NSE 103: RESPIRATORY EXAM WITH CORRECT
ANSWERS
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Terms in this set (24)
- Urgent intervention
- If you think stridor is caused by a foreign body that
Absence of air entry and
you can quickly remove, do so
stridor
- Primary survey
- If SpO2 are low, apply O2 if permitted
Normal: Good air entry, equal bilaterally, no
adventitious sounds throughout all lobes on anterior
thorax. Bronchovesicular sounds heard in upper lobes
close to sternum. Vesicular sounds heard throughout
Anterior thorax
peripheral lung field.
auscultation findings
Abnormal: Absent air entry in right lower lobe
anteriorly with mild wheezing heard upon expiration
in the upper lobes bilaterally.
Normal: Symmetrical anterior thorax, downward
sloping ribs, trachea and sternum midlines, no thorax
deformities, masses, or swelling, costal angle 90
degrees. Consistent skin colour across anterior thorax,
Anterior thorax inspection
no discolouration.
findings
Abnormal: Tracheal deviation to the right side. Costal
angle 170 degrees, horizontal ribs with a 1:1
anteroposterior to transverse diameter.
, Normal: Upon palpation of anterior chest wall, client
reports no pain, temperature warm to touch, equal
bilaterally, no moisture, swelling, masses or
Anterior thorax palpation deformities, equal tactile fremitus.
findings
Abnormal: Upon palpation of anterior chest wall,
crepitus felt in neck and upper lobe area, perspiration
noted.
Normal: Resonance heard throughout lungs on
anterior thorax.
Anterior thorax percussion
Abnormal: Dominant sound of resonance heard
findings
throughout lungs on anterior side except an area of 3
cm2 on left sternal border between clavicle and
second rib.
- Associated with decreased ventilation
Asymmetrical lung - Investigate whether there is decreased or absent air
expansion entry in the affected lung, lagging behind or not
expanding at all.
Normal: Patent airway, quiet breathing with no signs of
respiratory distress. Alert, Oxygen saturations 98. No
colour changes. No signs of clubbing. Capillary refill
returns within 1-2 seconds.
Brief scan findings
Abnormal: Stridor present, nasal flaring and
intercostal tugging, pallor noted around lips. Oxygen
saturation 91%. Slow capillary refill at 4-5 seconds.
Could be respiratory or cardiovascular related
Chest pain
depending on the underlying pathophysiology.
ANSWERS
Save
Terms in this set (24)
- Urgent intervention
- If you think stridor is caused by a foreign body that
Absence of air entry and
you can quickly remove, do so
stridor
- Primary survey
- If SpO2 are low, apply O2 if permitted
Normal: Good air entry, equal bilaterally, no
adventitious sounds throughout all lobes on anterior
thorax. Bronchovesicular sounds heard in upper lobes
close to sternum. Vesicular sounds heard throughout
Anterior thorax
peripheral lung field.
auscultation findings
Abnormal: Absent air entry in right lower lobe
anteriorly with mild wheezing heard upon expiration
in the upper lobes bilaterally.
Normal: Symmetrical anterior thorax, downward
sloping ribs, trachea and sternum midlines, no thorax
deformities, masses, or swelling, costal angle 90
degrees. Consistent skin colour across anterior thorax,
Anterior thorax inspection
no discolouration.
findings
Abnormal: Tracheal deviation to the right side. Costal
angle 170 degrees, horizontal ribs with a 1:1
anteroposterior to transverse diameter.
, Normal: Upon palpation of anterior chest wall, client
reports no pain, temperature warm to touch, equal
bilaterally, no moisture, swelling, masses or
Anterior thorax palpation deformities, equal tactile fremitus.
findings
Abnormal: Upon palpation of anterior chest wall,
crepitus felt in neck and upper lobe area, perspiration
noted.
Normal: Resonance heard throughout lungs on
anterior thorax.
Anterior thorax percussion
Abnormal: Dominant sound of resonance heard
findings
throughout lungs on anterior side except an area of 3
cm2 on left sternal border between clavicle and
second rib.
- Associated with decreased ventilation
Asymmetrical lung - Investigate whether there is decreased or absent air
expansion entry in the affected lung, lagging behind or not
expanding at all.
Normal: Patent airway, quiet breathing with no signs of
respiratory distress. Alert, Oxygen saturations 98. No
colour changes. No signs of clubbing. Capillary refill
returns within 1-2 seconds.
Brief scan findings
Abnormal: Stridor present, nasal flaring and
intercostal tugging, pallor noted around lips. Oxygen
saturation 91%. Slow capillary refill at 4-5 seconds.
Could be respiratory or cardiovascular related
Chest pain
depending on the underlying pathophysiology.
