Test Bank Clinical Manifestations and
Assessment of Respiratory Disease 9th
Edition by Des Jardins (ISBN ) Complete
Chapters Verified Questions and Answers
for Exam Prep 2026 A+
COPD - answer-Preventable and treatable disease state characterized by air flow limitation that
is not fully reversible.
Emphysema - answer-Presence of permanent enlargement of the air spaces distal to the
terminal bronchioles, accompanied by destruction of their walls and without obvious fibroisis
Chronic bronchitis - answer-Chronic productive cough for three months in each of two
successive years in a pt for whom other causes of the productive cough have been excluded
Etiology of COPD - answer-- tobacco smoke
-genetic predisposition
- indoor and outdoor pollution
Pt Assessment of Emphysema Pt (Primary assessment) - answer-AKA pink puffer or Type A
COPD
Body build = thin, underweight
Past medical history = Tobacco use
Cough = Less common, muciod secretions
1
,Appearance of chest = Barrel chest, increased A-P diameter (Hoover's Sign)
Respiratory Pattern = Dyspnea, pursed-lip breathing, accessory muscle use, especially during
exacerbations
Color= Often reddish
Clubbing = Late stage
Diagnostic Chest Percussion = Hyperresonant/ Tympanic note
Breath Sounds = Diminished, prolonged expiration
Body build of Type A COPD (pink puffer) Emphysema - answer-Thin, underweight
Past medical history for emphysema pts - answer-Tobacco use
Cough (Emphysema) - answer-Less common, muciod secretions
Appearance of the chest (Emphysema) - answer-Barrel chest, increased A-P diameter
Respiratory pattern ( Emphysema) - answer-Dyspnea, pursed lip breathing, accessory muscle
use, especially during exacerbations
Color (Emphysema) - answer-Often reddish
Clubbing (Emphysema) - answer-Late stage
Diagnostic Chet Percussion (Emphysema) - answer-Hyperresonant/tympanic note
2
,Breath sounds ( Emphysema) - answer-Diminished, prolonged expiration
Patient Assessment (Primary) Chronic Bronchitis - answer-AKA Blue bloater Type B COPD
Body build = Stocky, overweight
Past Medical History = Tobacco use
Cough = Productive, copious amounts, purulent secretions
Chest Appearance = Ocassionally barrel chest
Color = Cyanotic
Clubbing = Common
Diagnostic Chest Percussion = normal
Breath Sounds = Rhonchi, crackles , wheezing
Body build (Chronic Bronchitis) - answer-Stocky, overweight
Past Medical History (Chronic Bronchitis) - answer-Tobacco use
Cough (Chronic Bronchitis ) - answer-Productive, copious amounts of purulent secretions
Chest Appearance (Chronic Bronchitis) - answer-Occasionally barrel chest
Respiratory Pattern (Chronic Bronchitis ) - answer-Use of accessory muscles less common
Clubbing ( Chronic Bronchitis ) - answer-Common
3
, Diagnostic Chest Percussion ( Chronic Bronchitis) - answer-Normal
Breath Sounds (Chronic Bronchitis ) - answer-Rhonchi, crackles, wheezing
Secondary Assessment Emphysema pt - answer-Chest X-ray = translucent (dark) lung fields,
depressed or flattened diaphragms, long and narrow heart, increased retrosternal air spaces,
possibly hypertrophy or right ventricle
ABG = Mild to moderate stages: Acute alveolar hyperventilation with hypoxemia Severe Stages:
Chronic ventilatory failure with hypoxemia
Pulmonary Function = Decreased flowrates (FEV1 , FEF 25-75%, FEF 200-1200, FEV1/FVC, and
PEFR) Decreased DLCO
CBC = Increased RBC/Hb/Hct in late stages
Sputum = Normal
Chest X-ray (Emphysema ) - answer-Translucent (dark) lung fields, depressed or flattened
diaphragms, long and narrow heart, increased retrosternal air space, possibly hypertrophy or
right ventricle
ABG (emphysema) - answer-Mild to moderate stages: Acute alveolar hyperventilation with
hypoxemia Severe stage: Chronic ventilatory failure with hypoxemia
Pulmonary Function (Emphysema ) - answer-Decreased flowrates, Decreased DLCO
CBC (Emphysema) - answer-Increased RBC/Hct/Hb in late stages
Sputum (Emphysema) - answer-Normal
4
Assessment of Respiratory Disease 9th
Edition by Des Jardins (ISBN ) Complete
Chapters Verified Questions and Answers
for Exam Prep 2026 A+
COPD - answer-Preventable and treatable disease state characterized by air flow limitation that
is not fully reversible.
Emphysema - answer-Presence of permanent enlargement of the air spaces distal to the
terminal bronchioles, accompanied by destruction of their walls and without obvious fibroisis
Chronic bronchitis - answer-Chronic productive cough for three months in each of two
successive years in a pt for whom other causes of the productive cough have been excluded
Etiology of COPD - answer-- tobacco smoke
-genetic predisposition
- indoor and outdoor pollution
Pt Assessment of Emphysema Pt (Primary assessment) - answer-AKA pink puffer or Type A
COPD
Body build = thin, underweight
Past medical history = Tobacco use
Cough = Less common, muciod secretions
1
,Appearance of chest = Barrel chest, increased A-P diameter (Hoover's Sign)
Respiratory Pattern = Dyspnea, pursed-lip breathing, accessory muscle use, especially during
exacerbations
Color= Often reddish
Clubbing = Late stage
Diagnostic Chest Percussion = Hyperresonant/ Tympanic note
Breath Sounds = Diminished, prolonged expiration
Body build of Type A COPD (pink puffer) Emphysema - answer-Thin, underweight
Past medical history for emphysema pts - answer-Tobacco use
Cough (Emphysema) - answer-Less common, muciod secretions
Appearance of the chest (Emphysema) - answer-Barrel chest, increased A-P diameter
Respiratory pattern ( Emphysema) - answer-Dyspnea, pursed lip breathing, accessory muscle
use, especially during exacerbations
Color (Emphysema) - answer-Often reddish
Clubbing (Emphysema) - answer-Late stage
Diagnostic Chet Percussion (Emphysema) - answer-Hyperresonant/tympanic note
2
,Breath sounds ( Emphysema) - answer-Diminished, prolonged expiration
Patient Assessment (Primary) Chronic Bronchitis - answer-AKA Blue bloater Type B COPD
Body build = Stocky, overweight
Past Medical History = Tobacco use
Cough = Productive, copious amounts, purulent secretions
Chest Appearance = Ocassionally barrel chest
Color = Cyanotic
Clubbing = Common
Diagnostic Chest Percussion = normal
Breath Sounds = Rhonchi, crackles , wheezing
Body build (Chronic Bronchitis) - answer-Stocky, overweight
Past Medical History (Chronic Bronchitis) - answer-Tobacco use
Cough (Chronic Bronchitis ) - answer-Productive, copious amounts of purulent secretions
Chest Appearance (Chronic Bronchitis) - answer-Occasionally barrel chest
Respiratory Pattern (Chronic Bronchitis ) - answer-Use of accessory muscles less common
Clubbing ( Chronic Bronchitis ) - answer-Common
3
, Diagnostic Chest Percussion ( Chronic Bronchitis) - answer-Normal
Breath Sounds (Chronic Bronchitis ) - answer-Rhonchi, crackles, wheezing
Secondary Assessment Emphysema pt - answer-Chest X-ray = translucent (dark) lung fields,
depressed or flattened diaphragms, long and narrow heart, increased retrosternal air spaces,
possibly hypertrophy or right ventricle
ABG = Mild to moderate stages: Acute alveolar hyperventilation with hypoxemia Severe Stages:
Chronic ventilatory failure with hypoxemia
Pulmonary Function = Decreased flowrates (FEV1 , FEF 25-75%, FEF 200-1200, FEV1/FVC, and
PEFR) Decreased DLCO
CBC = Increased RBC/Hb/Hct in late stages
Sputum = Normal
Chest X-ray (Emphysema ) - answer-Translucent (dark) lung fields, depressed or flattened
diaphragms, long and narrow heart, increased retrosternal air space, possibly hypertrophy or
right ventricle
ABG (emphysema) - answer-Mild to moderate stages: Acute alveolar hyperventilation with
hypoxemia Severe stage: Chronic ventilatory failure with hypoxemia
Pulmonary Function (Emphysema ) - answer-Decreased flowrates, Decreased DLCO
CBC (Emphysema) - answer-Increased RBC/Hct/Hb in late stages
Sputum (Emphysema) - answer-Normal
4
