assessment.
4. Stridor heard louder in the neck than over the chest wall indicates:
A. A partial obstruction in the larynx
B. Bronchospasm
C. Lower airway obstruction
D. Atelectasis
Rationale: Extrathoracic obstruction, especially laryngeal partial obstruction, produces
stridor loudest in the neck. Intrathoracic tracheal obstruction is louder over the chest.
, 5. The middle section of the thoracic cavity containing the esophagus, trachea, heart,
and great vessels is the:
A. Pleural cavity
B. Mediastinum
C. Costal angle
D. Thoracic inlet
Rationale: Mediastinum is the central thoracic compartment between the pleural sacs
housing heart, great vessels, trachea, esophagus, thymus, and lymph nodes.
6. An acute viral illness that presents with a burning retrosternal discomfort and a
dry cough is suggestive of:
A. Tracheobronchitis
B. Pneumonia
C. Pulmonary embolism
D. GERD
Rationale: Tracheobronchitis causes tracheal inflammation, producing retrosternal
burning worsened by cough and a dry cough after a viral URI.
7. On auscultation of the chest, if the patient says 'ninety-nine' and it is clearly heard,
this is indicative of:
A. Pleural effusion
B. Pneumothorax
C. Lung density in the area
D. Normal lung
Rationale: Increased bronchophony (clearly hearing '99') indicates
consolidation/compression increasing lung density and sound transmission; normally
it is muffled.