NSG6021–6020 Respiratory 2026 | Questions & Answers
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1. Describe how tactile fremitus can be used to differentiate between various
respiratory conditions.
Decreased tactile fremitus always indicates asthma.
Increased tactile fremitus suggests consolidation, while decreased
fremitus may indicate pleural effusion or pneumothorax.
Tactile fremitus is not useful in diagnosing respiratory conditions.
Increased tactile fremitus indicates normal lung function.
2. Which of the following is characteristic of COPD?
Increased anterior-posterior diameter
Pectus excavatum
Asymmetric chest expansion
Increased lateral diameter
3. If on physical examination the clinician auscultates rhonchi, the clinician
should ask the patient to take a deep breath and cough in order to:
D. A & C
B. Diagnose pleural effusions
C. Accurately distinguish lung sounds
A. Mobilize secretions
4. Describe the significance of late inspiratory crackles in a patient with
shortness of breath.
, Late inspiratory crackles indicate a need for immediate intubation.
Late inspiratory crackles suggest a normal respiratory function.
Late inspiratory crackles may indicate fluid accumulation in the
lungs, often associated with heart failure.
Late inspiratory crackles are always a sign of asthma exacerbation.
5. What is the primary imaging study recommended for suspected pulmonary
malignancy?
Computed tomography (CT) scan
Chest x-ray with PA, lateral, and lordotic views
Ultrasound
Positron emission tomography (PET) scan
6. What are the classic signs associated with chronic obstructive pulmonary
disease (COPD)?
Wheezing and chest tightness
Coughing up blood and fever
Rapid shallow breathing and cyanosis
Increased anteroposterior diameter of the chest, purse-lipped
breathing, and dyspnea with talking
7. Which of the following would you hear over the normal lung parenchyma?
Rhonchi
Vesicular
Stridor
Wheezing
, Adventitious
8. Which diagnostic tool is considered least helpful in diagnosing asthma
according to the provided information?
Decreased FEV1/FVC ratio
Some reversibility with administration of bronchodilator
Decreased FEV1
Peak flow meter reading
9. The nurse is performing percussion assessment. Which percussion technique
is correct?
The nurse uses the stationary hand to strike the tip of the finger
The nurse places only the distal joint and tip of the middle finger on
the skin. The nurse strikes the nail tip when percussion the sounds.
The nurse flexes the middle finger to avoid placing the whole hand on
the area of percussion
10. Discuss the factors that might lead to the decision to treat a patient with
community-acquired pneumonia as an outpatient rather than requiring
hospitalization.
All patients over 70 must be hospitalized regardless of symptoms.
Factors such as stable vital signs, absence of severe comorbidities,
and the patient's ability to manage care at home support outpatient
treatment.
The presence of high fever and chills necessitates hospitalization.
Only patients with a WBC count above 15,000 should be treated as
outpatients.
, 11. Which of the following imaging studies should be considered if a pulmonary
malignancy is suspected?
Chest x-ray with posteroanterior, lateral, and lordotic views
Ultrasound
Positron emission tomography (PET) scan
Computed tomography (CT) scan
12. During this measurement, the hands are positioned on the posterior chest
wall with the thumbs meeting at T8 and fingertips out to the lateral edge of
the chest. The patient is instructed to take a full deep breath, and the
clinician notes the distance each thumb moves outward from the midline.
thoracic expansion
posterolateral measurement
palpation
vocal fremitus
13. A patient with COPD presents with worsening symptoms and a family history
of lung disease. What should be evaluated to rule out a specific deficiency?
Complete blood count
Alpha-1 antitrypsin levels
Liver function tests
Pulmonary function tests
14. While assessing auscultated spoken sounds, the auscultated sound is heard
as 'a-a-a' when he is asked to repeat 'e-e-e.' This is indicative of:
Pneumonia
| Latest Update | Exam Prep | 100% Pass Guarantee
1. Describe how tactile fremitus can be used to differentiate between various
respiratory conditions.
Decreased tactile fremitus always indicates asthma.
Increased tactile fremitus suggests consolidation, while decreased
fremitus may indicate pleural effusion or pneumothorax.
Tactile fremitus is not useful in diagnosing respiratory conditions.
Increased tactile fremitus indicates normal lung function.
2. Which of the following is characteristic of COPD?
Increased anterior-posterior diameter
Pectus excavatum
Asymmetric chest expansion
Increased lateral diameter
3. If on physical examination the clinician auscultates rhonchi, the clinician
should ask the patient to take a deep breath and cough in order to:
D. A & C
B. Diagnose pleural effusions
C. Accurately distinguish lung sounds
A. Mobilize secretions
4. Describe the significance of late inspiratory crackles in a patient with
shortness of breath.
, Late inspiratory crackles indicate a need for immediate intubation.
Late inspiratory crackles suggest a normal respiratory function.
Late inspiratory crackles may indicate fluid accumulation in the
lungs, often associated with heart failure.
Late inspiratory crackles are always a sign of asthma exacerbation.
5. What is the primary imaging study recommended for suspected pulmonary
malignancy?
Computed tomography (CT) scan
Chest x-ray with PA, lateral, and lordotic views
Ultrasound
Positron emission tomography (PET) scan
6. What are the classic signs associated with chronic obstructive pulmonary
disease (COPD)?
Wheezing and chest tightness
Coughing up blood and fever
Rapid shallow breathing and cyanosis
Increased anteroposterior diameter of the chest, purse-lipped
breathing, and dyspnea with talking
7. Which of the following would you hear over the normal lung parenchyma?
Rhonchi
Vesicular
Stridor
Wheezing
, Adventitious
8. Which diagnostic tool is considered least helpful in diagnosing asthma
according to the provided information?
Decreased FEV1/FVC ratio
Some reversibility with administration of bronchodilator
Decreased FEV1
Peak flow meter reading
9. The nurse is performing percussion assessment. Which percussion technique
is correct?
The nurse uses the stationary hand to strike the tip of the finger
The nurse places only the distal joint and tip of the middle finger on
the skin. The nurse strikes the nail tip when percussion the sounds.
The nurse flexes the middle finger to avoid placing the whole hand on
the area of percussion
10. Discuss the factors that might lead to the decision to treat a patient with
community-acquired pneumonia as an outpatient rather than requiring
hospitalization.
All patients over 70 must be hospitalized regardless of symptoms.
Factors such as stable vital signs, absence of severe comorbidities,
and the patient's ability to manage care at home support outpatient
treatment.
The presence of high fever and chills necessitates hospitalization.
Only patients with a WBC count above 15,000 should be treated as
outpatients.
, 11. Which of the following imaging studies should be considered if a pulmonary
malignancy is suspected?
Chest x-ray with posteroanterior, lateral, and lordotic views
Ultrasound
Positron emission tomography (PET) scan
Computed tomography (CT) scan
12. During this measurement, the hands are positioned on the posterior chest
wall with the thumbs meeting at T8 and fingertips out to the lateral edge of
the chest. The patient is instructed to take a full deep breath, and the
clinician notes the distance each thumb moves outward from the midline.
thoracic expansion
posterolateral measurement
palpation
vocal fremitus
13. A patient with COPD presents with worsening symptoms and a family history
of lung disease. What should be evaluated to rule out a specific deficiency?
Complete blood count
Alpha-1 antitrypsin levels
Liver function tests
Pulmonary function tests
14. While assessing auscultated spoken sounds, the auscultated sound is heard
as 'a-a-a' when he is asked to repeat 'e-e-e.' This is indicative of:
Pneumonia
