NUR 220 TEST 2 Questions With
Complete Solutions
A nurse suspects a viral infection or upper respiratory allergies
when the patient describes the sputum as being which color?
1. Green
2. Clear
3. Yellow
4. Pink tinged – answer 2. Clear
During inspection of the respiratory system the nurse
documents which finding as abnormal?
1. Skin color consistent with patient's race
2. 1:2 ratio of anteroposterior to lateral diameter
3. Respiratory rate of 20 breaths per minute
4. Patient leaning forward with arms braced on the knees
answer - 4. Patient leaning forward with arms braced on the
knees
A patient has an infection of the terminal bronchioles and
alveoli that involves the right lower lobe of the lung. Which
abnormal findings are expected?
1. Dyspnea with diminished breath sounds bilaterally
2. Asymmetric chest expansion and rhonchi on the right side
3. Fever and tachypnea with crackles over the right lower lobe
,4. Prolonged expiration with an occasional wheeze in the right
lower lobe - answer 3. Fever and tachypnea with crackles over
the right lower lobe
On auscultation of a patient's lungs, the nurse hears a low-
pitched, coarse, loud, and low snoring sound. Which term does
the nurse use to document this finding?
1. Rhonchi
2. Wheeze
3. Crackles
4. Pleural friction rub - answer 1. Rhonchi
A nurse finds the patient's AP diameter of the chest to be the
same as the lateral diameter. Based on this finding, what
additional data would the nurse anticipate?
1. Bronchial breath sounds in the posterior thorax
2. Decrease in respiratory rate
3. Decreased breath sounds on auscultation
4. Complaint of sharp chest pain on inspiration - answer 3.
Decreased breath sounds on auscultation
How does the nurse palpate the chest for tenderness, bulges,
and symmetry?
1. Uses the fist of the dominant hand to gently tap the anterior,
lateral, and posterior chest, comparing one side with another
, 2. Uses the ulnar surface of one hand to palpate the anterior,
posterior, and lateral chest, comparing one side with another
3. Uses the tips of the fingers to palpate the skin over the chest
and the alignment of vertebrae
4. Uses the palmar surface of fingers of both hands to feel the
texture of the skin over the chest and the alignment of
vertebrae - answer 4. Uses the palmar surface of fingers of both
hands to feel the texture of the skin over the chest and the
alignment of vertebrae
Which breath sounds are expected over the posterior chest of
an adult?
1. Vesicular
2. Bronchovesicular
3. Bronchial
4. Bronchoalveolar - answer 1. Vesicular
Narrowing of the bronchi creates which adventitious sound?
1. Wheeze
2. Crackles
3. Rhonchi
4. Pleural friction rub answer - 1. Wheeze
A nurse is auscultating the lungs of a healthy female patient
and hears crackles on inspiration. What action can the nurse
take to ensure this is an accurate finding?
Complete Solutions
A nurse suspects a viral infection or upper respiratory allergies
when the patient describes the sputum as being which color?
1. Green
2. Clear
3. Yellow
4. Pink tinged – answer 2. Clear
During inspection of the respiratory system the nurse
documents which finding as abnormal?
1. Skin color consistent with patient's race
2. 1:2 ratio of anteroposterior to lateral diameter
3. Respiratory rate of 20 breaths per minute
4. Patient leaning forward with arms braced on the knees
answer - 4. Patient leaning forward with arms braced on the
knees
A patient has an infection of the terminal bronchioles and
alveoli that involves the right lower lobe of the lung. Which
abnormal findings are expected?
1. Dyspnea with diminished breath sounds bilaterally
2. Asymmetric chest expansion and rhonchi on the right side
3. Fever and tachypnea with crackles over the right lower lobe
,4. Prolonged expiration with an occasional wheeze in the right
lower lobe - answer 3. Fever and tachypnea with crackles over
the right lower lobe
On auscultation of a patient's lungs, the nurse hears a low-
pitched, coarse, loud, and low snoring sound. Which term does
the nurse use to document this finding?
1. Rhonchi
2. Wheeze
3. Crackles
4. Pleural friction rub - answer 1. Rhonchi
A nurse finds the patient's AP diameter of the chest to be the
same as the lateral diameter. Based on this finding, what
additional data would the nurse anticipate?
1. Bronchial breath sounds in the posterior thorax
2. Decrease in respiratory rate
3. Decreased breath sounds on auscultation
4. Complaint of sharp chest pain on inspiration - answer 3.
Decreased breath sounds on auscultation
How does the nurse palpate the chest for tenderness, bulges,
and symmetry?
1. Uses the fist of the dominant hand to gently tap the anterior,
lateral, and posterior chest, comparing one side with another
, 2. Uses the ulnar surface of one hand to palpate the anterior,
posterior, and lateral chest, comparing one side with another
3. Uses the tips of the fingers to palpate the skin over the chest
and the alignment of vertebrae
4. Uses the palmar surface of fingers of both hands to feel the
texture of the skin over the chest and the alignment of
vertebrae - answer 4. Uses the palmar surface of fingers of both
hands to feel the texture of the skin over the chest and the
alignment of vertebrae
Which breath sounds are expected over the posterior chest of
an adult?
1. Vesicular
2. Bronchovesicular
3. Bronchial
4. Bronchoalveolar - answer 1. Vesicular
Narrowing of the bronchi creates which adventitious sound?
1. Wheeze
2. Crackles
3. Rhonchi
4. Pleural friction rub answer - 1. Wheeze
A nurse is auscultating the lungs of a healthy female patient
and hears crackles on inspiration. What action can the nurse
take to ensure this is an accurate finding?
