CMN 568||CMN 568 LATEST REVIEW QUIZ/ANSWER LATEST (into to family NP)2024/25 COMPLETE GUIDE A+ SOUTH ALABAMA

CMN 568||CMN 568 LATEST REVIEW
QUIZ/ANSWER LATEST (into to family
NP)2024/25 COMPLETE GUIDE A+
SOUTH ALABAMA
components of physical respiratory exam (CORRECT ANSWER)
IPPA: inspection, palpation, percussion, auscultation


ratio of time spent in inspiration/expiration (CORRECT ANSWER)
ratio of 2:3


what should you palpate on a respiratory exam? (CORRECT
ANSWER) - trachea at suprasternal notch
- posterior chest wall to gauge fremitus / transmission of spoken words
through lungs
- anterior chest wall (assess cardiac impulse)


what do pulmonary function tests do? (CORRECT ANSWER)
measures:
- air flow rates
- lung volumes
- ability of lung to transfer gas across alveoli-capillary membrane


should you perform a PFT on a patient with asthma exacerbation?
(CORRECT ANSWER) no, PFTs are contraindicated in acute severe

,asthma, respiratory distress, angina aggravated by testing,
pneumothorax, active TB, and hemoptysis


tachypnea (CORRECT ANSWER) increased respiratory rate and
decreased tidal volume


kussmauls respirations (CORRECT ANSWER) rapid LARGE
VOLUME breathing due to intense stimulation of respiratory center
from metabolic acidosis


cheyne-stokes respirations (CORRECT ANSWER) rhythmic
waxing/waning of rate and TV; regular periods of apnea; seen in end-
stage LV failure, neurologic dx, and sleeping at high altitude


BLE edema indicates what? (CORRECT ANSWER) indirectly
measures pulmonary HTN; RV failure


what causes clubbing? (CORRECT ANSWER) increased amounts of
unsaturated Hgb in capillary blood; not a reliable indicator of hypoxemia
since cyanosis in polycythemia only means mild hypoxia


dull percussion indicates what? (CORRECT ANSWER) lung
consolidation or pleural effusion


hyper resonant percussion indicates what? (CORRECT ANSWER)
emphysema or pneumothorax

,what does bronchial lung sounds heard over the periphery of the lung
indicate? (CORRECT ANSWER) consolidation


what does globally diminished lung sounds imply? (CORRECT
ANSWER) significant airflow obstruction


Continuous adventitious lung sounds (CORRECT ANSWER) - wheezes
- rhonchi


Discontinuous adventitious lung sounds (CORRECT ANSWER) - fine
crackles
- course crackles


wheezing (CORRECT ANSWER) - high-pitched musical sounds
- bronchospasm, mucosal edema, excessive secretions DUE TO
NARROWED AIRWAY
- powerful indicator of obstructive lung disease


rhonchi (CORRECT ANSWER) - lower pitched, snoring, gurgling
quality sounds
- seen with excessive secretions and abnormal airway collapse
- clears after cough

, fine crackles (CORRECT ANSWER) - soft, high pitched crisp noise
associated with interstitial diagnosis or early pulmonary edema
- fine-late inspiratory crackles indicate pulmonary fibrosis


coarse crackles (CORRECT ANSWER) - louder and lower pitched,
slightly longer in duration
- associated with pneumonia or HF or late pulmonary edema


chest and abdominal wall should expand.... (CORRECT ANSWER)
simultaneously


normal lung sounds over periphery are described as... (CORRECT
ANSWER) vesicular, fades in expiration


normal lung sounds heard over suprasternal notch are described as....
(CORRECT ANSWER) tracheal or bronchial (louder, high pitched and
hollow; louder on expiration)


FEV1 (CORRECT ANSWER) amount of air exhaled during first forced
breath


FVC (CORRECT ANSWER) forced vital capacity; total amount of air
exhaled during the entire FEV test


obstructive lung disease results in spirometry (CORRECT ANSWER) -
decreased FEV1/FVC ratio