Health Assessment- Findings for Chest & Lung Sherpath Quiz, Quizzes of Nursing

Download Health Assessment- Findings for Chest & Lung Sherpath Quiz and more Quizzes Nursing in PDF only on Docsity! Health Assessment- Findings for Chest & Lung Sherpath Quiz Question 1 of 24 Which tracing represents the rate and rhythm of normal breath sounds on inspection? 1. A 2. B 3. C 4. D • Normal breath sounds are expected to be regular and at a rate of 12-20 per minute. • Increased difficulty of getting air out is air trapping and is considered an abnormal finding. • Breathing faster than 20 breaths per minute is tachypnea, an abnormal finding. • Breathing slower than 12 breaths per minute is bradypnea, an abnormal finding. Question 2 of 24 On inspection, the nurse expects the anterior-posterior diameter of the chest to be roughly the transverse diameter. (Express your answer in decimals and with a leading zero, if required.) 0.5 • The anterior-posterior diameter of the chest should be half the transverse diameter. Question 3 of 24 The expected rate at which a healthy patient breathes is 10 to respirations per minute. 20 • A healthy patient would be expected to breathe 12 to 20 respirations per minute. Question 4 of 24 Which finding regarding the quality of the tactile fremitus is considered normal on palpation of the chest? 1. Absent • Decreased or absent fremitus is an abnormal finding and may be caused by excess air in the lungs. 2. Coarse/rough • Coarse or rough fremitus is an unexpected finding and may be caused by the presence of fluids or a tumor in the lungs. 3. Bilateral symmetry • The tactile fremitus should be bilaterally symmetric. 4. Tremulous and gentle • Tremulous and gentle fremitus is unexpected and may occur with lung consolidations and some inflammatory and infectious processes. Question 5 of 24 Which is a normal finding on palpation of the ribs? 1. Elasticity • The ribs are expected to be slightly elastic on palpation. 2. Crepitus • Crepitus is an unexpected finding on palpation of the ribs. 3. Rigidity • Rigidity of the ribs is an unexpected finding on palpation of the ribs. Rigidity is different from bone hardness. If the ribs are pushed inward, they should rebound to their original position. 4. Tenderness • Tenderness is an unexpected finding on palpation of the ribs. Question 6 of 24 Which is a normal finding on palpation of the sternum? 1. Inflexibility • The sternum and xiphoid are expected to be inflexible on palpation. 2. Tenderness • Tenderness is an unexpected finding on palpation of the sternum. 3. Pulsations • Pulsations are an unexpected finding on palpation of the sternum. 4. Elasticity • Although the rib cage may be slightly elastic, this is not a normal finding on palpation of the sternum. Question 7 of 24 Which tone would the nurse expect to hear when percussing the indicated area? 1. Dullness • The nurse would expect to hear dullness over the heart, not the viscera. 2. Flatness • The nurse would expect to hear flatness when percussing the viscera. 3. Resonance • The nurse would expect to hear resonance over the lungs, not the viscera. 4. Tympany • The nurse would expect to hear tympany over the stomach, not the viscera. Question 8 of 24 Which tone would the nurse expect to hear when percussing the indicated area? • The breath sounds of a young child may be harsher than those of an adult. 2. More bronchial • The breath sounds of a young child may be more bronchial than those of an adult. 3. Louder • The breath sounds of a young child may be louder than those of an adult. 4. More vesicular • The breath sounds of a child are not more vesicular than those of an adult. 5. Bronchovesicular breath sounds can be heard throughout the chest • Bronchovesicular breath sounds can be heard throughout the chest of a child but not an adult. Question 16 of 24 Match the age group with normal chest and lung examination findings. 1. Irregular breathing pattern • Infant 2. Bronchovesicular breath sounds heard throughout the chest • Child 3. Decreased chest expansion • Older adult Question 17 of 24 In which way do older adults compensate for decreased chest expansion caused by calcification of rib articulations? 1. Diaphragmatic breathing • Older adults would not use diaphragmatic breathing to compensate for calcification of rib articulations. 2. Decrease in respirations • Older adults would not decrease respirations to compensate for calcification of rib articulations. 3. Increase in respirations • Older adults would not increase respirations to compensate for calcification of rib articulations. 4. Use of accessory muscles • Calcification of rib articulations may decrease chest expansion in older adults, requiring the use of accessory muscles to compensate. Question 18 of 24 Match the special consideration for chest and lung examination with the age group for which it is used. 1. Percussion is less reliable. • Infant 2. Ask patient to exert himself or herself physically to assist assessment. • Child 3. Examination is similar to that for an adult. • Older adult Question 19 of 24 Match the abnormal condition with the associated finding. 1. Crepitus • Crackly or crinkly sensation 2. Pleural friction rub • Musical sound on inspiration or exhalation 3. Dyspnea • Increased respiratory effort 4. Platypnea • Shortness of breath relieved by lying down Question 20 of 24 Which condition is indicated by the findings of deep, rapid breathing, pursed lips, barrel chest, and diminished fremitus? 1. Pneumonia • Pneumonia is not characterized by deep, rapid breathing with pursed lips, a barrel chest, and diminished fremitus. 2. Emphysema • Emphysema is characterized by deep, rapid breathing with pursed lips and a barrel chest. 3. Pleural effusion • Pleural effusion is not characterized by deep, rapid breathing with pursed lips, a barrel chest, and diminished fremitus. 4. Bronchiectasis • Bronchiectasis is not characterized by deep, rapid breathing with pursed lips, a barrel chest, and diminished fremitus. Question 21 of 24 Which abnormal condition is characterized by a coarse grating sensation palpated during inspiration? 1. Bronchitis • Bronchitis is not characterized by a coarse grating sensation on inspiration. 2. Crepitus • Crepitus is characterized by a coarse grating sensation on inspiration. 3. Pneumothorax • Pneumothorax is not characterized by a coarse grating sensation on inspiration. 4. Chronic obstructive pulmonary disease • Chronic obstructive pulmonary disease is not characterized by a coarse grating sensation on inspiration. Question 22 of 24 Match the percussion tone heard over the lungs with the condition it indicates. 1. Normal finding • Resonance 2. Hyperinflation • Hyperresonance 3. Diminished air exchange • Dullness Question 23 of 24 Match the sound heard on auscultation with the pathologic breath sounds. 1. Loud, low, coarse sounds heard continuously during inspiration or expiration • Rhonchi 2. Musical noise sounding like a squeak that is louder on expiration • Wheeze 3. Dry grating sound heard during inspiration or expiration • Pleural friction rub 4. High-pitched, discrete, discontinuous crackling sounds heard during the end of inspiration • Fine crackles Question 24 of 24 Which condition is characterized by diminished breath sounds, wheezes, rhonchi, crackles, and percussed dullness over the lung? 1. Asthma • Asthma is not characterized by dullness over the lungs, rhonchi, and crackles. 2. Bronchitis • Bronchitis is not characterized by dullness over the lungs and diminished breath sounds. 3. Atelectasis • Atelectasis is characterized by dullness over the lungs, diminished breath sounds, wheezing, rhonchi, and crackles. 4. Pneumonia consolidation • Although there would be diminished breath sounds over the area of consolidation, pneumonia consolidation is not characterized by wheezing.