APEA Assessment Respiratory
Objective final exam
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Pass>>updated syllabus;
Newest version
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.
have the patient hold his breath for 15 seconds then note chest expansion.
have the patient exhale forcefully noting expansion on expiration. - ANSWER
✅ask the patient to take a deep breathe and note any delay in expansion during
inhalation.
To document chest findings located below the scapulae, which one of the
following terms would be used?
Infraclavicular
Supraclavicular
Interscapular
Infrascapular - ANSWER ✅Infrascapular
An acute viral illness that presents with a burning retrosternal discomfort
and a dry cough is suggestive of:
tracheobronchitis.
chronic bronchitis.
bronchiectasis.
laryngitis. - ANSWER ✅tracheobronchitis.
Orthopnea is typically associated with all of the following conditions except:
left ventricular hypertrophy.
, pulmonary embolus.
mitral stenosis.
obstructive lung disease. - ANSWER ✅pulmonary embolus.
Breath sounds auscultated over the periphery of the lung fields are quiet and wispy
during the inspiratory phase followed by a short, almost silent expiratory phase.
These breath sounds are considered:
vesicular.
bronchovesicular.
bronchial.
crackles. - ANSWER ✅vesicular.
On auscultation of the chest, if the patient says "ninety-nine" and it is clearly
heard, this is indicative of:
a normal sounding chest.
lung density in the area.
consolidation or compression in the area.
of inflammation in the area. - ANSWER ✅lung density in the area.
A 37-year-old female has audible stridor. This type of stridor is consistent with:
bronchiectasis.
pulmonary fibrosis.
cystic fibrosis.
a foreign object lodged in the upper trachea. - ANSWER ✅a foreign object
lodged in the upper trachea.
Respiratory effort in the neonate is initiated at birth as a result of:
an increase in the PO2 and a decrease in PCO2.
the continued functioning of the foramen ovale.
chemical, thermal, and mechanical factors.
drying off the infant. - ANSWER ✅chemical, thermal, and mechanical factors.
When auscultating breath sounds, use the diaphragm of the stethoscope by placing
it initially on the:
anterior chest at the nipple line.
lateral surface of the chest near the axilla.
posterior chest at the cervical 7 level.
anterior chest in the upper sternal area. - ANSWER ✅posterior chest at the
cervical 7 level.
Objective final exam
A+graded <<100% guaranteed
Pass>>updated syllabus;
Newest version
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.
have the patient hold his breath for 15 seconds then note chest expansion.
have the patient exhale forcefully noting expansion on expiration. - ANSWER
✅ask the patient to take a deep breathe and note any delay in expansion during
inhalation.
To document chest findings located below the scapulae, which one of the
following terms would be used?
Infraclavicular
Supraclavicular
Interscapular
Infrascapular - ANSWER ✅Infrascapular
An acute viral illness that presents with a burning retrosternal discomfort
and a dry cough is suggestive of:
tracheobronchitis.
chronic bronchitis.
bronchiectasis.
laryngitis. - ANSWER ✅tracheobronchitis.
Orthopnea is typically associated with all of the following conditions except:
left ventricular hypertrophy.
, pulmonary embolus.
mitral stenosis.
obstructive lung disease. - ANSWER ✅pulmonary embolus.
Breath sounds auscultated over the periphery of the lung fields are quiet and wispy
during the inspiratory phase followed by a short, almost silent expiratory phase.
These breath sounds are considered:
vesicular.
bronchovesicular.
bronchial.
crackles. - ANSWER ✅vesicular.
On auscultation of the chest, if the patient says "ninety-nine" and it is clearly
heard, this is indicative of:
a normal sounding chest.
lung density in the area.
consolidation or compression in the area.
of inflammation in the area. - ANSWER ✅lung density in the area.
A 37-year-old female has audible stridor. This type of stridor is consistent with:
bronchiectasis.
pulmonary fibrosis.
cystic fibrosis.
a foreign object lodged in the upper trachea. - ANSWER ✅a foreign object
lodged in the upper trachea.
Respiratory effort in the neonate is initiated at birth as a result of:
an increase in the PO2 and a decrease in PCO2.
the continued functioning of the foramen ovale.
chemical, thermal, and mechanical factors.
drying off the infant. - ANSWER ✅chemical, thermal, and mechanical factors.
When auscultating breath sounds, use the diaphragm of the stethoscope by placing
it initially on the:
anterior chest at the nipple line.
lateral surface of the chest near the axilla.
posterior chest at the cervical 7 level.
anterior chest in the upper sternal area. - ANSWER ✅posterior chest at the
cervical 7 level.
