NUR 3065 Respiratory Assessment Test 2025

When inspecting the shape and configuration of the thoracic cage, which of the following would be an expected finding? A. The presence of kyphosis B. An anteroposterior diameter that is half of the transverse diameter C. An anteroposterior diameter that is equal to the transverse diameter D. Ribs that are horizontal - Correct Answer-B. An anteroposterior diameter that is half of the transverse diameter When percussing the posterior thorax diaphragmatic excursion, which of the following transitions in sound should you listen for? A. Resonance to hyperresonance B. Resonance to dullness C. Hyperresonance to tympany D. Dullness to tympany - Correct Answer-B. Resonance to dullness When testing an individual for vocal resonance, the expected result of voice transmission is that: A. sounds are distinct and clearly identifiable. B. sounds increase as you move from the top to the bottom of the lung fields. C. sounds are muffled, soft, and indistinct. D. voice sounds are decreased in the presence of consolidation. - Correct Answer-C. sounds are muffled, soft, and indistinct. Reference lines on the posterior, anterior, and lateral chest wall serve to: A. facilitate pinpointing locations on the chest wall. B. help the examiner visualize underlying lung structures. C. facilitate measurement of thoracic expansion. D. help in determining the configuration of the chest wall. - Correct Answer-A. facilitate pinpointing locations on the chest wall. Which of the following best describes findings associated with fremitus? A. Fremitus is more pronounced on the anterior chest than on the posterior. B. The intensity of the fremitus decreases as you progress down the chest wall. C. A female will present with greater intensity of fremitus than a male. D. Increased fremitus is associated with an increase of air in the tissues of the lung. - Correct Answer-B. The intensity of the fremitus decreases as you progress down the chest wall. A nurse in a provider's office is preparing to auscultate and percuss a client's thorax as part of a comprehensive physical examination. Which of the following findings should the nurse expect? (Select all that apply) A. Rhonchi B. Crackles C. Resonance D. Tactile fremitus E. Bronchovesicular sounds - Correct Answer-C. Resonance D. Tactile fremitus E. Bronchovesicular sounds During an abdominal examination, a nurse in a provider's office determines that a client has abdominal distention. The protrusion is at midline, the skin over the area is taut, and the nurse notes no involvement of the flanks. Which of the following possible causes of distention should the nurse suspect? A. Fat B. Fluid C. Flatus D. Hernias - Correct Answer-C. Flatus During a cardiovascular examination, a nurse in a provider's office places the diaphragm of the stethoscope on the left midclavicular line at the fifth intercostal space. Which of the following heart sounds is the nurse attempting to auscultate? (select all that apply) A. Ventricular gallop B. Closure of the mitral valve C. Closure of the pulmonic valve D. Closure of the tricuspid valve E. Murmur - Correct Answer-B. Closure of the mitral valve D. Closure of the tricuspid valve The mechanism that stimulates the release of surfactant is a. fluid accumulation in the alveoli. b. alveolar collapse from atelectasis. c. alveolar stretch from deep breathing. d. air movement through the alveolar pores of Kohn. - Correct Answer-c. alveolar stretch from deep breathing. During inspiration, air enters the thoracic cavity as a result of a. contraction of the accessory abdominal muscles. b. increased carbon dioxide and decreased oxygen in the blood. c. stimulation of the respiratory muscles by the chemoreceptors. d. decreased intrathoracic pressure relative to pressure at the airway. - Correct Answer-d. decreased intrathoracic pressure relative to pressure at the airway. The ability of the lungs to adequately oxygenate the arterial blood is best determined by examination of the a. heart rate. b. hemoglobin level. c. arterial oxygen tension d. arterial carbon dioxide tension. - Correct Answer-c. arterial oxygen tension The most important respiratory defense mechanism distal to the respiratory bronchioles is the