AHN 568 MODULE 1 EXAM QUESTIONS AND
ANSWERS
Normal respiratory evaluation findings: ANSWER: resonant percussion.
The trachea is midline.
BS: vesicular. Bronchovesicular and bronchial structures cover the major
bronchi and the trachea.
Normal tactile fremitus and transmitted vocal sounds
Left-sided HF respiratory evaluation findings: ANSWER: resonant percussion.
The trachea is midline.
BS: Vesicular
Adventitious: late inspiratory crackles in the dependent part of the meal;
potential wheeze
Normal vocal sounds and tactile fremitus.
Chronic bronchitis - ANSWER: resonant
The trachea is midline.
BS: Vesicular
Extra BS: scattered coarse crackles in early inspiration and expiration; wheeze,
rhonchi.
Lobar Pneumonia (Consolidation) Assessment Findings - ANSWER
percussion: dull across airless area
,The midline trachea
BS: bronchial over the affected area
Extra BS: Late inspiratory crackles over the area
Increased tactile fremitus. Egophony, bronchophony, and whispered
pectoriloquy.
Partial Lobar Obstruction (atelectasis): ANSWER percussion: dull across airless
area.
trachea moves TOWARD the affected side.
Breath sounds are absent with the bonchial plug, especially in cases of right
upper lobe atelectasis with nearby tracheal breath sounds being communicated.
There are no adventurous sounds.
Tactile fremitis is absent in bronchial plus, although tactile fremitus and voice
sounds may be elevated in right upper lobe atelectasis.
atelectasis=- ANSWER lobar blockage caused by mucus, a foreign item, or an
organ pressing on the lobe. The alveoli collapse. There are no adventitious
breath sounds.
Pleural Effusion Respiratory Assessment: ANSWER percussion: dull above the
fluid.
If the effusion is significant, the trachea will shift away from it.
BS: lowered to absent. Or bronchial noises on top of effusion.
, There will be no extra BS, but there may be a pleural rub.
Tactile fremitus is reduced or absent, however it may grow near the top of a big
effusion.
Pneumothorax respiratory assessment - ANSWER: Hyperresonant or tympany
over the pleural air.
The trachea moves away from strain PTX.
BS: reduced or nonexistent during PTX
No extra BS, but many pleural rubs.
Reduced or nonexistent tactile fremitus over pleural air
COPD respiratory assessment - ANSWER percussion: all over hyperresponsive
The trachea's midline
BS: delayed expiration, reduced BS.
Extra BS: crackles, wheeze, rhonchi, or chronic bronchitis.
Reduced tactile fremitus and speech sounds.
Asthma respiratory assessment: ANSWER percussion: resonant or diffusely
hyperresonant.
The trachea's midline
Wheezes muffle the breath sounds. Extra BS are wheezes and perhaps crackles.
Reduced tactile fremitus and speech sounds.
ANSWERS
Normal respiratory evaluation findings: ANSWER: resonant percussion.
The trachea is midline.
BS: vesicular. Bronchovesicular and bronchial structures cover the major
bronchi and the trachea.
Normal tactile fremitus and transmitted vocal sounds
Left-sided HF respiratory evaluation findings: ANSWER: resonant percussion.
The trachea is midline.
BS: Vesicular
Adventitious: late inspiratory crackles in the dependent part of the meal;
potential wheeze
Normal vocal sounds and tactile fremitus.
Chronic bronchitis - ANSWER: resonant
The trachea is midline.
BS: Vesicular
Extra BS: scattered coarse crackles in early inspiration and expiration; wheeze,
rhonchi.
Lobar Pneumonia (Consolidation) Assessment Findings - ANSWER
percussion: dull across airless area
,The midline trachea
BS: bronchial over the affected area
Extra BS: Late inspiratory crackles over the area
Increased tactile fremitus. Egophony, bronchophony, and whispered
pectoriloquy.
Partial Lobar Obstruction (atelectasis): ANSWER percussion: dull across airless
area.
trachea moves TOWARD the affected side.
Breath sounds are absent with the bonchial plug, especially in cases of right
upper lobe atelectasis with nearby tracheal breath sounds being communicated.
There are no adventurous sounds.
Tactile fremitis is absent in bronchial plus, although tactile fremitus and voice
sounds may be elevated in right upper lobe atelectasis.
atelectasis=- ANSWER lobar blockage caused by mucus, a foreign item, or an
organ pressing on the lobe. The alveoli collapse. There are no adventitious
breath sounds.
Pleural Effusion Respiratory Assessment: ANSWER percussion: dull above the
fluid.
If the effusion is significant, the trachea will shift away from it.
BS: lowered to absent. Or bronchial noises on top of effusion.
, There will be no extra BS, but there may be a pleural rub.
Tactile fremitus is reduced or absent, however it may grow near the top of a big
effusion.
Pneumothorax respiratory assessment - ANSWER: Hyperresonant or tympany
over the pleural air.
The trachea moves away from strain PTX.
BS: reduced or nonexistent during PTX
No extra BS, but many pleural rubs.
Reduced or nonexistent tactile fremitus over pleural air
COPD respiratory assessment - ANSWER percussion: all over hyperresponsive
The trachea's midline
BS: delayed expiration, reduced BS.
Extra BS: crackles, wheeze, rhonchi, or chronic bronchitis.
Reduced tactile fremitus and speech sounds.
Asthma respiratory assessment: ANSWER percussion: resonant or diffusely
hyperresonant.
The trachea's midline
Wheezes muffle the breath sounds. Extra BS are wheezes and perhaps crackles.
Reduced tactile fremitus and speech sounds.
