N125 Exam 3 Review Questions and 100%
Correct Answers
what's different between the left and the right lung
right lung is larger and contains 3 lobes
left lung is smaller and contains 2 lobes
what are normal findings are in adult lungs
Inspection AP < transverse diameter, relaxed posture, normal musculature; rate 10 to
18 breaths/min, regular; no cyanosis or pallor.
Palpation Symmetric chest expansion. Tactile fremitus present and equal bilaterally,
diminishing toward periphery. No lumps, masses, or tenderness.
Percussion Resonant.
Auscultation Vesicular over peripheral fields. Bronchovesicular parasternally (anterior)
and between scapulae (posterior). Infant and young child—bronchovesicular
throughout.
Adventitious Sounds None.
What assessments are you doing when you're inspecting the anterior chest
-note shape and configuration
-Note the person's facial expression. The facial expression should be relaxed and benign,
indicating an unconscious effort of breathing.
-Assess the level of consciousness. The level of consciousness should be alert and
cooperative.
-Note skin color and condition. The lips and nail beds are free of cyanosis or unusual
pallor.
,-rib interspaces
-accessory muscles
What assessments are you doing when you're inspecting the posterior chest
-thoracic cage: shape and configuration The spinous processes should appear in a
straight line.
-The anteroposterior (AP) diameter should be less than the transverse diameter
-The neck and trapezius muscles should be developed normally for age and occupation.
-Note the position the person takes to breathe. should be relaxed
-Assess the skin color and condition.
when auscultating the lungs and the bronchial tree is obstructed at some point by
secretions, mucus plug, or a foreign body
Decreased or absent breath sounds occur
when auscultating the lungs and the patient has emphysema as a result of loss of
elasticity in the lung fibers and decreased force of inspired air
Decreased or absent breath sounds occur
when auscultating the lungs and anything obstructs transmission of sound between
the lung and your stethoscope such as pleurisy or pleural thickening or air
(pneumothorax) or fluid (pleural effusion) in the pleural space
Decreased or absent breath sounds occur
when auscultating the lungs and there is a silent chest
that means no air is moving in or out; an ominous sign.
when auscultating the lungs and high-pitched, tubular quality, with a prolonged
expiratory phase and a distinct pause between inspiration and expiration.
, increased breath sounds occur
when auscultating the lungs and its sound very close to your stethoscope, as if they
were right in the tubing close to your ear.
increased breath sounds occur
when auscultating the lungs and consolidation (e.g., pneumonia) or compression (e.g.,
fluid in the intrapleural space) yields a dense lung area that enhances the transmission
of sound from the bronchi.
increased breath sounds occur
when auscultating the lungs and airway obstruction from acute asthma or chronic
emphysema sound is a wheeze; like High-pitched, musical squeaking sounds that
sound polyphonic (multiple notes as in a musical chord)
increased breath sounds occur
Crackles
discontinuous popping sounds heard over inspiration
occur with restrictive disease: pneumonia, heart failure, and interstitial fibrosis
obstructive disease: chronic bronchitis, asthma, and emphysema
wheezes
continuous musical sounds heard mainly over expiration.
stridor
High-pitched, monophonic, inspiratory, crowing sound; louder in neck than over chest
wall
Costal Angle
Correct Answers
what's different between the left and the right lung
right lung is larger and contains 3 lobes
left lung is smaller and contains 2 lobes
what are normal findings are in adult lungs
Inspection AP < transverse diameter, relaxed posture, normal musculature; rate 10 to
18 breaths/min, regular; no cyanosis or pallor.
Palpation Symmetric chest expansion. Tactile fremitus present and equal bilaterally,
diminishing toward periphery. No lumps, masses, or tenderness.
Percussion Resonant.
Auscultation Vesicular over peripheral fields. Bronchovesicular parasternally (anterior)
and between scapulae (posterior). Infant and young child—bronchovesicular
throughout.
Adventitious Sounds None.
What assessments are you doing when you're inspecting the anterior chest
-note shape and configuration
-Note the person's facial expression. The facial expression should be relaxed and benign,
indicating an unconscious effort of breathing.
-Assess the level of consciousness. The level of consciousness should be alert and
cooperative.
-Note skin color and condition. The lips and nail beds are free of cyanosis or unusual
pallor.
,-rib interspaces
-accessory muscles
What assessments are you doing when you're inspecting the posterior chest
-thoracic cage: shape and configuration The spinous processes should appear in a
straight line.
-The anteroposterior (AP) diameter should be less than the transverse diameter
-The neck and trapezius muscles should be developed normally for age and occupation.
-Note the position the person takes to breathe. should be relaxed
-Assess the skin color and condition.
when auscultating the lungs and the bronchial tree is obstructed at some point by
secretions, mucus plug, or a foreign body
Decreased or absent breath sounds occur
when auscultating the lungs and the patient has emphysema as a result of loss of
elasticity in the lung fibers and decreased force of inspired air
Decreased or absent breath sounds occur
when auscultating the lungs and anything obstructs transmission of sound between
the lung and your stethoscope such as pleurisy or pleural thickening or air
(pneumothorax) or fluid (pleural effusion) in the pleural space
Decreased or absent breath sounds occur
when auscultating the lungs and there is a silent chest
that means no air is moving in or out; an ominous sign.
when auscultating the lungs and high-pitched, tubular quality, with a prolonged
expiratory phase and a distinct pause between inspiration and expiration.
, increased breath sounds occur
when auscultating the lungs and its sound very close to your stethoscope, as if they
were right in the tubing close to your ear.
increased breath sounds occur
when auscultating the lungs and consolidation (e.g., pneumonia) or compression (e.g.,
fluid in the intrapleural space) yields a dense lung area that enhances the transmission
of sound from the bronchi.
increased breath sounds occur
when auscultating the lungs and airway obstruction from acute asthma or chronic
emphysema sound is a wheeze; like High-pitched, musical squeaking sounds that
sound polyphonic (multiple notes as in a musical chord)
increased breath sounds occur
Crackles
discontinuous popping sounds heard over inspiration
occur with restrictive disease: pneumonia, heart failure, and interstitial fibrosis
obstructive disease: chronic bronchitis, asthma, and emphysema
wheezes
continuous musical sounds heard mainly over expiration.
stridor
High-pitched, monophonic, inspiratory, crowing sound; louder in neck than over chest
wall
Costal Angle
