Health Assessment Exam 2 Review Questions and answers GRADE A+ SOLUTIONS

A palpable vibration increased with lobar pneumonia is also known as: A. Rhonchi B. Resonance C. Fremitus D. Crackles C. Fremitus (key term is "palpable" Your patient is exhibiting rapid shallow breathing, with a respiratory rate 24 respirations per minute. Which of the following conditions are they experiencing? A. hypoxemia B. tachypnea C. fremitus D. resonance B. tachypnea Increased tactile fremitus would be evident in an individual who has which of the following conditions? A. emphysema B. pneumonia C. crepitus D. pneumothorax B. pneumonia Fremitus is a palpable vibration. Increased fremitus occurs with compression or consolidation of lung tissue (ex. lobar pneumonia) Which of the following terms is used to describe a decreased level of oxygen (O2) in the blood? A. anemia B. hypercapnia C. hypoxemia D. emphysema C. hypoxemia The nurse is assessing a patient who has emphysema. They note a course, crackling sensation that is palpable over the skin surface. This is known as: A. hypoxemia b. crackles C. fremitus D. crepitus D. crepitus Upon receiving the patient's lab results, the nurse notes the patient has an increased level of carbon dioxide in the blood. Which of the following conditions would the patient be experiencing? A. resonance B. hypercapnia C. fremitus D. tachypnea B. hypercapnia The nurse is auscultating a patient's lungs and hears discontinuous, high-pitched, short, popping sounds heard during inspiration, and not cleared by coughing. These are described as: A. bradypnea B. rhonchi C. crackles D. wheezing C. crackles The nurse is assessing a patient's lungs by using the percussion technique. Which sound would the nurse expect to hear over healthy lung tissue? A. resonance B. orthopnea C. crackles D. tachypnea A. resonance A clinical manifestation common in an individual with chronic obstructive pulmonary disease (COPD) is: A. periodic breathing patterns B. pursed lip breathing C. unequal chest expansion D. hyperventilation B. pursed lip breathing An individual with COPD may purse the lips in a whistling position. By exhaling slowly and against a narrow opening, the pressure in the bronchial tree remains positive, and fewer airways collapse. Which of the following are functions of the respiratory system? (Select all that apply) A. supplying oxygen to the body for energy production B. removing carbon dioxide as a waste product C. wound repair D. maintaining acid-base balance E. maintenance of heat exchange F. identification A. supplying oxygen to the body for energy production B. removing carbon dioxide as a waste product D. maintaining acid-base balance E. maintenance of heat exchange Stridor is a high pitched, inspiratory crowing sound commonly associated with: A. upper airway obstruction B. atelectasis C. congestive heart failure D. Pneumothorax A. upper airway obstruction Stridor is associated with upper airway obstruction from swollen, inflamed tissues or a lodged foreign body. Which of the following correctly expresses the relationship to the lobes of the lungs and their anatomic position? A. upper lobes-lateral chest B. upper lobes-posterior chest C. lower lobes-posterior chest D. lower lobes - anterior chest C. lower lobes - posterior chest The posterior chest is almost all lower lobe The function of the trachea and bronchi is to A. transport gases between the environment and the lung parenchyma B. Condense inspired air for better gas exchange C. Moisturize air for optimum respiration D. Increase air turbulence and velocity for maximum gas transport A. transport gases between the environment and the lung parenchyma Which of the following chest configurations is an exaggerated posterior curvature of the thoracic spine that is associated with aging and physical fitness? A. scoliosis B. barrel chest C. kyphosis D. pectus excavatum C. Kypohosis Causes significant back pain and limited mobility. It is associated with aging, and people with adequate exercise habits are less likely to have kyphosis. Scoliosis is S shaped curvature of the spine Barrel chest is equal AP to transverse diameter and is associated with aging and chronic emphysema or asthma. Pectus excavatum is a markedly sunken sternum and adjacent cartilages that is congenital. The nurse is observing the auscultation technique of another nurse. The correct method to use when progressing from one auscultatory site on the thorax to another is ___________________ comparison. A. side-to-side B. top-to-bottom C. posterior-to-anterior D. interspace by interspace A. side to side The nurse is listening to the breath sounds of a patient with severe asthma. Air passing through narrowed bronchioles would produce which of these adventitious sounds? A. wheezes B. bronchial sounds C. bronchophony D. crackles A. wheezes Wheezes occur when air is squeezed or compressed through passageways narrowed almost to closure by collapsing, swelling, secretions or tumors.The A patient has been admitted to the emergency department with a possible medical diagnosis of pulmonary embolism. The nurse expects to see which assessment findings related to this condition? A. absent or decreased breath sounds B. productive cough with thin, frothy sputum C. chest pain that is worse on deep inspiration and dyspnea D. diffuse infiltrates with areas of dullness on percussion C. chest pain that is worse on deep inspiration and dyspnea Undissolved materials originating in the legs or pelvis detach and travel through the venous system, returning blood to the right side of the heart and lodge to occlude the pulmonary vessels. The direction of blood flow through the heart is best described by which of these? A. Vena cava, right atrium, right ventricle, lungs, pulmonary artery, left atrium, left ventricle B. Right atrium, right ventricle, pulmonary artery, lungs, pulmonary vein, left atrium, left ventricle C. Aorta, right atrium, right ventricle, lungs, pulmonary vein, left atrium, left ventricle, vena cava CONTINUED......