AGNP Board Exam Question and answers - Respiratory Assessment

AGNP BOARD EXAM QUESTIONS Respiratory Assessment (51 Questions) 1. Which technique best determines whether the tissues in the chest are air-filled, fluid-filled, or solid? 2. The midaxillary lin e: 3. When percussing the lower posterior chest, begin by: 4. A 65-year-old obese man with a past medical history of hypertension complains of increased fatigue during the day. The practitioner orders a polysomnogram to test for: 5. Pain from pleurisy may be referred to the: 6, An acute viral illness that presents with a burning retrosternal discomfort and a dry cough is suggestive of: 7. When examining a patient for chest expansion, begin by: 8. A patient who presents with a long history of cigarette smoking exhibits a dry to productive cough with dyspnea and weight loss. These symptoms could be consistent with: 9. The hilar region of the lungs describes: 10. A condition associated with a chronic cough that produces copious amounts of purulent sputum is most likely: 11. To document chest findings located below the scapulae, which one of the following terms would be used? 12. A 37-year-old female has audible stridor. This type of stridor is consistent with: 13. When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are: 14. Atypical respiratory symptoms associated with gastroesophageal disease (GERD) may include all of the following except: 15. When percussing the chest in a patient who has left sided heart failure, the sound emanated would be: 16. To locate the twelfth rib, palpate: 17. Respiratory effort in the neonate is initiated at birth as a result of: 18. 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 19. Increased anteroposterior diameter of the chest, purse-lipped breathing, and dyspnea with talking, suggest: 20. Breath sounds consisting of a full inspiratory phase and a shortened and softer expiratory phase normally audible over the hilar region of the chest are termed: 21. The line that extends through the inferior angle of the scapula when the arms are at the sides of the body is the: 22. When percussing the right upper posterior area of the chest, a dullness replaces the resonance sound usually heard in the lung. This sound would be suggestive of: 23. When inspecting the chest for respiratory effort, which one of the following is not part of the inspection? 24. Which one of the following infants should be seen immediately by the nurse practitioner? 25. The anterior surface landmark on the thorax that is denoted by a hollow U-shaped depression just above the sternum and between the clavicles is termed the: 26. Retractions are observed in all the following areas except the: 27. Adventitious breath sounds, such as crackles, are: 28. The lower tip of the scapula is located: 29. 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: 30. Breath sounds heard over the periphery of the lung fields are: 31. 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: 32. Stridor heard louder in the neck than over the chest wall indicates: 33. The angle of Louis is a useful place to start counting ribs. This landmark is located: 34. A patient who walked into the examination room, may be observed to be sitting and leaning forward in his chair. Lips were pursed during exhalation and arms are supported on the table. This position could be consistent with patients who have: 35. Orthopnea is typically associated with all of the following conditions except: 36. A patient presents with a productive cough. Which one of the following descriptions of the mucus is correct? 37. When trying to differentiate between hemoptysis or blood streaked material, which one of the following observations is correct? 38. The line that bisects the center of each clavicle at a point halfway between the palpated sternoclavicular and acromioclavicular joints is the: 39. Diminished breath sounds should be interpreted as: 40. When auscultating breath sounds, use the diaphragm of the stethoscope by placing it initially on the: 41. To document chest findings located at the lowermost portion of the lungs, which one of the following terms would be used? 42. Breath sounds heard on chest over the hilar region are: 43. Factors that aggravate costochondritis may include: 44. One of the anterior thoracic landmarks is the costal angle. It is located: 45. When performing a respiratory assessment on a 4-year-old child, further evaluation is warranted in the presence of: 46. To document chest findings located between the scapulae, which one of the following terms would be used? 47. When palpating the thorax, a crackling, popping noise under the skin is heard. On auscultation, a sound similar to hair being rubbed between the fingers is noted. These symptoms could be consistent with: 48. Breath sounds consisting of a full inspiratory and expiratory phase with the inspiratory phase usually being louder and normally heard over the trachea and larynx are considered: 49. When percussing the posterior chest, which one of the following techniques would be omitted? 50. The middle section of the thoracic cavity containing the esophagus, trachea, heart, and great vessels is the: 51. On auscultation of the chest, if the patient says "ninety-nine" and it is clearly heard, this is indicative of: