3P Respiratory Practice Question Guide And Answers.

The line that extends through the inferior angle of the scapula when the arms are at the sides of the body is the: - correct answer scapular line. Breath sounds heard over the periphery of the lung fields are: - correct answer vesicular. A condition associated with a chronic cough that produces copious amounts of purulent sputum is most likely: - correct answer bronchiectasis. The line that bisects the center of each clavicle at a point halfway between the palpated sternoclavicular and acromioclavicular joints is the: - correct answer midclavicular line. On auscultation of the chest, if the patient says "ninety-nine" and it is clearly heard, this is indicative of: - correct answer lung density in the area. The angle of Louis is a useful place to start counting ribs. This landmark is located: - correct answer on the manubrium and body of the sternum. When performing a respiratory assessment on a 4-year-old child, further evaluation is warranted in the presence of: - correct answer supraclavicular retractions. When percussing the right upper posterior area of the chest, a dullness replaces the resonance sound usually heard in the lung. This sound would be suggestive of: - correct answer lobar pneumonia. A 37-year-old female has audible stridor. This type of stridor is consistent with: - correct answer a foreign object lodged in the upper trachea. The lower tip of the scapula is located: - correct answer around the seventh or eighth rib. Stridor heard louder in the neck than over the chest wall indicates: - correct answer a partial obstruction in the larynx. Which one of the following infants should be seen immediately by the nurse practitioner? - correct answer A two- week- old infant with nasal congestion and a respiratory rate of 64 breaths/minute The midaxillary line: - correct answer runs down from the apex of the axilla and lies between and parallel to the anterior and posterior lines. Adventitious breath sounds, such as crackles, are: - correct answer popping, frying sounds, may be low or high- pitched and usually heard on inspiration. When examining a patient for chest expansion, begin by: - correct answer placing the thumbs of the examiner at about the level of the tenth ribs with the fingers loosely grasping and parallel to the lateral rib cage. One of the anterior thoracic landmarks is the costal angle. It is located: - correct answer where the right and left costal margins form an angle where they meet at the xiphoid process. When percussing the lower posterior chest, begin by: - correct answer standing on the side rather than directly behind the patient. A 65-year-old man presents with complaints of daytime sleepiness, unrestful sleep, and loud snoring. These symptoms are MOST consistent with: - correct answer obstructive sleep apnea (OSA). Breath sounds heard on chest over the hilar region are: - correct answer bronchovesicular. The middle section of the thoracic cavity containing the esophagus, trachea, heart, and great vessels is the: - correct answer mediastinum. A patient who presents with a long history of cigarette smoking exhibits a dry to productive cough with dyspnea and weight loss. These symptoms could be consistent with: - correct answer a neoplasm of the lung. The hilar region of the lungs describes: - correct answer the area around the heart. A deviated trachea could be caused by all of the following except: - correct answer pneumonia. When inspecting the chest for respiratory effort, which one of the following is not part of the inspection? - correct answer Assessment for tactile fremitus. To document chest findings located at the lowermost portion of the lungs, which one of the following terms would be used? - correct answer Bases of the lungs Breath sounds auscultated over the periphery of the lung fields are quiet and wispy during the inspiratory phase followed by a short, almost silent expiratory phase. These breath sounds are considered: - correct answer vesicular. Respiratory effort in the neonate is initiated at birth as a result of: - correct answer chemical, thermal, and mechanical factors. Factors that aggravate costochondritis may include: - correct answer movement of the chest, trunk, and arms. A 48-year-old woman states that she began smoking about 10 cigarettes per day at 20 years of age. How should this subjective history be documented? - correct answer 14 pack year history Diminished breath sounds should be interpreted as: - correct answer an abnormal finding warranting further evaluation. When auscultating breath sounds, use the diaphragm of the stethoscope by placing it initially on the: - correct answer posterior chest at the cervical 7 level. To document chest findings located between the scapulae, which one of the following terms would be used? - correct answer