CVP Basic Assessment Part 1: Questions With Correct
Solutions
Why is it important to have the patient weigh themselves at the same time
every day in the morning? Right Ans - 3-5 LBS gained = edema
Where are the bases of the lungs located? Right Ans - The lower portion
that rests on the diaphragm.
How do we locate the second rib? Right Ans - Steps:
1. Find the suprasternal notch
2. 2-3 fingers down locate the sternal angle
3. Just lateral to the sternal angle is the 2nd rib
Which spinous process is close to the first rib? Right Ans - T1
- we locate C7 spinous process, then below is T1
The inferior angle of the scapula lies between which two ribs? Right Ans -
Above the inferior boarder is is the 7th rib and below the inferior boarder is
the 8th rib
How do we locate the midclavicular line? Right Ans - Locate the middle of
the patient’s clavicle
- different for everyone
Where is the anterior axillary line located? Right Ans - Located at the end
of the clavicle
How do we locate the scapular line? Right Ans - Divide the scapula in half
Does the left or right Apex of the lung sit higher? Right Ans - Right lung lies
above the clavicle
What is the significance of locating the spinous process of T3? Right Ans -
Upper lobes divide into the lower lobes of the lungs
, What part of the lung are we able to hear when the patient lifts there right
arm? Right Ans - The right middle lung
What are the characteristics of Normal breathing? Right Ans - - quiet and
easy (if we hear someone breathing it is a problem)
- barely audible near the open mouth as a faint whish
When a healthy person lies supine, the breathing movements of the _________
are relatively slight Right Ans - Thorax
What are the three most common pulmonary complaints? Right Ans - -
cough
- dyspnea
- chest pain
What approach (steps) are taken for a cardiopulmonary exam? Right Ans -
- observation/inspection
- palpation
- percussion
- auscultation
pectus excavatum Right Ans - - AKA: pigeon chest
- congenital condition
- indentation (sunken in) of sternum
What are the pulmonary and cardiac effects of having Pectus excavatum?
Right Ans - - primarily effects the expansion of the upper lobes of the lungs
- pushing in on the heart
pectus carinatum Right Ans - - AKA: barrel chest
- anteriorposterior diameter of the chest enlarges
What are the pulmonary effects of having Pectus carinatum? Right Ans - -
the patient is overinflated, not much room for gas exchange
- insufficient gas exchange
Thoracic expansion/tactile Fremitus procedure Right Ans - - locate the
space between the vertebra and the scapula
- go from upper lobe to lower lobe of lungs placing hands vertically
Solutions
Why is it important to have the patient weigh themselves at the same time
every day in the morning? Right Ans - 3-5 LBS gained = edema
Where are the bases of the lungs located? Right Ans - The lower portion
that rests on the diaphragm.
How do we locate the second rib? Right Ans - Steps:
1. Find the suprasternal notch
2. 2-3 fingers down locate the sternal angle
3. Just lateral to the sternal angle is the 2nd rib
Which spinous process is close to the first rib? Right Ans - T1
- we locate C7 spinous process, then below is T1
The inferior angle of the scapula lies between which two ribs? Right Ans -
Above the inferior boarder is is the 7th rib and below the inferior boarder is
the 8th rib
How do we locate the midclavicular line? Right Ans - Locate the middle of
the patient’s clavicle
- different for everyone
Where is the anterior axillary line located? Right Ans - Located at the end
of the clavicle
How do we locate the scapular line? Right Ans - Divide the scapula in half
Does the left or right Apex of the lung sit higher? Right Ans - Right lung lies
above the clavicle
What is the significance of locating the spinous process of T3? Right Ans -
Upper lobes divide into the lower lobes of the lungs
, What part of the lung are we able to hear when the patient lifts there right
arm? Right Ans - The right middle lung
What are the characteristics of Normal breathing? Right Ans - - quiet and
easy (if we hear someone breathing it is a problem)
- barely audible near the open mouth as a faint whish
When a healthy person lies supine, the breathing movements of the _________
are relatively slight Right Ans - Thorax
What are the three most common pulmonary complaints? Right Ans - -
cough
- dyspnea
- chest pain
What approach (steps) are taken for a cardiopulmonary exam? Right Ans -
- observation/inspection
- palpation
- percussion
- auscultation
pectus excavatum Right Ans - - AKA: pigeon chest
- congenital condition
- indentation (sunken in) of sternum
What are the pulmonary and cardiac effects of having Pectus excavatum?
Right Ans - - primarily effects the expansion of the upper lobes of the lungs
- pushing in on the heart
pectus carinatum Right Ans - - AKA: barrel chest
- anteriorposterior diameter of the chest enlarges
What are the pulmonary effects of having Pectus carinatum? Right Ans - -
the patient is overinflated, not much room for gas exchange
- insufficient gas exchange
Thoracic expansion/tactile Fremitus procedure Right Ans - - locate the
space between the vertebra and the scapula
- go from upper lobe to lower lobe of lungs placing hands vertically
