Chapter 14: Chest and Lungs
MULTIPLE CHOICE
1. A 44-year-old male patient who complains of a cough has presented to the emergency
department. He admits to smoking one pack per day. During your inspection of his chest, the most
appropriate lighting source to highlight chest movement is: a. bright tangential lighting.
b. daylight from a window. c. flashlight in a dark room. d. fluorescent ceiling lights.
ANS: A
Bright tangential light is best for visualizing chest movements.
DIF: Cognitive Level: Applying (Application)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. When auscultating the apex of the lung, you should listen at a point:
a. even with the second rib. b. 4 cm above the first rib. c. higher on the right side.
d. on the convex diaphragm surface.
ANS: B
The apex of the lung is 4 cm above the first rib.B.COM
DIF: Cognitive Level: Analyzing (Analysis)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
3. To count the ribs and the intercostal spaces, you begin by palpating the reference point of the: a.
distal point of the xiphoid.
b. manubriosternal junction.
c. suprasternal notch.
d. acromion process.
ANS: B
The angle of Louis, the junction of the manubrium and the sternum, corresponds to the second rib, the
reference point for counting ribs and intercostal spaces.
DIF: Cognitive Level: Applying (Application)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
4. Mr. Curtis is a 44-year-old patient who has presented to the emergency department with shortness of
breath. During the history, the patient describes shortness of breath that gets worse when he sits up. To
document this, you will use the term: a. platypnea.
, b. orthopnea. c. tachypnea. d. bradypnea.
ANS: A
Dyspnea that increases in the upright posture is called platypnea. Orthopnea is dyspnea that worsens
when the person lies down. Tachypnea is an increased respiratory rate. Bradypnea is a decreased
respiratory rate.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
5. Which finding suggests a minor structural variation?
a. Barrel chest
b. Clubbed fingers
c. Pectus carinatum
d. Chest wall retractions
ANS: C
Pectus carinatum (pigeon chest) is a minor structural variation. Barrel chest, clubbing of the fingers,
and chest wall retractions result from compromised respirations.
DIF: Cognitive Level: Applying (Application)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
6. Ms. Rudman, age 74 years, has no known health problems or diseases. You are doing a preventive
healthcare history and examination. Which symptom is associated with intrathoracic infection? a.
Barrel chest
b. Cor pulmonale
c.d. Funnel chestMalodorous breath
ANS: D
Intrathoracic infections may make the breath malodorous.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
7. The best time to observe and count respirations is while:
a. the patient is answering questions.
b. weighing the patient.
c. palpating the pulse.
https://pasinggrades.com/
MULTIPLE CHOICE
1. A 44-year-old male patient who complains of a cough has presented to the emergency
department. He admits to smoking one pack per day. During your inspection of his chest, the most
appropriate lighting source to highlight chest movement is: a. bright tangential lighting.
b. daylight from a window. c. flashlight in a dark room. d. fluorescent ceiling lights.
ANS: A
Bright tangential light is best for visualizing chest movements.
DIF: Cognitive Level: Applying (Application)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. When auscultating the apex of the lung, you should listen at a point:
a. even with the second rib. b. 4 cm above the first rib. c. higher on the right side.
d. on the convex diaphragm surface.
ANS: B
The apex of the lung is 4 cm above the first rib.B.COM
DIF: Cognitive Level: Analyzing (Analysis)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
3. To count the ribs and the intercostal spaces, you begin by palpating the reference point of the: a.
distal point of the xiphoid.
b. manubriosternal junction.
c. suprasternal notch.
d. acromion process.
ANS: B
The angle of Louis, the junction of the manubrium and the sternum, corresponds to the second rib, the
reference point for counting ribs and intercostal spaces.
DIF: Cognitive Level: Applying (Application)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
4. Mr. Curtis is a 44-year-old patient who has presented to the emergency department with shortness of
breath. During the history, the patient describes shortness of breath that gets worse when he sits up. To
document this, you will use the term: a. platypnea.
, b. orthopnea. c. tachypnea. d. bradypnea.
ANS: A
Dyspnea that increases in the upright posture is called platypnea. Orthopnea is dyspnea that worsens
when the person lies down. Tachypnea is an increased respiratory rate. Bradypnea is a decreased
respiratory rate.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
5. Which finding suggests a minor structural variation?
a. Barrel chest
b. Clubbed fingers
c. Pectus carinatum
d. Chest wall retractions
ANS: C
Pectus carinatum (pigeon chest) is a minor structural variation. Barrel chest, clubbing of the fingers,
and chest wall retractions result from compromised respirations.
DIF: Cognitive Level: Applying (Application)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
6. Ms. Rudman, age 74 years, has no known health problems or diseases. You are doing a preventive
healthcare history and examination. Which symptom is associated with intrathoracic infection? a.
Barrel chest
b. Cor pulmonale
c.d. Funnel chestMalodorous breath
ANS: D
Intrathoracic infections may make the breath malodorous.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
7. The best time to observe and count respirations is while:
a. the patient is answering questions.
b. weighing the patient.
c. palpating the pulse.
https://pasinggrades.com/
