NSG 6020 Week 3 Quiz with Answers (100% Correct)

1. A condition associated with a chronic cough that produces copious amounts of purulent sputum is most likely: 2. When performing a respiratory assessment on a 4-year-old child, further evaluation is warranted in the presence of: 3. When percussing the chest in a patient who has left sided heart failure, the sound emanated would be: 4.Stridor heard louder in the neck than over the chest wall indicates: 5. The middle section of the thoracic cavity containing the esophagus, trachea, heart, and great vessels is the: 1. An acute viral illness that presents with a burning retrosternal discomfort and a dry cough is suggestive of: 2. On auscultation of the chest, if the patient says “ninety-nine” and it is clearly heard, this is indicative of: 3. 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: 4. When percussing the posterior chest, which one of the following techniques would be omitted? 5. Then angle of Louis is a useful place to start counting ribs. This landmark is located: 6. When auscultating breath sounds, use the diaphragm of the stethoscope by placing it initially on the: 7. Orthopnea is typically associated with hall of the following conditions except: 8. When percussing the lower posterior chest, begin by: 9. Breath sounds heard over the periphery of the lung fields are: 10. When inspecting the chest for respiratory effort, which one of the following is not part of the inspection? 11. Pain from pleurisy may be referred to the: . 12. To locate the twelfth rib, palpate: 13. 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: 14. When technique best determines whether the tissues in the chest are air filled, fluid-filled, or solid? 15. The hilar region of the lungs describes: 16. The line that extends through the inferior angle of the scapula when the arms are at the sides of the body is the: 17. 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: 18. A patient presents with a productive cough. Which one of the following descriptions of the mucus is correct? 19. Atypical respiratory symptoms associated with gastroesophageal disease (GERD) may include all of the following except: 20. Factors that affricate costochondritis may include: 21. Adventitious breath sounds, such as crackles, are: 22. Respiratory effort in the neonate is initiated at birth as a result of: 23. 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: 24. When examining a patient for chest expansion, begin by: 25. Increased anteroposterior diameter of the chest, purse lipped breathing, and dyspnea with talking, suggest: 26. The line that bisects the center of each clavicle at a point halfway between the palpated sternoclavicular and acromioclavicular joints is the: 27. Breath sounds heard on chest over the hilar region are: 28. A patient who presents with a long history of cigarette smoking exhibits a cry to productive cough with dyspnea and weight loss. These symptoms could be consistent with: 29. To document chest findings located at the lowest most portion of the lungs, which one of the following terms would be used. 30. To document chest findings located below the scapular, which on of the following terms would be used? 31. 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: 32. Diminished breath sounds should be interpreted as: 33. A 65-year old obese man with past medical history of hypertension complains of increased fatigue during the day. The practitioner orders a polysomnogram to test for: 34. When trying to differentiate between hemoptysis or blood streaked material, which one of the following observations is correct? 35. To document chest findings located between the scapular, which one of the following terms would be used? 36. 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: 37. The lower tip of the scapula is located: around the seventh or eighth rib. 38. Breath sounds consisting of a full inspiratory and expiratory phase with the inspiratory phased usually being louder and normally heard over the trachea and larynx are considered: 39. Retractions are observed in all the following areas except the: 40. The midaxillary line: runs down from the apex of the axilla and lies between and parallel to the anterior and posterior lines 41. A 37- year-old female has audible stridor. This type of stridor is consistent with: 42. One of the anterior thoracic landmarks is the costal angle. It is located: 43. Which one of the following infants should be seen immediately by the nurse practitioner? 44. A 3-year- old presents with a history of fever and cough over the past 24 hours. Finding on exam reveal: temperature of 102 degrees F, apical heart rate of 157 beats/minute, and respiratory rate of 40 breaths/minute. Tachypnea in this child is most likely related to: 45. When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are: 46. 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: