ASSESSMENT FINAL EXAM
A palpable vibration increased with lobar pneumonia is also known as:
A. Rhonchi
B. Resonance
C. Fremitus
D. Crackles - CORRECT ANSWER -C. Fremitus (key term is "palpable"
Your patient is exhibiting rapid shallow breathing, with a respiratory rate >24 respirations per minute.
Which of the following conditions are they experiencing?
A. hypoxemia
B. tachypnea
C. fremitus
D. resonance - CORRECT ANSWER -B. tachypnea
Increased tactile fremitus would be evident in an individual who has which of the following conditions?
A. emphysema
B. pneumonia
C. crepitus
D. pneumothorax - CORRECT ANSWER -B. pneumonia
Fremitus is a palpable vibration. Increased fremitus occurs with compression or consolidation of lung
tissue (ex. lobar pneumonia)
,Which of the following terms is used to describe a decreased level of oxygen (O2) in the blood?
A. anemia
B. hypercapnia
C. hypoxemia
D. emphysema - CORRECT ANSWER -C. hypoxemia
The nurse is assessing a patient who has emphysema. They note a course, crackling sensation that is
palpable over the skin surface. This is known as:
A. hypoxemia
b. crackles
C. fremitus
D. crepitus - CORRECT ANSWER -D. crepitus
Upon receiving the patient's lab results, the nurse notes the patient has an increased level of carbon
dioxide in the blood. Which of the following conditions would the patient be experiencing?
A. resonance
B. hypercapnia
C. fremitus
D. tachypnea - CORRECT ANSWER -B. hypercapnia
The nurse is auscultating a patient's lungs and hears discontinuous, high-pitched, short, popping sounds
heard during inspiration, and not cleared by coughing. These are described as:
A. bradypnea
B. rhonchi
C. crackles
D. wheezing - CORRECT ANSWER -C. crackles
,The nurse is assessing a patient's lungs by using the percussion technique. Which sound would the nurse
expect to hear over healthy lung tissue?
A. resonance
B. orthopnea
C. crackles
D. tachypnea - CORRECT ANSWER -A. resonance
A clinical manifestation common in an individual with chronic obstructive pulmonary disease (COPD) is:
A. periodic breathing patterns
B. pursed lip breathing
C. unequal chest expansion
D. hyperventilation - CORRECT ANSWER -B. pursed lip breathing
An individual with COPD may purse the lips in a whistling position. By exhaling slowly and against a
narrow opening, the pressure in the bronchial tree remains positive, and fewer airways collapse.
Which of the following are functions of the respiratory system? (Select all that apply)
A. supplying oxygen to the body for energy production
B. removing carbon dioxide as a waste product
C. wound repair
D. maintaining acid-base balance
E. maintenance of heat exchange
F. identification - CORRECT ANSWER -A. supplying oxygen to the body for energy production
B. removing carbon dioxide as a waste product
D. maintaining acid-base balance
E. maintenance of heat exchange
, Stridor is a high pitched, inspiratory crowing sound commonly associated with:
A. upper airway obstruction
B. atelectasis
C. congestive heart failure
D. Pneumothorax - CORRECT ANSWER -A. upper airway obstruction
Stridor is associated with upper airway obstruction from swollen, inflamed tissues or a lodged foreign
body.
Which of the following correctly expresses the relationship to the lobes of the lungs and their anatomic
position?
A. upper lobes-lateral chest
B. upper lobes-posterior chest
C. lower lobes-posterior chest
D. lower lobes - anterior chest - CORRECT ANSWER -C. lower lobes - posterior chest
The posterior chest is almost all lower lobe
The function of the trachea and bronchi is to
A. transport gases between the environment and the lung parenchyma
B. Condense inspired air for better gas exchange
C. Moisturize air for optimum respiration
D. Increase air turbulence and velocity for maximum gas transport - CORRECT ANSWER -A. transport
gases between the environment and the lung parenchyma