Maryville NURS 612 Exam 2 Questions With
Complete Solutions
inspect the chest correct answer: without clothes on; 1st assess
shape and size; 2nd check for symmetry; 3rd thoracic
landmarks; 4th color of skin; 5th check for supernumerary
nipples; 6th superficial venous patterns; and 7th observe for rib
prominence
thoracic landmarks correct answer: midline trachea, costal
angle, angle of ribs, intercostal spaces, suprasternal notch
symmetry of chest correct answer: thoracic expansion at costal
angle, w/o use of accessory muscles
hx questions for cc of resp issue correct answer: What is the
nature of your cough?; Do you produce any sputum?; Is your
cough related to activity?; What position are you most
comfortable in?; How many pillows do you sleep with at night?;
Is your SOB related to activity?
normal respirations correct answer: rate between 12 to 20/min;
ratio of resp to heart beats= 1:4; pt should breathe easily,
regularly w/o apparent distress; pattern should be even, not too
shallow or too deep
hypopnea correct answer: term for abnormally shallow
respirations
, tachypnea correct answer: term for resp rate greater than 20, but
consistent and may occur during hyperventilation; often a
symptom of pain
bradypnea correct answer: term for resp rate less than 12; may
indicate neurologic or electrolyte disturbances, infection, or
conscious response to protect against the pain of pleurisy or
other irritative pneumonia. Can also be 2/2 level of cardio
fitness
hyperventilation correct answer: term for fast and deep, heavy
respirations, can be caused by exercise, anxiety, and CNS and
metabolic diseases
hyperpnea correct answer: term for abnormally deep
respirations
kussmaul respirations correct answer: deep and mostly rapid
respirations, used to describe resp effort of metabolic acidosis
cheyne stokes respirations correct answer: regular breathing
with intervals of apnea by crescendo decrescendo breathing; can
be seen in sleeping pts, but mostly pts who are very ill, esp with
brain damage
biot respirations correct answer: irregular breathing that varies
in depth and is interrupted irregularly by intervals of apnea;
associated with severe and persistent increased intracranial
pressure, resp compromise from drug poisoning, or brain
damage at the medulla and generally equals poor prognosis
Complete Solutions
inspect the chest correct answer: without clothes on; 1st assess
shape and size; 2nd check for symmetry; 3rd thoracic
landmarks; 4th color of skin; 5th check for supernumerary
nipples; 6th superficial venous patterns; and 7th observe for rib
prominence
thoracic landmarks correct answer: midline trachea, costal
angle, angle of ribs, intercostal spaces, suprasternal notch
symmetry of chest correct answer: thoracic expansion at costal
angle, w/o use of accessory muscles
hx questions for cc of resp issue correct answer: What is the
nature of your cough?; Do you produce any sputum?; Is your
cough related to activity?; What position are you most
comfortable in?; How many pillows do you sleep with at night?;
Is your SOB related to activity?
normal respirations correct answer: rate between 12 to 20/min;
ratio of resp to heart beats= 1:4; pt should breathe easily,
regularly w/o apparent distress; pattern should be even, not too
shallow or too deep
hypopnea correct answer: term for abnormally shallow
respirations
, tachypnea correct answer: term for resp rate greater than 20, but
consistent and may occur during hyperventilation; often a
symptom of pain
bradypnea correct answer: term for resp rate less than 12; may
indicate neurologic or electrolyte disturbances, infection, or
conscious response to protect against the pain of pleurisy or
other irritative pneumonia. Can also be 2/2 level of cardio
fitness
hyperventilation correct answer: term for fast and deep, heavy
respirations, can be caused by exercise, anxiety, and CNS and
metabolic diseases
hyperpnea correct answer: term for abnormally deep
respirations
kussmaul respirations correct answer: deep and mostly rapid
respirations, used to describe resp effort of metabolic acidosis
cheyne stokes respirations correct answer: regular breathing
with intervals of apnea by crescendo decrescendo breathing; can
be seen in sleeping pts, but mostly pts who are very ill, esp with
brain damage
biot respirations correct answer: irregular breathing that varies
in depth and is interrupted irregularly by intervals of apnea;
associated with severe and persistent increased intracranial
pressure, resp compromise from drug poisoning, or brain
damage at the medulla and generally equals poor prognosis
