And Answers Already Graded A+ 2026
Update
stand behind patient and place thumbs along spinal process at level of 10th rib, with
palms lightly in contact with the posterolateral surfaces; watch the thumbs during quiet
and deep breathing; loss of symmetry = problem on either 1 or both sides. - CORRECT
ANSWER-thoracic expansion
crackly/crinkly sensation that can be palpated and heard, a gentle bubbly feeling;
indicates air in the subcutaneous tissue from a rupture somewhere in the resp system,
or infection with gas producing organism - CORRECT ANSWER-crepitus
palpate the throracic muscles and skeleton; feeling for pulsations, areas of tenderness,
bulges, depressions, masses, and unusual movement - CORRECT ANSWER-palpating
the chest and trachea
palpable vibration of the chest wall that results from speech or other verbalizations. best
felt posteriorly and laterally at the level of the bifurcation of the bronchi; have patient say
"99" while you palpate with palmer surface of fingers or ulner aspect of the hand; use
firm, light touch - CORRECT ANSWER-tactile fremitus
decreased of absent fremitus may be caused by excess air in lungs or may indicate
emphysema, pleural thickening, or effusion, massive pulm edema, or bronchial
obstruction. Increased fremitus often coarser or rougher in feel, caused by presence of
fluids or solid mass within the lungs. - CORRECT ANSWER-abnormal tactile fremitus
without clothes on; 1st assess shape and size; 2nd check for symmetry; 3rd thoracic
landmarks; 4th color of skin; 5th check for supernumerary nipples; 6th superficial
venous patterns; and 7th observe for rib prominence - CORRECT ANSWER-inspect the
chest
midline trachea, costal angle, angle of ribs, intercostal spaces, suprasternal notch -
CORRECT ANSWER-thoracic landmarks
thoracic expansion at costal angle, w/o use of accessory muscles - CORRECT
ANSWER-symmetry of chest
What is the nature of your cough?; Do you produce any sputum?; Is your cough related
to activity?; What position are you most comfortable in?; How many pillows do you
, sleep with at night?; Is your SOB related to activity? - CORRECT ANSWER-hx
questions for cc of resp issue
rate between 12 to 20/min; ratio of resp to heart beats= 1:4; pt should breathe easily,
regularly w/o apparent distress; pattern should be even, not too shallow or too deep -
CORRECT ANSWER-normal respirations
term for abnormally shallow respirations - CORRECT ANSWER-hypopnea
term for resp rate greater than 20, but consistent and may occur during hyperventilation;
often a symptom of pain - CORRECT ANSWER-tachypnea
term for resp rate less than 12; may indicate neurologic or electrolyte disturbances,
infection, or conscious response to protect against the pain of pleurisy or other irritative
pneumonia. Can also be 2/2 level of cardio fitness - CORRECT ANSWER-bradypnea
term for fast and deep, heavy respirations, can be caused by exercise, anxiety, and
CNS and metabolic diseases - CORRECT ANSWER-hyperventilation
term for abnormally deep respirations - CORRECT ANSWER-hyperpnea
deep and mostly rapid respirations, used to describe resp effort of metabolic acidosis -
CORRECT ANSWER-kussmaul respirations
regular breathing with intervals of apnea by crescendo decrescendo breathing; can be
seen in sleeping pts, but mostly pts who are very ill, esp with brain damage - CORRECT
ANSWER-cheyne stokes respirations
irregular breathing that varies in depth and is interrupted irregularly by intervals of
apnea; associated with severe and persistent increased intracranial pressure, resp
compromise from drug poisoning, or brain damage at the medulla and generally equals
poor prognosis - CORRECT ANSWER-biot respirations
observe the lips and nails for cyanosis or pallor; lips for pursing; fingers for clubbing;
and alae nasi for flaring - CORRECT ANSWER-peripheral areas related to respiratory
assessment
dry, rubbing, or grating sound; palpable, coarse, grating vibration; usually on inspiration;
caused by inflammation of the pleural surfaces; think feel of leather rubbing on leather -
CORRECT ANSWER-pleural friction rub
location, size and shape, consistency, mobility, discreteness, tenderness, and warmth -
CORRECT ANSWER-7 characteristics of enlarged lymph nodes
lymph nodes at the base of the skull - CORRECT ANSWER-occipital lymph nodes