HEALTH ASSESSMENT EXAM 2 REVIEW
QUESTIONS
A5palpable5vibration5increased5with5lobar5pneumonia5is5also5known5as:
A.5Rhonchi
B.5Resonance
C.5Fremitus
D.5Crackles5-5ans--C.5Fremitus5(key5term5is5"palpable"
Your5patient5is5exhibiting5rapid5shallow5breathing,5with5a5respiratory5rate5>245respiration
s5per5minute.5Which5of5the5following5conditions5are5they5experiencing?
A.5hypoxemia
B.5tachypnea
C.5fremitus
D.5resonance5-5ans--B.5tachypnea
Increased5tactile5fremitus5would5be5evident5in5an5individual5who5has5which5of5the5followi
ng5conditions?
A.5emphysema
B.5pneumonia
C.5crepitus
D.5pneumothorax5-5ans--B.5pneumonia
Fremitus5is5a5palpable5vibration.5Increased5fremitus5occurs5with5compression5or5consolid
ation5of5lung5tissue5(ex.5lobar5pneumonia)
Which5of5the5following5terms5is5used5to5describe5a5decreased5level5of5oxygen5(O2)5in5the
5blood?
A.5anemia
B.5hypercapnia
C.5hypoxemia
D.5emphysema5-5ans--C.5hypoxemia
The5nurse5is5assessing5a5patient5who5has5emphysema.5They5note5a5course,5crackling5s
ensation5that5is5palpable5over5the5skin5surface.5This5is5known5as:
A.5hypoxemia
b.5crackles
C.5fremitus
D.5crepitus5-5ans--D.5crepitus
,Upon5receiving5the5patient's5lab5results,5the5nurse5notes5the5patient5has5an5increased5le
vel5of5carbon5dioxide5in5the5blood.5Which5of5the5following5conditions5would5the5patient5be
5experiencing?
A.5resonance
B.5hypercapnia
C.5fremitus
D.5tachypnea5-5ans--B.5hypercapnia
The5nurse5is5auscultating5a5patient's5lungs5and5hears5discontinuous,5high-
pitched,5short,5popping5sounds5heard5during5inspiration,5and5not5cleared5by5coughing.5T
hese5are5described5as:5
A.5bradypnea
B.5rhonchi
C.5crackles
D.5wheezing5-5ans--C.5crackles
The5nurse5is5assessing5a5patient's5lungs5by5using5the5percussion5technique.5Which5soun
d5would5the5nurse5expect5to5hear5over5healthy5lung5tissue?
A.5resonance
B.5orthopnea
C.5crackles
D.5tachypnea5-5ans--A.5resonance
A5clinical5manifestation5common5in5an5individual5with5chronic5obstructive5pulmonary5dise
ase5(COPD)5is:
A.5periodic5breathing5patterns
B.5pursed5lip5breathing
C.5unequal5chest5expansion
D.5hyperventilation5-5ans--B.5pursed5lip5breathing
An5individual5with5COPD5may5purse5the5lips5in5a5whistling5position.5By5exhaling5slowly5a
nd5against5a5narrow5opening,5the5pressure5in5the5bronchial5tree5remains5positive,5and5fe
wer5airways5collapse.
Which5of5the5following5are5functions5of5the5respiratory5system?5(Select5all5that5apply)
A.5supplying5oxygen5to5the5body5for5energy5production
B.5removing5carbon5dioxide5as5a5waste5product
C.5wound5repair
D.5maintaining5acid-base5balance
E.5maintenance5of5heat5exchange
F.5identification5-5ans--A.5supplying5oxygen5to5the5body5for5energy5production
B.5removing5carbon5dioxide5as5a5waste5product
D.5maintaining5acid-base5balance
E.5maintenance5of5heat5exchange
Stridor5is5a5high5pitched,5inspiratory5crowing5sound5commonly5associated5with:
, A.5upper5airway5obstruction
B.5atelectasis
C.5congestive5heart5failure
D.5Pneumothorax5-5ans--A.5upper5airway5obstruction
Stridor5is5associated5with5upper5airway5obstruction5from5swollen,5inflamed5tissues5or5a5lo
dged5foreign5body.
Which5of5the5following5correctly5expresses5the5relationship5to5the5lobes5of5the5lungs5and5
their5anatomic5position?5
A.5upper5lobes-lateral5chest
B.5upper5lobes-posterior5chest
C.5lower5lobes-posterior5chest
D.5lower5lobes5-5anterior5chest5-5ans--C.5lower5lobes5-5posterior5chest
The5posterior5chest5is5almost5all5lower5lobe
The5function5of5the5trachea5and5bronchi5is5to5
A.5transport5gases5between5the5environment5and5the5lung5parenchyma
B.5Condense5inspired5air5for5better5gas5exchange
C.5Moisturize5air5for5optimum5respiration
D.5Increase5air5turbulence5and5velocity5for5maximum5gas5transport5-5ans--
A.5transport5gases5between5the5environment5and5the5lung5parenchyma
Which5of5the5following5chest5configurations5is5an5exaggerated5posterior5curvature5of5the5
thoracic5spine5that5is5associated5with5aging5and5physical5fitness?
A.5scoliosis
B.5barrel5chest
C.5kyphosis
D.5pectus5excavatum5-5ans--C.5Kypohosis
Causes5significant5back5pain5and5limited5mobility.5It5is5associated5with5aging,5and5people
5with5adequate5exercise5habits5are5less5likely5to5have5kyphosis.5Scoliosis5is5S5shaped5cu
rvature5of5the5spine5Barrel5chest5is5equal5AP5to5transverse5diameter5and5is5associated5wi
th5aging5and5chronic5emphysema5or5asthma.5Pectus5excavatum5is5a5markedly5sunken5st
ernum5and5adjacent5cartilages5that5is5congenital.
The5nurse5is5observing5the5auscultation5technique5of5another5nurse.5The5correct5method
5to5use5when5progressing5from5one5auscultatory5site5on5the5thorax5to5another5is5_______
____________5comparison.
A.5side-to-side
B.5top-to-bottom
C.5posterior-to-anterior
D.5interspace5by5interspace5-5ans--A.5side5to5side
QUESTIONS
A5palpable5vibration5increased5with5lobar5pneumonia5is5also5known5as:
A.5Rhonchi
B.5Resonance
C.5Fremitus
D.5Crackles5-5ans--C.5Fremitus5(key5term5is5"palpable"
Your5patient5is5exhibiting5rapid5shallow5breathing,5with5a5respiratory5rate5>245respiration
s5per5minute.5Which5of5the5following5conditions5are5they5experiencing?
A.5hypoxemia
B.5tachypnea
C.5fremitus
D.5resonance5-5ans--B.5tachypnea
Increased5tactile5fremitus5would5be5evident5in5an5individual5who5has5which5of5the5followi
ng5conditions?
A.5emphysema
B.5pneumonia
C.5crepitus
D.5pneumothorax5-5ans--B.5pneumonia
Fremitus5is5a5palpable5vibration.5Increased5fremitus5occurs5with5compression5or5consolid
ation5of5lung5tissue5(ex.5lobar5pneumonia)
Which5of5the5following5terms5is5used5to5describe5a5decreased5level5of5oxygen5(O2)5in5the
5blood?
A.5anemia
B.5hypercapnia
C.5hypoxemia
D.5emphysema5-5ans--C.5hypoxemia
The5nurse5is5assessing5a5patient5who5has5emphysema.5They5note5a5course,5crackling5s
ensation5that5is5palpable5over5the5skin5surface.5This5is5known5as:
A.5hypoxemia
b.5crackles
C.5fremitus
D.5crepitus5-5ans--D.5crepitus
,Upon5receiving5the5patient's5lab5results,5the5nurse5notes5the5patient5has5an5increased5le
vel5of5carbon5dioxide5in5the5blood.5Which5of5the5following5conditions5would5the5patient5be
5experiencing?
A.5resonance
B.5hypercapnia
C.5fremitus
D.5tachypnea5-5ans--B.5hypercapnia
The5nurse5is5auscultating5a5patient's5lungs5and5hears5discontinuous,5high-
pitched,5short,5popping5sounds5heard5during5inspiration,5and5not5cleared5by5coughing.5T
hese5are5described5as:5
A.5bradypnea
B.5rhonchi
C.5crackles
D.5wheezing5-5ans--C.5crackles
The5nurse5is5assessing5a5patient's5lungs5by5using5the5percussion5technique.5Which5soun
d5would5the5nurse5expect5to5hear5over5healthy5lung5tissue?
A.5resonance
B.5orthopnea
C.5crackles
D.5tachypnea5-5ans--A.5resonance
A5clinical5manifestation5common5in5an5individual5with5chronic5obstructive5pulmonary5dise
ase5(COPD)5is:
A.5periodic5breathing5patterns
B.5pursed5lip5breathing
C.5unequal5chest5expansion
D.5hyperventilation5-5ans--B.5pursed5lip5breathing
An5individual5with5COPD5may5purse5the5lips5in5a5whistling5position.5By5exhaling5slowly5a
nd5against5a5narrow5opening,5the5pressure5in5the5bronchial5tree5remains5positive,5and5fe
wer5airways5collapse.
Which5of5the5following5are5functions5of5the5respiratory5system?5(Select5all5that5apply)
A.5supplying5oxygen5to5the5body5for5energy5production
B.5removing5carbon5dioxide5as5a5waste5product
C.5wound5repair
D.5maintaining5acid-base5balance
E.5maintenance5of5heat5exchange
F.5identification5-5ans--A.5supplying5oxygen5to5the5body5for5energy5production
B.5removing5carbon5dioxide5as5a5waste5product
D.5maintaining5acid-base5balance
E.5maintenance5of5heat5exchange
Stridor5is5a5high5pitched,5inspiratory5crowing5sound5commonly5associated5with:
, A.5upper5airway5obstruction
B.5atelectasis
C.5congestive5heart5failure
D.5Pneumothorax5-5ans--A.5upper5airway5obstruction
Stridor5is5associated5with5upper5airway5obstruction5from5swollen,5inflamed5tissues5or5a5lo
dged5foreign5body.
Which5of5the5following5correctly5expresses5the5relationship5to5the5lobes5of5the5lungs5and5
their5anatomic5position?5
A.5upper5lobes-lateral5chest
B.5upper5lobes-posterior5chest
C.5lower5lobes-posterior5chest
D.5lower5lobes5-5anterior5chest5-5ans--C.5lower5lobes5-5posterior5chest
The5posterior5chest5is5almost5all5lower5lobe
The5function5of5the5trachea5and5bronchi5is5to5
A.5transport5gases5between5the5environment5and5the5lung5parenchyma
B.5Condense5inspired5air5for5better5gas5exchange
C.5Moisturize5air5for5optimum5respiration
D.5Increase5air5turbulence5and5velocity5for5maximum5gas5transport5-5ans--
A.5transport5gases5between5the5environment5and5the5lung5parenchyma
Which5of5the5following5chest5configurations5is5an5exaggerated5posterior5curvature5of5the5
thoracic5spine5that5is5associated5with5aging5and5physical5fitness?
A.5scoliosis
B.5barrel5chest
C.5kyphosis
D.5pectus5excavatum5-5ans--C.5Kypohosis
Causes5significant5back5pain5and5limited5mobility.5It5is5associated5with5aging,5and5people
5with5adequate5exercise5habits5are5less5likely5to5have5kyphosis.5Scoliosis5is5S5shaped5cu
rvature5of5the5spine5Barrel5chest5is5equal5AP5to5transverse5diameter5and5is5associated5wi
th5aging5and5chronic5emphysema5or5asthma.5Pectus5excavatum5is5a5markedly5sunken5st
ernum5and5adjacent5cartilages5that5is5congenital.
The5nurse5is5observing5the5auscultation5technique5of5another5nurse.5The5correct5method
5to5use5when5progressing5from5one5auscultatory5site5on5the5thorax5to5another5is5_______
____________5comparison.
A.5side-to-side
B.5top-to-bottom
C.5posterior-to-anterior
D.5interspace5by5interspace5-5ans--A.5side5to5side