Health Assessment Exam 2 Review
Questions
A palpable vibration increased with lobar pneumonia is also known as:
A. Rhonchi
B. Resonance
C. Fremitus
D. Crackles - ANS 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 - ANS 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 - ANS 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 - ANS 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 - ANS 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 - ANS 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 - ANS 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 - ANS 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 - ANS 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 - ANS 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 - ANS 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 - ANS 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 - ANS A. transport gases
between the environment and the lung parenchyma
Which of the following chest configurations is an exaggerated posterior curvature of the thoracic
spine that is associated with aging and physical fitness?
A. scoliosis
B. barrel chest
C. kyphosis
D. pectus excavatum - ANS C. Kypohosis
Causes significant back pain and limited mobility. It is associated with aging, and people with
adequate exercise habits are less likely to have kyphosis. Scoliosis is S shaped curvature of the
spine Barrel chest is equal AP to transverse diameter and is associated with aging and chronic
emphysema or asthma. Pectus excavatum is a markedly sunken sternum and adjacent
cartilages that is congenital.
The nurse is observing the auscultation technique of another nurse. The correct method to use
when progressing from one auscultatory site on the thorax to another is ___________________
comparison.
A. side-to-side
B. top-to-bottom
C. posterior-to-anterior
Questions
A palpable vibration increased with lobar pneumonia is also known as:
A. Rhonchi
B. Resonance
C. Fremitus
D. Crackles - ANS 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 - ANS 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 - ANS 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 - ANS 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 - ANS 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 - ANS 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 - ANS 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 - ANS 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 - ANS 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 - ANS 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 - ANS 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 - ANS 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 - ANS A. transport gases
between the environment and the lung parenchyma
Which of the following chest configurations is an exaggerated posterior curvature of the thoracic
spine that is associated with aging and physical fitness?
A. scoliosis
B. barrel chest
C. kyphosis
D. pectus excavatum - ANS C. Kypohosis
Causes significant back pain and limited mobility. It is associated with aging, and people with
adequate exercise habits are less likely to have kyphosis. Scoliosis is S shaped curvature of the
spine Barrel chest is equal AP to transverse diameter and is associated with aging and chronic
emphysema or asthma. Pectus excavatum is a markedly sunken sternum and adjacent
cartilages that is congenital.
The nurse is observing the auscultation technique of another nurse. The correct method to use
when progressing from one auscultatory site on the thorax to another is ___________________
comparison.
A. side-to-side
B. top-to-bottom
C. posterior-to-anterior
