Chapter 11: Lungs and Respiratory System
Questions and Answers (100% Correct Answers)
A nurse suspects a viral infection or upper respiratory allergies when the patient
describes the sputum as being which color?
Review Q
Ans: Clear
During inspection of the respiratory system the nurse documents which finding as
abnormal?
Review Q
Ans: Patient leaning forward with arms braced against the knees
A patient has an infection of the terminal bronchioles and alveoli that involves the
right lower lobe of the lung. Which abnormal findings are expected?
Review Q
Ans: Fever and tachypnea with crackles over the right lower lobe
On auscultation of a patient's lungs, the nurse hears a low-pitched, coarse, loud, and
low snoring sound. Which term does the nurse use to document this finding?
Review Q
Ans: Rhonchi
Which question gives the nurse further information about the patient's complaint of
chest pain?
Review Q
Ans: "How would you describe the chest pain?"
Which finding does the nurse expect when performing tactile fremitus?
Review Q
Ans: A vibration of sounds that are equal bilaterally
How does the nurse palpate the chest for tenderness, bulges, and symmetry?
Review Q
Ans: With the palmar surface of fingers of both hands, feels the consistency of the
skin over the chest and the alignment of vertebrae
Which breath sounds are expected over the posterior chest of an adult?
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Review Q
Ans: Vesicular
Narrowing of the bronchi creates which adventitious sound?
Review Q
Ans: Wheeze
Which finding may indicate abnormal thoracic expansion?
Review Q
Ans: An S-shaped curvature of the spine
A patient tells the nurse that she has smoked two packs of cigarettes a day for 20
years. The nurse records this as how many pack-years?
Quiz Q
Ans: 40
During a symptom analysis, a patient describes his productive cough and states his
sputum is thick and yellow. Based on these data, the nurse suspects which factor as
the cause of these symptoms?
Quiz Q
Ans: Bacteria
A patient complains of shortness of breath and having to sleep on three pillows to
breathe comfortably at night. During the nurse's examination, what findings will
suggest that the cause of this patient's dyspnea is due to heart disease rather than
respiratory disease?
Quiz Q
Ans: Bilateral peripheral edema
A nurse had previously heard crackles over both lungs of a patient. As the patient
improves, what lung sounds does the nurse expect to hear in the patient's lungs?
Quiz Q
Ans: Vesicular breath sounds heard in the peripheral lung fields.
Where does a nurse expect to hear bronchovesicular lung sounds in a healthy adult?
Quiz Q
Ans: Near the sternal border.