NUR 504: APEA FINAL STUDY GUIDE QUESTIONS WITH COMPLETE
SOLUTIONS
1) When performing a respiratory assessment on a 4-year-old child, further
evaluation is warranted in the presence of:
- the use of the abdominal muscles.
- Eupneic respirations.
- supraclavicular retractions.
- vesicular sounds in the chest periphery. -- Answer ✔✔
supraclavicular retractions.
2) Which technique best determines whether the tissues in the chest are air-filled,
fluid-filled, or solid?
- Auscultation
- Palpation
- Inspection
- Percussion -- Answer ✔✔ Percussion
3) Breath sounds auscultated over the periphery of the lung fields are quiet and
wispy during the inspiratory phase followed by a short, almost silent expiratory
phase. These breath sounds are considered:
- Vesicular.
, - bronchovesicular.
- bronchial.
- crackles. -- Answer ✔✔ bronchovesicular.
4) A patient who presents with a long history of cigarette smoking exhibits a dry to
productive cough with dyspnea and weight loss. These symptoms could be
consistent with:
- a pulmonary embolus.
- asthma.
- a neoplasm of the lung.
- chronic obstructive pulmonary disease. -- Answer ✔✔ a neoplasm
of the lung.
5) The hilar region of the lungs describes:
- the area around the heart.
- the base of the lungs.
- the posterior chest.
- the upper, anterior area of the chest. -- Answer ✔✔ the area
around the heart.
6) The anterior surface landmark on the thorax that is denoted by a hollow U-
shaped depression just above the sternum and between the clavicles is termed
the:
- sternum.
- suprasternal notch.
- substernal nodule.
- spinous process -- Answer ✔✔ suprasternal notch.
7) Factors that aggravate costochondritis may include:
- hypertension.
- Emotional stress.
- swallowing cold foods.
- movement of the chest, trunk, and arms. -- Answer ✔✔ movement
of the chest, trunk, and arms
SOLUTIONS
1) When performing a respiratory assessment on a 4-year-old child, further
evaluation is warranted in the presence of:
- the use of the abdominal muscles.
- Eupneic respirations.
- supraclavicular retractions.
- vesicular sounds in the chest periphery. -- Answer ✔✔
supraclavicular retractions.
2) Which technique best determines whether the tissues in the chest are air-filled,
fluid-filled, or solid?
- Auscultation
- Palpation
- Inspection
- Percussion -- Answer ✔✔ Percussion
3) Breath sounds auscultated over the periphery of the lung fields are quiet and
wispy during the inspiratory phase followed by a short, almost silent expiratory
phase. These breath sounds are considered:
- Vesicular.
, - bronchovesicular.
- bronchial.
- crackles. -- Answer ✔✔ bronchovesicular.
4) A patient who presents with a long history of cigarette smoking exhibits a dry to
productive cough with dyspnea and weight loss. These symptoms could be
consistent with:
- a pulmonary embolus.
- asthma.
- a neoplasm of the lung.
- chronic obstructive pulmonary disease. -- Answer ✔✔ a neoplasm
of the lung.
5) The hilar region of the lungs describes:
- the area around the heart.
- the base of the lungs.
- the posterior chest.
- the upper, anterior area of the chest. -- Answer ✔✔ the area
around the heart.
6) The anterior surface landmark on the thorax that is denoted by a hollow U-
shaped depression just above the sternum and between the clavicles is termed
the:
- sternum.
- suprasternal notch.
- substernal nodule.
- spinous process -- Answer ✔✔ suprasternal notch.
7) Factors that aggravate costochondritis may include:
- hypertension.
- Emotional stress.
- swallowing cold foods.
- movement of the chest, trunk, and arms. -- Answer ✔✔ movement
of the chest, trunk, and arms
