HEALTH ASSESSMENT TEST BANK MODULE 4
( CHEST, LUNGS & HEART) FINAL EXAM QUESTIONS
WITH ANSWERS & RATIONALE- GRADED A+ 2024-
2025
A cause for alarm during chest assessment of a newborn is:
a. crackles.
b. rhonchi.
c. gurgles from the gastrointestinal tract.
d. stridor.
D
Stridor is alarming at any age. Crackles and rhonchi at birth are caused by the
presence of remaining fetal fluid and are not a cause for alarm. Intermittent
gurgles are bowel sounds transmitted through the thin-walled chest and are not a
cause for alarm.
Which of the following is an expected finding in newborns ?
,a.Mottling of the thorax
b.Sternal retractions
c.Cough
d.Sneezing
D
Sneezing is common in infants; it is frequent and expected and clears the nose.
Other findings that would be a concern in adults but not in infants are respiratory
grunting and periodic breathing. Mottling of the thorax and sternal retractions are
signs of distress in all ages. Cough is rare in the newborn and would be considered
a problem.
Loud, harsh bronchovesicular breath sounds in young children are an indication
of:
a.the accumulation of fluid.
b.malignant tumors or solid masses.
c.normal, thin chest wall structures.
d.pus-filled abscesses and tumors.
,C
The chest wall of a young child is usually thin and therefore normally able to
transmit loud, harsh, and more bronchial breath sounds than are heard in adults.
A pregnant woman is expected to develop:
a.tachypnea and decreased tidal volume.
b.deep breathing but not more frequent breathing.
c.dyspnea and increased functional residual
capacity.
d.bradypnea and increased tidal volume.
B
In a pregnant woman, the tidal volume and vital capacity increase, the functional
residual capacity decreases, and the woman breathes more deeply but not more
frequently.
Expected respiratory changes of normal aging include:
a.increased chest expansion.
, b.more frequent use of respiratory muscles.
c.accentuated lumbar curve.
d.more prominent bony structures.
D
Marked bony prominences are seen in older adults because of the loss of
subcutaneous tissue. Chest expansion is decreased in older adults. Older adults
show less use of their respiratory muscles because of muscle weakness. The
lumbar curve is flattened in older adults.
Which symptom is the most significant indicator of asthma and should be
identified in the health history?
a. Wheezing
b. Paroxysmal dyspnea
c. Coexistent skin conditions
e. Chest pain
B
All the symptoms listed are associated with asthma; however, a paroxysmal
dyspnea is a hallmark subjective component.
( CHEST, LUNGS & HEART) FINAL EXAM QUESTIONS
WITH ANSWERS & RATIONALE- GRADED A+ 2024-
2025
A cause for alarm during chest assessment of a newborn is:
a. crackles.
b. rhonchi.
c. gurgles from the gastrointestinal tract.
d. stridor.
D
Stridor is alarming at any age. Crackles and rhonchi at birth are caused by the
presence of remaining fetal fluid and are not a cause for alarm. Intermittent
gurgles are bowel sounds transmitted through the thin-walled chest and are not a
cause for alarm.
Which of the following is an expected finding in newborns ?
,a.Mottling of the thorax
b.Sternal retractions
c.Cough
d.Sneezing
D
Sneezing is common in infants; it is frequent and expected and clears the nose.
Other findings that would be a concern in adults but not in infants are respiratory
grunting and periodic breathing. Mottling of the thorax and sternal retractions are
signs of distress in all ages. Cough is rare in the newborn and would be considered
a problem.
Loud, harsh bronchovesicular breath sounds in young children are an indication
of:
a.the accumulation of fluid.
b.malignant tumors or solid masses.
c.normal, thin chest wall structures.
d.pus-filled abscesses and tumors.
,C
The chest wall of a young child is usually thin and therefore normally able to
transmit loud, harsh, and more bronchial breath sounds than are heard in adults.
A pregnant woman is expected to develop:
a.tachypnea and decreased tidal volume.
b.deep breathing but not more frequent breathing.
c.dyspnea and increased functional residual
capacity.
d.bradypnea and increased tidal volume.
B
In a pregnant woman, the tidal volume and vital capacity increase, the functional
residual capacity decreases, and the woman breathes more deeply but not more
frequently.
Expected respiratory changes of normal aging include:
a.increased chest expansion.
, b.more frequent use of respiratory muscles.
c.accentuated lumbar curve.
d.more prominent bony structures.
D
Marked bony prominences are seen in older adults because of the loss of
subcutaneous tissue. Chest expansion is decreased in older adults. Older adults
show less use of their respiratory muscles because of muscle weakness. The
lumbar curve is flattened in older adults.
Which symptom is the most significant indicator of asthma and should be
identified in the health history?
a. Wheezing
b. Paroxysmal dyspnea
c. Coexistent skin conditions
e. Chest pain
B
All the symptoms listed are associated with asthma; however, a paroxysmal
dyspnea is a hallmark subjective component.
