Advanced Assessment: Respiratory 90
Correct Solutions.
Advanced Assessment: Respiratory 90
Correct Solutions.
When inspecting the chest for respiratory effort, which one of the following is not part of the
inspection? - ANSWER assessment for tactile fremitus
-not overall appearance, nutritional status, ability to breath, abnormal respirations, contour and
movement of the chest, color of the skin, nail beds, and lips, and presence of retractions
-to assess for tactile remits, one would palpate the chest, not inspect it
The palpation technique is used to assess respiratory expansion of the cheat is placing the hands n
eighth or tenth ribs posteriorly with the thumbs close to the vertebrae, sliding the hands medially and
grasping a small fold of skin between the thumbs. Then: - ANSWER ask the patient to take a deep breath
and note any delay in expansion during inhalation
When palpating the thorax, a crackling, popping noise under the skin is heard. On auscultation, a sound
similar to hair being rubbed between fingers is noted. These symptoms could be consistent with: -
ANSWER pneumothorax
When examining a dating for chest expansion, begin by: - ANSWER placing the thumbs of the examiner
at about the level of the tenth rib with the fingers loosely grasping and parallel to the lateral rib cage
Diminished breath sounds should be interpreted as: - ANSWER an abnormal finding warranting further
evaluation
Retractions are observed in all of the following areas except the: - ANSWER hilar area
A deviated trachea could be caused by all of the following except:
-pneumothorax
atelectasis
pleural effusion
, Advanced Assessment: Respiratory 90
Correct Solutions.
pneumonia
pleural fibrosis - ANSWER pneumonia
Adventitious breath sounds, such as crackles, are: - ANSWER popping, frying sounds, may be low or
high-pitched and usually heard on inspiration
When percussing the lower posterior chest begin by: - ANSWER standing on the side rather than directly
behind the patient
The midaxillary line: - ANSWER runs down from the apex of the axilla and lies between and parallel to
the anterior and posterior lines
An acute viral illness that presents with a burning retrosternal discomfort and dry cough is suggestive of:
- ANSWER tracheobronchiis
a 37-year-old has audible stridor. This type of stridor is consistent with: - ANSWER a foreign object
lodged in the upper trachea
a 48-year-old woman states she has been smoking about 10 cigarettes per day at 20 years f age. How
should this subjective history be documented? - ANSWER 14 pack year history
The hilarious region of the lungs describes: - ANSWER the area around h heart
Which of the following infants should be immediately seen by the nurse practitioner? - ANSWER a two-
week-old with nasal congestion and a respiratory rate of 64 breaths/min
To document chest findings located below the scapulae, which one of the following terms would be
used: - ANSWER infrascapular
Factors that alleviate costochondritis include: - ANSWER movement of the chest, trunk, and arms
Correct Solutions.
Advanced Assessment: Respiratory 90
Correct Solutions.
When inspecting the chest for respiratory effort, which one of the following is not part of the
inspection? - ANSWER assessment for tactile fremitus
-not overall appearance, nutritional status, ability to breath, abnormal respirations, contour and
movement of the chest, color of the skin, nail beds, and lips, and presence of retractions
-to assess for tactile remits, one would palpate the chest, not inspect it
The palpation technique is used to assess respiratory expansion of the cheat is placing the hands n
eighth or tenth ribs posteriorly with the thumbs close to the vertebrae, sliding the hands medially and
grasping a small fold of skin between the thumbs. Then: - ANSWER ask the patient to take a deep breath
and note any delay in expansion during inhalation
When palpating the thorax, a crackling, popping noise under the skin is heard. On auscultation, a sound
similar to hair being rubbed between fingers is noted. These symptoms could be consistent with: -
ANSWER pneumothorax
When examining a dating for chest expansion, begin by: - ANSWER placing the thumbs of the examiner
at about the level of the tenth rib with the fingers loosely grasping and parallel to the lateral rib cage
Diminished breath sounds should be interpreted as: - ANSWER an abnormal finding warranting further
evaluation
Retractions are observed in all of the following areas except the: - ANSWER hilar area
A deviated trachea could be caused by all of the following except:
-pneumothorax
atelectasis
pleural effusion
, Advanced Assessment: Respiratory 90
Correct Solutions.
pneumonia
pleural fibrosis - ANSWER pneumonia
Adventitious breath sounds, such as crackles, are: - ANSWER popping, frying sounds, may be low or
high-pitched and usually heard on inspiration
When percussing the lower posterior chest begin by: - ANSWER standing on the side rather than directly
behind the patient
The midaxillary line: - ANSWER runs down from the apex of the axilla and lies between and parallel to
the anterior and posterior lines
An acute viral illness that presents with a burning retrosternal discomfort and dry cough is suggestive of:
- ANSWER tracheobronchiis
a 37-year-old has audible stridor. This type of stridor is consistent with: - ANSWER a foreign object
lodged in the upper trachea
a 48-year-old woman states she has been smoking about 10 cigarettes per day at 20 years f age. How
should this subjective history be documented? - ANSWER 14 pack year history
The hilarious region of the lungs describes: - ANSWER the area around h heart
Which of the following infants should be immediately seen by the nurse practitioner? - ANSWER a two-
week-old with nasal congestion and a respiratory rate of 64 breaths/min
To document chest findings located below the scapulae, which one of the following terms would be
used: - ANSWER infrascapular
Factors that alleviate costochondritis include: - ANSWER movement of the chest, trunk, and arms
