CHAMBERLAIN UNIVERSITY NR 509
ADVANCED WEEK 8 EXAM WITH
EXPERT CURATED SOLUTIONS &
RATIONALES | GRADED A | SCORED
99.9% | EVERYTHING YOU NEED TO
PASS
Question 1
A 3 year-old presents with a history of fever and cough over the
past 24 hours. Findings on exam reveal: temperature of 102°F,
apical heart rate of 157 beats/minute, and respiratory rate of 40
breaths/minute. Tachypnea in this child is most likely related to
Paradoxical respirations.
the child's febrile state. Correct
,the child's age.
an airway obstruction.
Explanation:
In children, heart and respiratory rates will increase with fever.
For every degree of fever the respiratory rate will increase 3-4
breaths/minutes and the heart rate will increase 8-10
beats/minute.
Question 2
When percussing the lower posterior chest, begin by:
standing on the side rather than directly behind the patient.
Correct: having the patient lie supine on the examining
table.
carefully palpating any area the patient has reported pain.
using the ball or the ulnar surface of the hand.
Explanation:
When percussing the lower posterior chest, stand on the side
rather than directly behind the patient. This position allows the
ability to place the pleximeter finger more firmly on the chest and
the plexor is more effective in making a better percussion note. If
the patient is lying supine, the posterior chest will not be able to
be percussed. Palpating painful areas is not percussion, so is not
correct. Using the bony part of the palm at the base of the fingers
or the ulnar surface is a technique used to detect tactile fremitus.
Question 3
,The palpation technique used to assess respiratory expansion of
the chest is placing the hands on the eight or tenth ribs posteriorly
with the thumbs close to the vertebrae, sliding the hand medially
and grasping a small fold of skin between the thumbs. Then:
ask the patient to cough and note chest expansion.
ask the patient to take a deep breathe and note any delay in
expansion during inhalation.
Correct have the patient hold his breath for 15 seconds
then note chest expansion.
have the patient exhale forcefully noting expansion on expiration.
Explanation:
To assess the respiratory expansion of the chest, the examiner
places his hands on the eight or tenth ribs posteriorly with the
thumbs close to the vertebrae, slides the hand medially and grasps
a small fold of skin between the thumbs then asks the patient to
take a deep breath. The thumbs should move evenly away from
the vertebrae during inspiration and there should be no delay in
expansion.
Question 4
When trying to differentiate between hemoptysis or blood
streaked material, which one of the following observations is
correct?
Hemoptysis is seen frequently in infants, children, and
adolescents with allergic rhinitis.
, Blood originating in the stomach is usually brighter than blood
originating from the respiratory tract.
IncorrectHemoptysis is common in children with cystic fibrosis.
Correct: Blood streaked material often originates from
the gastrointestinal tract.
Explanation:
Hemoptysis is rare in infants, children, and adolescents, although
common in those with cystic fibrosis. Blood originating in the
stomach is usually darker than blood from the respiratory tract
and may be mixed with food particles. Blood or blood-streaked
material may originate in the mouth, pharynx, or less commonly
from the gastrointestinal tract.
Question 5
When percussing the chest in a patient who has left sided heart
failure, the sound emanated would be:
resonant. Correct
dulltympany.
Diffusely
hyperresonant. Incorrect
Explanation:
A patient with left sided heart failure experiences increased
pressure in the pulmonary veins causing congestion and
interstitial edema. Percussion sounds emitted would most likely
ADVANCED WEEK 8 EXAM WITH
EXPERT CURATED SOLUTIONS &
RATIONALES | GRADED A | SCORED
99.9% | EVERYTHING YOU NEED TO
PASS
Question 1
A 3 year-old presents with a history of fever and cough over the
past 24 hours. Findings on exam reveal: temperature of 102°F,
apical heart rate of 157 beats/minute, and respiratory rate of 40
breaths/minute. Tachypnea in this child is most likely related to
Paradoxical respirations.
the child's febrile state. Correct
,the child's age.
an airway obstruction.
Explanation:
In children, heart and respiratory rates will increase with fever.
For every degree of fever the respiratory rate will increase 3-4
breaths/minutes and the heart rate will increase 8-10
beats/minute.
Question 2
When percussing the lower posterior chest, begin by:
standing on the side rather than directly behind the patient.
Correct: having the patient lie supine on the examining
table.
carefully palpating any area the patient has reported pain.
using the ball or the ulnar surface of the hand.
Explanation:
When percussing the lower posterior chest, stand on the side
rather than directly behind the patient. This position allows the
ability to place the pleximeter finger more firmly on the chest and
the plexor is more effective in making a better percussion note. If
the patient is lying supine, the posterior chest will not be able to
be percussed. Palpating painful areas is not percussion, so is not
correct. Using the bony part of the palm at the base of the fingers
or the ulnar surface is a technique used to detect tactile fremitus.
Question 3
,The palpation technique used to assess respiratory expansion of
the chest is placing the hands on the eight or tenth ribs posteriorly
with the thumbs close to the vertebrae, sliding the hand medially
and grasping a small fold of skin between the thumbs. Then:
ask the patient to cough and note chest expansion.
ask the patient to take a deep breathe and note any delay in
expansion during inhalation.
Correct have the patient hold his breath for 15 seconds
then note chest expansion.
have the patient exhale forcefully noting expansion on expiration.
Explanation:
To assess the respiratory expansion of the chest, the examiner
places his hands on the eight or tenth ribs posteriorly with the
thumbs close to the vertebrae, slides the hand medially and grasps
a small fold of skin between the thumbs then asks the patient to
take a deep breath. The thumbs should move evenly away from
the vertebrae during inspiration and there should be no delay in
expansion.
Question 4
When trying to differentiate between hemoptysis or blood
streaked material, which one of the following observations is
correct?
Hemoptysis is seen frequently in infants, children, and
adolescents with allergic rhinitis.
, Blood originating in the stomach is usually brighter than blood
originating from the respiratory tract.
IncorrectHemoptysis is common in children with cystic fibrosis.
Correct: Blood streaked material often originates from
the gastrointestinal tract.
Explanation:
Hemoptysis is rare in infants, children, and adolescents, although
common in those with cystic fibrosis. Blood originating in the
stomach is usually darker than blood from the respiratory tract
and may be mixed with food particles. Blood or blood-streaked
material may originate in the mouth, pharynx, or less commonly
from the gastrointestinal tract.
Question 5
When percussing the chest in a patient who has left sided heart
failure, the sound emanated would be:
resonant. Correct
dulltympany.
Diffusely
hyperresonant. Incorrect
Explanation:
A patient with left sided heart failure experiences increased
pressure in the pulmonary veins causing congestion and
interstitial edema. Percussion sounds emitted would most likely
