Maryville NURS 612 Exam 2
Questions with Correct Answers
100% Verified Graded A+
1. without clothes on; 1st assess shape and size; 2nd check for symmetry; 3rd thoracic
landmarks; 4th color of skin; 5th check for supernumerary nipples; 6th superficial venous
patterns; and 7th observe for rib prominence
Answer: inspect the chest
2. midline trachea, costal angle, angle of ribs, intercostal spaces, suprasternal notch
Answer: thoracic landmarks
3. thoracic expansion at costal angle, w/o use of accessory muscles
Answer: symmetry of chest
4. What is the nature of your cough?; Do you produce any sputum?; Is your cough related
to activity?; What position are you most comfortable in?; How many pillows do you sleep
with at night?; Is your SOB related to activity?
Answer: hx questions for cc of resp issue
5. rate between 12 to 20/min; ratio of resp to heart beats= 1.4; pt should breathe easily,
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,regularly w/o apparent distress; pattern should be even, not too shallow or too deep
Answer: normal respirations
6. term for abnormally shallow respirations
Answer: hypopnea
7. term for resp rate greater than 20, but consistent and may occur during
hyperventilation; often a symptom of pain
Answer: tachypnea
8. term for resp rate less than 12; may indicate neurologic or electrolyte disturbances,
infection, or conscious response to protect against the pain of pleurisy or other
irritative pneumonia. Can also be 2/2 level of cardio fitness
Answer: bradypnea
9. term for fast and deep, heavy respirations, can be caused by exercise, anxiety,
and CNS and metabolic diseases
Answer: hyperventilation
10. term for abnormally deep respirations
Answer: hyperpnea
11. deep and mostly rapid respirations, used to describe resp effort of meta- bolic
acidosis
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, Answer: kussmaul respirations
12. regular breathing with intervals of apnea by crescendo decrescendo breathing;
can be seen in sleeping pts, but mostly pts who are very ill, esp with brain damage
Answer: cheyne stokes respirations
13. irregular breathing that varies in depth and is interrupted irregularly by intervals of
apnea; associated with severe and persistent increased intracra- nial pressure, resp
compromise from drug poisoning, or brain damage at the medulla and generally equals
poor prognosis
Answer: biot respirations
14. observe the lips and nails for cyanosis or pallor; lips for pursing; fingers for clubbing;
and alae nasi for flaring
Answer: peripheral areas related to respiratory assessment
15. dry, rubbing, or grating sound; palpable, coarse, grating vibration; usually on
inspiration; caused by inflammation of the pleural surfaces; think feel of leather rubbing
on leather
Answer: pleural friction rub
16. stand behind patient and place thumbs along spinal process at level of 10th rib, with
palms lightly in contact with the posterolateral surfaces; watch the thumbs during quiet
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Questions with Correct Answers
100% Verified Graded A+
1. without clothes on; 1st assess shape and size; 2nd check for symmetry; 3rd thoracic
landmarks; 4th color of skin; 5th check for supernumerary nipples; 6th superficial venous
patterns; and 7th observe for rib prominence
Answer: inspect the chest
2. midline trachea, costal angle, angle of ribs, intercostal spaces, suprasternal notch
Answer: thoracic landmarks
3. thoracic expansion at costal angle, w/o use of accessory muscles
Answer: symmetry of chest
4. What is the nature of your cough?; Do you produce any sputum?; Is your cough related
to activity?; What position are you most comfortable in?; How many pillows do you sleep
with at night?; Is your SOB related to activity?
Answer: hx questions for cc of resp issue
5. rate between 12 to 20/min; ratio of resp to heart beats= 1.4; pt should breathe easily,
1/
18
,regularly w/o apparent distress; pattern should be even, not too shallow or too deep
Answer: normal respirations
6. term for abnormally shallow respirations
Answer: hypopnea
7. term for resp rate greater than 20, but consistent and may occur during
hyperventilation; often a symptom of pain
Answer: tachypnea
8. term for resp rate less than 12; may indicate neurologic or electrolyte disturbances,
infection, or conscious response to protect against the pain of pleurisy or other
irritative pneumonia. Can also be 2/2 level of cardio fitness
Answer: bradypnea
9. term for fast and deep, heavy respirations, can be caused by exercise, anxiety,
and CNS and metabolic diseases
Answer: hyperventilation
10. term for abnormally deep respirations
Answer: hyperpnea
11. deep and mostly rapid respirations, used to describe resp effort of meta- bolic
acidosis
2/
18
, Answer: kussmaul respirations
12. regular breathing with intervals of apnea by crescendo decrescendo breathing;
can be seen in sleeping pts, but mostly pts who are very ill, esp with brain damage
Answer: cheyne stokes respirations
13. irregular breathing that varies in depth and is interrupted irregularly by intervals of
apnea; associated with severe and persistent increased intracra- nial pressure, resp
compromise from drug poisoning, or brain damage at the medulla and generally equals
poor prognosis
Answer: biot respirations
14. observe the lips and nails for cyanosis or pallor; lips for pursing; fingers for clubbing;
and alae nasi for flaring
Answer: peripheral areas related to respiratory assessment
15. dry, rubbing, or grating sound; palpable, coarse, grating vibration; usually on
inspiration; caused by inflammation of the pleural surfaces; think feel of leather rubbing
on leather
Answer: pleural friction rub
16. stand behind patient and place thumbs along spinal process at level of 10th rib, with
palms lightly in contact with the posterolateral surfaces; watch the thumbs during quiet
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