Health Assessment- Findings for Chest & Lung Sherpath Quiz | Health Assessment- Findings for Chest & Lung Quiz (answered) - $16.49   Add to cart

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Health Assessment- Findings for Chest & Lung Sherpath Quiz | Health Assessment- Findings for Chest & Lung Quiz (answered)

Health Assessment- Findings for Chest & Lung Sherpath Quiz Question 1 of 24 Which tracing represents the rate and rhythm of normal breath sounds on inspection? 1. A 2. B 3. C 4. D • Normal breath sounds are expected to be regular and at a rate of 12-20 per minute. • Increased difficulty of getting air out is air trapping and is considered an abnormal finding. • Breathing faster than 20 breaths per minute is tachypnea, an abnormal finding. • Breathing slower than 12 breaths per minute is bradypnea, an abnormal finding. Question 2 of 24 On inspection, the nurse expects the anterior-posterior diameter of the chest to be roughly the transverse diameter. (Express your answer in decimals and with a leading zero, if required.) Question 3 of 24 The expected rate at which a healthy patient breathes is 10 to respirations per minute. Question 4 of 24 Which finding regarding the quality of the tactile fremitus is considered normal on palpation of the chest? 1. Absent • Decreased or absent fremitus is an abnormal finding and may be caused by excess air in the lungs. 2. Coarse/rough • Coarse or rough fremitus is an unexpected finding and may be caused by the presence of fluids or a tumor in the lungs. 3. Bilateral symmetry • The tactile fremitus should be bilaterally symmetric. 4. Tremulous and gentle • Tremulous and gentle fremitus is unexpected and may occur with lung consolidations and some inflammatory and infectious processes. Question 5 of 24 Which is a normal finding on palpation of the ribs? 1. Elasticity • The ribs are expected to be slightly elastic on palpation. 2. Crepitus • Crepitus is an unexpected finding on palpation of the ribs. 3. Rigidity • Rigidity of the ribs is an unexpected finding on palpation of the ribs. Rigidity is different from bone hardness. If the ribs are pushed inward, they should rebound to their original position. 4. Tenderness • Tenderness is an unexpected finding on palpation of the ribs. Question 6 of 24 Which is a normal finding on palpation of the sternum? 1. Inflexibility • The sternum and xiphoid are expected to be inflexible on palpation. 2. Tenderness • Tenderness is an unexpected finding on palpation of the sternum. 3. Pulsations • Pulsations are an unexpected finding on palpation of the sternum. 4. Elasticity • Although the rib cage may be slightly elastic, this is not a normal finding on palpation of the sternum. Question 7 of 24 Which tone would the nurse expect to hear when percussing the indicated area? 1. Dullness • The nurse would expect to hear dullness over the heart, not the viscera. 2. Flatness • The nurse would expect to hear flatness when percussing the viscera. 3. Resonance • The nurse would expect to hear resonance over the lungs, not the viscera. 4. Tympany • The nurse would expect to hear tympany over the stomach, not the viscera. Question 8 of 24 Which tone would the nurse expect to hear when percussing the indicated area? 1. Dullness • The nurse would expect to hear dullness over the heart, not the lungs. 2. Flatness • The nurse would expect to hear flatness over heavy muscles, not the lungs. 3. Resonance • The nurse would expect to hear resonance when percussing the lungs. 4. Tympany • The nurse would expect to hear tympany over the stomach, not the lungs. Question 9 of 24 When comparing the diaphragmatic excursion of the left and right sides of the body, what is the expected finding? 1. Equal distance on left and right sides • The diaphragm would not be expected to be symmetric. 2. Diaphragm higher on left side • The diaphragm would not be expected to be higher on the left side compared to the right side. 3. Diaphragm higher on right side • The diaphragm is typically higher on the right side versus the left side because it sits on the liver. 4. Excursion typically not measurable on right side • Diaphragmatic excursion can be measured on both the left and right sides. Question 10 of 24 Match the normal breath sounds with the appropriate description. 1. Low-pitch with sof t and short expirations 2. Medium pitch; expiration equals inspiration 3. High pitch with loud and long expirations Question 11 of 24 Which breath sounds would be expected on auscultation of the bronchi? 1. Vesicular • Vesicular breath sounds would be expected over the lungs, not the bronchi. 2. Bronchovesicular • Bronchovesicular breath sounds would be expected over the bronchi. 3. Bronchial/tracheal • Bronchial/tracheal breath sounds would be expected over the trachea, not the bronchi. 4. Tubular • Tubular breath sounds would be expected over the trachea, not the bronchi. Question 12 of 24 Which breath sound would be expected on auscultation of the indicated area? Image of a torso with the areas over which vesicular breath sounds should be auscultated. 1. Vesicular • Vesicular breath sounds would be expected over the lungs. 2. Bronchovesicular • Bronchovesicular breath sounds would be expected over the bronchi, not the lungs. 3. Bronchial/tracheal • Bronchial/tracheal breath sounds would be expected over the trachea, not the lungs. 4. Tubular • Tubular breath sounds would be expected over the trachea, not the lungs. Question 13 of 24 Match the age of the infant/child with the expected respiration rate. Question 14 of 24 On assessment of the chest and lungs in a newborn, which findings are considered normal? 1. Sneezing • Sneezing is an expected finding during the chest and lung examination of a newborn. 2. Coughing • Coughing is not an expected finding in a newborn and is considered a problem. 3. Paradoxical breathing • Paradoxical, or periodic, breathing is an expected finding during the chest and lung examination of a newborn. 4. Diaphragmatic breathing • Diaphragmatic breathing is an expected finding during the chest and lung examination of a newborn. 5. Respiratory rate of 50 breaths per minute • Respiratory rate of 50 breaths per minutes is an expected finding (normal rate = 40-60 breaths per minute) during the chest and lung examination of a newborn. Question 15 of 24 How do the breath sounds of a young child differ from those of an adult? 1. Harsher • The breath sounds of a young child may be harsher than those of an adult. 2. More bronchial • The breath sounds of a young child may be more bronchial than those of an adult. 3. Louder • The breath sounds of a young child may be louder than those of an adult. 4. More vesicular • The breath sounds of a child are not more vesicular than those of an adult. 5. Bronchovesicular breath sounds can be heard throughout the chest • Bronchovesicular breath sounds can be heard throughout the chest of a child but not an adult. Question 16 of 24 Match the age group with normal chest and lung examination findings. 1. Irregular breathing pattern 2. Bronchovesicular breath sounds heard throughout the chest 3. Decreased chest expansion Question 17 of 24 In which way do older adults compensate for decreased chest expansion caused by calcification of rib articulations? 1. Diaphragmatic breathing • Older adults would not use diaphragmatic breathing to compensate for calcification of rib articulations. 2. Decrease in respirations • Older adults would not decrease respirations to compensate for calcification of rib articulations. 3. Increase in respirations • Older adults would not increase respirations to compensate for calcification of rib articulations. 4. Use of accessory muscles • Calcification of rib articulations may decrease chest expansion in older adults, requiring the use of accessory muscles to compensate. Question 18 of 24 Match the special consideration for chest and lung examination with the age group for which it is used. 1. Percussion is less reliable. 2. Ask patient to exert himself or herself physically to assist assessment. 3. Examination is similar to that for an adult. Question 19 of 24 Match the abnormal condition with the associated finding. 1. Crepitus 2. Pleural friction rub • 3. Dyspnea • 4. Platypnea Question 20 of 24 Which condition is indicated by the findings of deep, rapid breathing, pursed lips, barrel chest, and diminished fremitus? 1. Pneumonia • Pneumonia is not characterized by deep, rapid breathing with pursed lips, a barrel chest, and diminished fremitus. 2. Emphysema • Emphysema is characterized by deep, rapid breathing with pursed lips and a barrel chest. 3. Pleural effusion • Pleural effusion is not characterized by deep, rapid breathing with pursed lips, a barrel chest, and diminished fremitus. 4. Bronchiectasis • Bronchiectasis is not characterized by deep, rapid breathing with pursed lips, a barrel chest, and diminished fremitus. Question 21 of 24 Which abnormal condition is characterized by a coarse grating sensation palpated during inspiration? 1. Bronchitis • Bronchitis is not characterized by a coarse grating sensation on inspiration. 2. Crepitus • Crepitus is characterized by a coarse grating sensation on inspiration. 3. Pneumothorax • Pneumothorax is not characterized by a coarse grating sensation on inspiration. 4. Chronic obstructive pulmonary disease • Chronic obstructive pulmonary disease is not characterized by a coarse grating sensation on inspiration. Question 22 of 24 Match the percussion tone heard over the lungs with the condition it indicates. 1. Normal finding • 2. Hyperinflation • 3. Diminished air exchange Question 23 of 24 Match the sound heard on auscultation with the pathologic breath sounds. 1. Loud, low, coarse sounds heard continuously during inspiration or expiration 2. Musical noise sounding like a squeak that is louder on expiration 3. Dry grating sound heard during inspiration or expiration 4. High-pitched, discrete, discontinuous crackling sounds heard during the end of inspiration Question 24 of 24 Which condition is characterized by diminished breath sounds, wheezes, rhonchi, crackles, and percussed dullness over the lung? 1. Asthma • Asthma is not characterized by dullness over the lungs, rhonchi, and crackles. 2. Bronchitis • Bronchitis is not characterized by dullness over the lungs and diminished breath sounds. 3. Atelectasis • Atelectasis is characterized by dullness over the lungs, diminished breath sounds, wheezing, rhonchi, and crackles. 4. Pneumonia consolidation • Although there would be diminished breath sounds over the area of consolidation, pneumonia consolidation is not characterized by wheezing.

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