NUR 504 APEA FINAL STUDY GUIDE
Retractions=are=observed=in=all=the=following=areas=except=the:
Supraventricular=area
hilar=area.
intercostal=area
costal=marginal=area.=-=ans--hilar=area.
A=3=year-
old=presents=with=a=history=of=fever=and=cough=over=the=past=24=hours.=Findings=on=e
xam=reveal:=temperature=of=102°F,=apical=heart=rate=of=157=beats/
minute,=and=respiratory=rate=of=40=breaths/
minute.=Tachypnea=in=this=child=is=most=likely=related=to
Paradoxical=respirations.
the=child's=febrile=state.
the=child's=age.
an=airway=obstruction.=-=ans--the=child's=febrile=state.
When=percussing=the=lower=posterior=chest,=begin=by:
standing=on=the=side=rather=than=directly=behind=the=patient.
having=the=patient=lie=supine=on=the=examining=table.
carefully=palpating=any=area=the=patient=has=reported=pain.
using=the=ball=or=the=ulnar=surface=of=the=hand=-=ans--
standing=on=the=side=rather=than=directly=behind=the=patient.
The=palpation=technique=used=to=assess=respiratory=expansion=of=the=chest=is=placing
=the=hands=on=the=eight=or=tenth=ribs=posteriorly=with=the=thumbs=close=to=the=vertebr
ae,=sliding=the=hand=medially=and=grasping=a=small=fold=of=skin=between=the=thumbs.=
Then
ask=the=patient=to=cough=and=note=chest=expansion.
ask=the=patient=to=take=a=deep=breathe=and=note=any=delay=in=expansion=during=inhal
ation.
have=the=patient=hold=his=breath=for=15=seconds=then=note=chest=expansion.
have=the=patient=exhale=forcefully=noting=expansion=on=expiration.=-=ans--
ask=the=patient=to=take=a=deep=breathe=and=note=any=delay=in=expansion=during=inhal
ation.
, When=trying=to=differentiate=between=hemoptysis=or=blood=streaked=material,=which=on
e=of=the=following=observations=is=correct?
Hemoptysis=is=seen=frequently=in=infants,=children,=and=adolescents=with=allergic=rhiniti
s.
Blood=originating=in=the=stomach=is=usually=brighter=than=blood=originating=from=the=re
spiratory=tract.
Hemoptysis=is=common=in=children=with=cystic=fibrosis.
Blood=streaked=material=often=originates=from=the=gastrointestinal=tract.=-=ans--
Blood=streaked=material=often=originates=from=the=gastrointestinal=tract.
When=percussing=the=chest=in=a=patient=who=has=left=sided=heart=failure,=the=sound=e
manated=would=be:
Resonant.
dull=tympany.
Diffusely
hyper=resonant=-=ans--Resonant.
The=line=that=extends=through=the=inferior=angle=of=the=scapula=when=the=arms=are=at=
the=sides=of=the=body=is=the:
mid=vertebral=line
Scapular=line.
midclavicular=line
mid-spinal=line=-=ans--Scapular=line.
condition=associated=with=a=chronic=cough=that=produces=copious=amounts=of=purulent
=sputum=is=most=likely:
tracheobronchitis.
chronic=bronchitis.
Bronchiectasis.
laryngitis.=-=ans--Bronchiectasis.
A=patient=who=walked=into=the=examination=room,=may=be=observed=to=be=sitting=and=
leaning=forward=in=his=chair.=Lips=were=pursed=during=exhalation=and=arms=are=suppor
ted=on=the=table.=This=position=could=be=consistent=with=patients=who=have:
pneumonia.
chronic=obstructive=pulmonary=disease=(COPD)
asthma
croup.=-=ans--chronic=obstructive=pulmonary=disease=(COPD)
Breath=sounds=heard=over=the=periphery=of=the=lung=fields=are:
bronchial.
abnormal.
bronchovesicular.
vesicular=-=ans--vesicular
Retractions=are=observed=in=all=the=following=areas=except=the:
Supraventricular=area
hilar=area.
intercostal=area
costal=marginal=area.=-=ans--hilar=area.
A=3=year-
old=presents=with=a=history=of=fever=and=cough=over=the=past=24=hours.=Findings=on=e
xam=reveal:=temperature=of=102°F,=apical=heart=rate=of=157=beats/
minute,=and=respiratory=rate=of=40=breaths/
minute.=Tachypnea=in=this=child=is=most=likely=related=to
Paradoxical=respirations.
the=child's=febrile=state.
the=child's=age.
an=airway=obstruction.=-=ans--the=child's=febrile=state.
When=percussing=the=lower=posterior=chest,=begin=by:
standing=on=the=side=rather=than=directly=behind=the=patient.
having=the=patient=lie=supine=on=the=examining=table.
carefully=palpating=any=area=the=patient=has=reported=pain.
using=the=ball=or=the=ulnar=surface=of=the=hand=-=ans--
standing=on=the=side=rather=than=directly=behind=the=patient.
The=palpation=technique=used=to=assess=respiratory=expansion=of=the=chest=is=placing
=the=hands=on=the=eight=or=tenth=ribs=posteriorly=with=the=thumbs=close=to=the=vertebr
ae,=sliding=the=hand=medially=and=grasping=a=small=fold=of=skin=between=the=thumbs.=
Then
ask=the=patient=to=cough=and=note=chest=expansion.
ask=the=patient=to=take=a=deep=breathe=and=note=any=delay=in=expansion=during=inhal
ation.
have=the=patient=hold=his=breath=for=15=seconds=then=note=chest=expansion.
have=the=patient=exhale=forcefully=noting=expansion=on=expiration.=-=ans--
ask=the=patient=to=take=a=deep=breathe=and=note=any=delay=in=expansion=during=inhal
ation.
, When=trying=to=differentiate=between=hemoptysis=or=blood=streaked=material,=which=on
e=of=the=following=observations=is=correct?
Hemoptysis=is=seen=frequently=in=infants,=children,=and=adolescents=with=allergic=rhiniti
s.
Blood=originating=in=the=stomach=is=usually=brighter=than=blood=originating=from=the=re
spiratory=tract.
Hemoptysis=is=common=in=children=with=cystic=fibrosis.
Blood=streaked=material=often=originates=from=the=gastrointestinal=tract.=-=ans--
Blood=streaked=material=often=originates=from=the=gastrointestinal=tract.
When=percussing=the=chest=in=a=patient=who=has=left=sided=heart=failure,=the=sound=e
manated=would=be:
Resonant.
dull=tympany.
Diffusely
hyper=resonant=-=ans--Resonant.
The=line=that=extends=through=the=inferior=angle=of=the=scapula=when=the=arms=are=at=
the=sides=of=the=body=is=the:
mid=vertebral=line
Scapular=line.
midclavicular=line
mid-spinal=line=-=ans--Scapular=line.
condition=associated=with=a=chronic=cough=that=produces=copious=amounts=of=purulent
=sputum=is=most=likely:
tracheobronchitis.
chronic=bronchitis.
Bronchiectasis.
laryngitis.=-=ans--Bronchiectasis.
A=patient=who=walked=into=the=examination=room,=may=be=observed=to=be=sitting=and=
leaning=forward=in=his=chair.=Lips=were=pursed=during=exhalation=and=arms=are=suppor
ted=on=the=table.=This=position=could=be=consistent=with=patients=who=have:
pneumonia.
chronic=obstructive=pulmonary=disease=(COPD)
asthma
croup.=-=ans--chronic=obstructive=pulmonary=disease=(COPD)
Breath=sounds=heard=over=the=periphery=of=the=lung=fields=are:
bronchial.
abnormal.
bronchovesicular.
vesicular=-=ans--vesicular
