Complete Solutions
You are performing the respiratory assessment technique of
tactile fremitus. The purpose of this technique is to:
A. Palpate voice sound vibrations through the bronchi
B. Palpate tissue density in the upper lobes
C. Percuss for adventitious sounds in the upper bronchi
D. Auscultate breath sounds as they travel down the larger
bronchi
A. Palpate voice sound vibrations through the bronchi
During a respiratory assessment, the purpose of palpating the
thorax is to assess for:
A. Surface characteristics and tenderness
B. Respiratory distress and abnormal sounds
C. Color of skin and tissue density
D. Skeletal deformities and color
A. Surface characteristics and tenderness
You are performing a respiratory assessment and palpating for
tactile fremitus on an older patient. The patient has a past
medical history of pneumonia. If the patient has pneumonia
again, what will be the findings?
A. Unequal palpable vibrations
,B. Equal palpable vibrations
C. Increased fremitus
D. Decreased fremitus
C. Increased fremitus
The percent of arterial hemoglobin saturated with oxygen is
tested at the bedside with:
A. Bronchoscopy
B. Arterial blood gases
C. Pulse oximeter
D. Thoracentesis
C. Pulse oximeter
The highest concentrations of carcinogens are found in:
A. Sidestream smoke
B. Smoke exhaled by the smoker
C. Secondhand smoke
D. All forms are equally carcinogenic
A. Sidestream smoke
The nurse assesses a patient with chronic obstructive pulmonary
disease. The patient reports difficulty breathing sometimes
accompanied by wheezing. The nurse knows that this is
indicative of:
A. Expiratory dyspnea
B. Cardiac dyspnea
,C. Orthopnea
D. Paroxysmal nocturnal dyspnea
A. Expiratory dyspnea
The nurse assesses that the patient is frequently coughing up
sputum and documents this as a:
A. Productive cough
B. Hacking cough
C. Chronic cough
D. Dry cough
A. Productive cough
The nurse uses the proper sequence of assessment of the lungs,
which is:
A. Auscultation, inspection, palpation, percussion
B. Percussion, auscultation, inspection, palpation
C. Palpation, percussion, auscultation, inspection
D. Inspection, palpation, percussion, auscultation
D. Inspection, palpation, percussion, auscultation
When percussing the lungs the nurse hears a soft muffled sound
over an area normally filled with air and recognizes that this
indicates:
A. Crepitus
B. An area of consolidation
, C. Overinflation of the lungs
D. Pneumothorax
B. An area of consolidation
The nurse uses a peak flow meter to measure the patient's ability
to push air out of the lungs and repeats the test three times.
When documenting the results, the nurse notes:
A. The average result of all attempts
B. The highest number obtained
C. The lowest number obtained
D. The results of all attempts
B. The highest number obtained
The patient uses the peak flow meter with results in the yellow
zone. The nurse interprets this to mean that the patient:
A. May begin to have shortness of breath
B. Should be able to sleep without trouble
C. Can go about his usual activities
D. Should get help right away
A. May begin to have shortness of breath
The nurse is assessing a 67-year-old male patient. During the
respiratory assessment the nurse asks:
A. Considering your age and health, why haven't you gotten
your Pneumovax shot?
B. Have you had your annual pneumonia vaccination?