NURS211 exam 3 Questions and
Answers 100% Pass
thoracic cage - ✔✔sternum, ribs (12), thoracic vertebrae (12), diaphragm, &
intercostals
Lobes of the lungs (anterior view) - ✔✔- 3 right, 2 left
- mostly upper lobes and right middle lobe
Lobes of the lung (posterior view) - ✔✔mostly lower lobes
Lobes of the lung (left lateral view) - ✔✔
Lobes of the lung (right lateral view) - ✔✔
sternal angle - ✔✔"Angle of Louis" - articulation of the manubrium and
body of the sternum. Continuous with the second rib.
costal angle - ✔✔should be within 90 degrees
1
100% Pass Guarantee Katelyn Whitman, All Rights
,Mediastinum - ✔✔- middle of thoracic cavity
- contains esophagus, trachea, heart, and great vessels
Mechanics of respiration - ✔✔- inspiration: diaphragm contracts, abdomen
moves out
- exhalation: diaphragm expands and relaxes
anteroposterior diameter should be ___ than transverse diameter - ✔✔less
(normal = 1:2)
tactile fremitus - ✔✔- palpable vibration
- generated from larynx
- have patient repeat the word "ninety-nine" during palpation
- most intensely heard between the scapulae
tactile fremitus increases with - ✔✔hyperinflation (COPD, emphysema,
asthma)
tactile fremitus decreases with - ✔✔consolidation (pneumonia, tumor)
2
100% Pass Guarantee Katelyn Whitman, All Rights
,Abnormal finding: barrel chest - ✔✔- lungs are chronically overinflated
with air
- rib cage stays partially expanded all the time
- gradual 1:1 ratio
- may occur in people with COPD, emphysema
abnormal finding: pectus excavatum - ✔✔- sternum and ribcage are
concave
- either present at birth or developed during puberty
abnormal findings: pectus carinatum - ✔✔- "pigeon chest"
- sternum and ribs protrude
abnormal findings: flail chest - ✔✔- **life-threatening medical condition**
- portion of rib cage is separated from chest wall
- usually due to severe blunt trauma (ex. serious fall, car accident)
Scoliosis - ✔✔abnormal lateral curvature of the spine
kyphosis - ✔✔hunchback
3
100% Pass Guarantee Katelyn Whitman, All Rights
, lung auscultation: anterior - ✔✔- use a "z" motion
- 10 spots
- should listen to at least 1 full respiration at each spot
lung auscultation: posterior - ✔✔- use a "z" motion
- 18 spots
- should listen to at least 1 full respiration at each spot
egophany - ✔✔- increased resonance of voice sounds heard when
auscultating the lungs
- caused by lung consolidation, fluid in lungs, or fibrosis
- "E" to "A" sound change
Bronchophany - ✔✔- abnormal transmission of sounds from the lungs or
bronchi
- may indicate consolidation
whispered pectoriloquy - ✔✔- whispered sounds heard loudly and clearly
upon thoracic auscultation
4
100% Pass Guarantee Katelyn Whitman, All Rights
Answers 100% Pass
thoracic cage - ✔✔sternum, ribs (12), thoracic vertebrae (12), diaphragm, &
intercostals
Lobes of the lungs (anterior view) - ✔✔- 3 right, 2 left
- mostly upper lobes and right middle lobe
Lobes of the lung (posterior view) - ✔✔mostly lower lobes
Lobes of the lung (left lateral view) - ✔✔
Lobes of the lung (right lateral view) - ✔✔
sternal angle - ✔✔"Angle of Louis" - articulation of the manubrium and
body of the sternum. Continuous with the second rib.
costal angle - ✔✔should be within 90 degrees
1
100% Pass Guarantee Katelyn Whitman, All Rights
,Mediastinum - ✔✔- middle of thoracic cavity
- contains esophagus, trachea, heart, and great vessels
Mechanics of respiration - ✔✔- inspiration: diaphragm contracts, abdomen
moves out
- exhalation: diaphragm expands and relaxes
anteroposterior diameter should be ___ than transverse diameter - ✔✔less
(normal = 1:2)
tactile fremitus - ✔✔- palpable vibration
- generated from larynx
- have patient repeat the word "ninety-nine" during palpation
- most intensely heard between the scapulae
tactile fremitus increases with - ✔✔hyperinflation (COPD, emphysema,
asthma)
tactile fremitus decreases with - ✔✔consolidation (pneumonia, tumor)
2
100% Pass Guarantee Katelyn Whitman, All Rights
,Abnormal finding: barrel chest - ✔✔- lungs are chronically overinflated
with air
- rib cage stays partially expanded all the time
- gradual 1:1 ratio
- may occur in people with COPD, emphysema
abnormal finding: pectus excavatum - ✔✔- sternum and ribcage are
concave
- either present at birth or developed during puberty
abnormal findings: pectus carinatum - ✔✔- "pigeon chest"
- sternum and ribs protrude
abnormal findings: flail chest - ✔✔- **life-threatening medical condition**
- portion of rib cage is separated from chest wall
- usually due to severe blunt trauma (ex. serious fall, car accident)
Scoliosis - ✔✔abnormal lateral curvature of the spine
kyphosis - ✔✔hunchback
3
100% Pass Guarantee Katelyn Whitman, All Rights
, lung auscultation: anterior - ✔✔- use a "z" motion
- 10 spots
- should listen to at least 1 full respiration at each spot
lung auscultation: posterior - ✔✔- use a "z" motion
- 18 spots
- should listen to at least 1 full respiration at each spot
egophany - ✔✔- increased resonance of voice sounds heard when
auscultating the lungs
- caused by lung consolidation, fluid in lungs, or fibrosis
- "E" to "A" sound change
Bronchophany - ✔✔- abnormal transmission of sounds from the lungs or
bronchi
- may indicate consolidation
whispered pectoriloquy - ✔✔- whispered sounds heard loudly and clearly
upon thoracic auscultation
4
100% Pass Guarantee Katelyn Whitman, All Rights
