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Which statement is most accurate regarding smoking and lung cancer?
a) Secondhand smoke has no effect on lung cancer risk
b) Smoking is the primary cause of lung cancer and accounts for 80-90% of deaths
c) Secondhand smoke decreases the chance of developing lung cancer
d) Lung cancer is rarely associated with smoking
b) Smoking is the primary cause of lung cancer and accounts for 80-90% of deaths
During a respiratory assessment, which objective findings should the nurse observe? Select all
that apply.
a) Shape and configuration of the chest
b) Respiratory effort (rate, depth, and use of accessory muscles)
c) Sputum characteristics
d) Heart rate
A, B & C
Which techniques are included in the palpation portion of a respiratory assessment? Select all
that apply.
a) Tactile fremitus (vibrations felt on chest wall)
b) Respiratory expansion (chest movement symmetry)
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,c) Percussion for resonance
d) Auscultation of breath sounds
A&B
During percussion of the lungs, the nurse expects which sound in normal lung tissue?
a) Dullness
b) Resonance
c) Tympany
d) Flatness
b) Resonance
Which breath sounds should the nurse be able to identify during auscultation of the
lungs? Select all that apply.
a) Bronchial
b) Bronchovesicular
c) Vesicular
d) S1 and S2
A, B & C
During a respiratory assessment, the nurse observes abnormal chest configurations. Which of
the following are potential findings? Select all that apply.
a) Asymmetrical chest
b) Pigeon chest (pectus carinatum)
c) Scoliosis
d) Kyphosis
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,e) Normal rounded chest only
A, B, & D
During a respiratory assessment, the nurse measures the chest’s anterior-posterior (AP) to
transverse diameter. Which of the following statements is correct?
a) A normal adult chest has an AP:transverse ratio of 1:2, whereas clients with chronic
obstructive pulmonary disease (COPD) may have a ratio of 1:1.
b) A normal chest has an AP:transverse ratio of 1:1, COPD does not affect the ratio.
c) COPD decreases the AP diameter, resulting in a 1:3 ratio.
d) The AP:transverse ratio is the same in all adults regardless of lung disease.
a) A normal adult chest has an AP:transverse ratio of 1:2, whereas clients with chronic
obstructive pulmonary disease (COPD) may have a ratio of 1:1.
During a respiratory assessment, the nurse observes a client using neck and shoulder
muscles to breathe. What does this most likely indicate?
a) Normal breathing pattern
b) Mild anxiety without respiratory compromise
c) Increased work of breathing, possibly due to respiratory distress
d) Efficient and effective ventilation
c) Increased work of breathing, possibly due to respiratory distress
A nurse observes that a client is breathing at a rate of 24 breaths per minute. How should this
be classified?
a) Bradypnea
b) Tachypnea
c) Kussmaul breathing
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, d) Cheyne-Stokes breathing
b) Tachypnea
A client’s respiratory rate is 10 breaths per minute. What is this pattern called?
a) Tachypnea
b) Cheyne-Stokes breathing
c) Kussmaul breathing
d) Bradypnea
d) Bradypnea
Which description best fits Cheyne-Stokes breathing?
a) Rapid, deep breathing to compensate for metabolic acidosis
b) Abnormally slow breathing under 12 breaths per minute
c) A cycle of progressively deeper and faster breathing followed by gradual decrease and
temporary apnea, often near death
d) Normal breathing pattern during sleep
c) A cycle of progressively deeper and faster breathing followed by gradual decrease and
temporary apnea, often near death
A client with diabetic ketoacidosis presents with deep, rapid respirations. What type of
breathing pattern is this?
a) Kussmaul breathing
b) Bradypnea
c) Tachypnea
d) Cheyne-Stokes breathing
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