EXAM 2 ADVANCED HEALTH
ASSESSMENT QUESTIONS WITH
COMPLETE SOLUTIONS
Whatdcausesdbarreldchest?d-
dThisdresultsdfromdcompriseddrespirationsdd/
tdchronicdasthma,demphysema,dordcysticdfibrosis.
Indicationdofdpectusdcarinatum,doftendreferreddtodasdpigeondchest
Presentdwithdprominentdsternaldprotrusion
Characteristicsdofdbarreldchestd-
dThedAPddiameterdapproachesdordequalsdthedlateralddiameterdwithdadratiod1.0dordevendgreat
erdsuggestdadchronicdrespiratordconditiondthatdcausesdbarreldchest
Whatdisdtachypnea?d-dRRd>20/
mindhyperventilation,dptdmaydbedsplintingdd/
tdpxdfromdfxdribdordpleurisy,dincreasedliverdsize,danddascitesdthatdpreventsdtheddiaphragmdde
cent
Whatdisdbradypnea?d-dRR<12/
mindmaydbedneurologic,delectrolyteddisturbances,dinfection,dptdprotectiondselfdfromdpx,dtood
muchdsedation/pxdmeddordexcellentdcardiovasculardfitness.
Areasdofdhyperresonancedaredpercusseddoverdthedlungdfieldsdindwhichdcondition?d-
dEmphysema, dareasdofdtrappeddairdthatdoccurdwithdemphysema
Pleruisydcausesdwhatdsound?d-d-adfrictiondrubdwithdauscultation
PNAdanddpleuraldeffusiondaredlikelydtodcausedwhatdsounds?d-
dSqueakingdordgratingdsoundsdofdthedpleuraldliningsdrubbingdtogether
Thedmanubriosternaldangled(angledofdLouis)disdcontinuousdwithdwhichdanatomicaldlandmar
k?d-dSeconddrib
Whichdfindingsdondthedptdhxdisdsuspiciousdfordpulmonarydtuberculosis?d-d-Nightdsweats
Whichdassessmentdfindingsdofdthedresp.dsysdindad2dmonthdolddinfantdisdconsidereddabnorm
al?d-dgrunting
, Whichdassessmentdfindingdsuggestsdadchilddhasdepiglottis?d-d-difficultydswallowing
-adharshdbarkingdcoughdoccursdwithdacutedlaryngotracheitisdordcroup
Adptdwithdmetabolicdacidosisdisdlikelydtoddisplaydwhichdtypedofdrespiration?d-
dAdrapidddeepdbreathing
Kussmauldrespirationsdoccurdwithdmetabolicdacidosis.dThedptdbreathesddeeplydanddrapidlyd
asdthedbodydblowsdoffdCO2dtodcompensate
Indwhichdconditiondisdfluiddpresentdindthedpleuraldspace?d-dPleuraldeffusion
Duringdadhxdadclientdtellsdthednursedthatdhedhasdsmokedd2dpacksdofdcigarettesdperddaydford1
0dyearsdandd1dpackdperddaydfordthedpastd15dyearsd-d35?
Definedvesiculardbreathdsounds?d-dNormal,dsoftdanddlow-
pitcheddoverdperipheraldlungdfields,dInspirationdisdlongerdanddlouderdthandexpirationdphase,
dhearddoverdhealthydlungdtissue
Bronchovesiculardsoundsdaredhearddwhere?d-
dOverdthedmaindbronchusdanddoverdthedupperdrightdposteriordlung.dMediumdpitchdwithdequal
dexpirationdanddinspiration
Whatddoesdwheezingdsounddlike?d-d-musicaldnoisedlikedadwhistle
-usuallydlouderdondexpiration
-hearddcontinuouslydduringdinspirationdanddexpiration
Whatddoesdrhonchidsounddlike?danddwhatddoesditdindicate?d-d-
snoringdordrattlingdnoisesdhearddupondauscultation
-
theydindicatedobstructionsdbydthickdsecretionsdofdmucus.dQualitydofdsounddchangesdifdthedp
ersondcoughsdordsometimesdchangesdposition
Whatddoesdadpleuraldfrictiondrubdsounddlikedanddwhatdisditdcauseddby?d-d-
drydrubbingdordgratingdsounds
-causeddbydinflammationdordpleuraldspaces
Ratedandddepthdofdbreathingdwilldincreasedwith?d-d-acidosis
-CNSdlesiond(pons)
-anxiety
-ASAdpoisoning
-oxygendneedd(hypoxemia)
-pain
Ratedandddepthdofdbreathingdwillddecreasedwith?d-d-alkalosisd(metabolic)
-CNSdlesiond(cerebrum)
-Myastheniadgravis
ASSESSMENT QUESTIONS WITH
COMPLETE SOLUTIONS
Whatdcausesdbarreldchest?d-
dThisdresultsdfromdcompriseddrespirationsdd/
tdchronicdasthma,demphysema,dordcysticdfibrosis.
Indicationdofdpectusdcarinatum,doftendreferreddtodasdpigeondchest
Presentdwithdprominentdsternaldprotrusion
Characteristicsdofdbarreldchestd-
dThedAPddiameterdapproachesdordequalsdthedlateralddiameterdwithdadratiod1.0dordevendgreat
erdsuggestdadchronicdrespiratordconditiondthatdcausesdbarreldchest
Whatdisdtachypnea?d-dRRd>20/
mindhyperventilation,dptdmaydbedsplintingdd/
tdpxdfromdfxdribdordpleurisy,dincreasedliverdsize,danddascitesdthatdpreventsdtheddiaphragmdde
cent
Whatdisdbradypnea?d-dRR<12/
mindmaydbedneurologic,delectrolyteddisturbances,dinfection,dptdprotectiondselfdfromdpx,dtood
muchdsedation/pxdmeddordexcellentdcardiovasculardfitness.
Areasdofdhyperresonancedaredpercusseddoverdthedlungdfieldsdindwhichdcondition?d-
dEmphysema, dareasdofdtrappeddairdthatdoccurdwithdemphysema
Pleruisydcausesdwhatdsound?d-d-adfrictiondrubdwithdauscultation
PNAdanddpleuraldeffusiondaredlikelydtodcausedwhatdsounds?d-
dSqueakingdordgratingdsoundsdofdthedpleuraldliningsdrubbingdtogether
Thedmanubriosternaldangled(angledofdLouis)disdcontinuousdwithdwhichdanatomicaldlandmar
k?d-dSeconddrib
Whichdfindingsdondthedptdhxdisdsuspiciousdfordpulmonarydtuberculosis?d-d-Nightdsweats
Whichdassessmentdfindingsdofdthedresp.dsysdindad2dmonthdolddinfantdisdconsidereddabnorm
al?d-dgrunting
, Whichdassessmentdfindingdsuggestsdadchilddhasdepiglottis?d-d-difficultydswallowing
-adharshdbarkingdcoughdoccursdwithdacutedlaryngotracheitisdordcroup
Adptdwithdmetabolicdacidosisdisdlikelydtoddisplaydwhichdtypedofdrespiration?d-
dAdrapidddeepdbreathing
Kussmauldrespirationsdoccurdwithdmetabolicdacidosis.dThedptdbreathesddeeplydanddrapidlyd
asdthedbodydblowsdoffdCO2dtodcompensate
Indwhichdconditiondisdfluiddpresentdindthedpleuraldspace?d-dPleuraldeffusion
Duringdadhxdadclientdtellsdthednursedthatdhedhasdsmokedd2dpacksdofdcigarettesdperddaydford1
0dyearsdandd1dpackdperddaydfordthedpastd15dyearsd-d35?
Definedvesiculardbreathdsounds?d-dNormal,dsoftdanddlow-
pitcheddoverdperipheraldlungdfields,dInspirationdisdlongerdanddlouderdthandexpirationdphase,
dhearddoverdhealthydlungdtissue
Bronchovesiculardsoundsdaredhearddwhere?d-
dOverdthedmaindbronchusdanddoverdthedupperdrightdposteriordlung.dMediumdpitchdwithdequal
dexpirationdanddinspiration
Whatddoesdwheezingdsounddlike?d-d-musicaldnoisedlikedadwhistle
-usuallydlouderdondexpiration
-hearddcontinuouslydduringdinspirationdanddexpiration
Whatddoesdrhonchidsounddlike?danddwhatddoesditdindicate?d-d-
snoringdordrattlingdnoisesdhearddupondauscultation
-
theydindicatedobstructionsdbydthickdsecretionsdofdmucus.dQualitydofdsounddchangesdifdthedp
ersondcoughsdordsometimesdchangesdposition
Whatddoesdadpleuraldfrictiondrubdsounddlikedanddwhatdisditdcauseddby?d-d-
drydrubbingdordgratingdsounds
-causeddbydinflammationdordpleuraldspaces
Ratedandddepthdofdbreathingdwilldincreasedwith?d-d-acidosis
-CNSdlesiond(pons)
-anxiety
-ASAdpoisoning
-oxygendneedd(hypoxemia)
-pain
Ratedandddepthdofdbreathingdwillddecreasedwith?d-d-alkalosisd(metabolic)
-CNSdlesiond(cerebrum)
-Myastheniadgravis
