CAISS Thorax Exam Latest Actual Verified Exam And
Practice Exam With Complete Questions And Correct
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Mr. Lynch has classic barrel chest secondary to COPD.
What would his AP:Lateral ratio?
A - 1:1
B - 1:2
C - 1:3
D - 2:1 - Answer-A
Chest expansion is best confirmed by:
A - Placing the hands on the posterolateral chest wall with
thumbs at the level of T9 or T10, then sliding the hands up
to pinch up a small fold of skin between the thumbs
B - Inspection of the shape and configuration of the chest
wall
C - Placing the palmer surface of the fingers of one hand
against the chest and having the person repeat the words
"ninety-nine"
D - Percussion of the posterior chest - Answer-A
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Absence/decreased diaphragmatic excursion occurs with:
A - Cholelithiasis
B - An unusual thick chest wall
C - Emphysema or atelectasis of the lower lobes
D - Age-related changes in the chest wall - Answer-C
While performing diaphragmatic excursion, you measure a
distance of 4 cm. This finding suggests:
A - A normal distance
B - High diaphragm level
C - Hypoventilation
D - Pneumonectomy - Answer-A
Auscultation of breath sounds is an important component
of respiratory assessment. Select the most accurate
description of this part of the examination.
A - Hold the bell of the stethoscope against the chest wall,
listen to the entire right field, then the entire left field
B - Hold the diaphragm of the stethoscope against the
chest wall; listen to one full respiration in each location,
being sure to do side to side comparison
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C - Listen from the apices to the bases of each lung field
using the bell of the stethoscope
D - Select the bell or diaphragm depending upon the
quality of sounds heard; listen for one respiration in each
location, moving from side to side - Answer-B
The nurse is eliciting a thoracic and lung assessment on
an elderly client who is experiencing mild shortness of
breath when walking to the mailbox. What action should
the nurse take next?
A - Ask the client if this is a new finding
B - Auscultate the breath sounds
C - Ask about the client's smoking history
D - Refer the client to the health care provider - Answer-A
A client is admitted to the hospital in congestive heart
failure and states he needs two pillows to sleep. Which of
these demonstrates proper charting of this data?
A - Client states he suffers from two pillow dyspnea
B - Client states that he suffers from sleep apnea
C - Client states he suffers from two pillow orthopnea
D - Client states he suffers from nocturnal dyspnea -
Answer-C