NUR 2204 FINAL EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
How many lobes in right lung vs. left lung?
right has 3 lobes and left has 2 lobes
Where do you examine the right middle lobe (RML)?
between the 4th and 6th ribs in axillary region
What is the protocol for auscultating lungs?
tell patient to sit up and take deep breaths, breathe in and out when you place your
stethoscope on back. Watch for dizziness or chest pain
Where do you start when you auscultate the lungs?
start at left apex and move to right apex; drop down and come over
What is aspiration pneumonia?
fluid in the lungs that can become solidified; changes in lung songs may be crackles:
What are the measurements of anterior, posterior, and the transverse diameter of
the lungs?
anterior and posterior is 7 in, transverse is 14 in
What is the anterior-posterior to transverse ratio?
1:2
NORMAL CHEST MEASUREMENT YOU SAY:
1:2 ratio, so width of chest is double the depth of the chest
NORMAL CHEST MEASUREMENT YOU CAN ALSO SAY:
the width transverse diameter of the chest to the depth of the chest is 2:1
,What is a pneumothorax?
a collapsed lung
What is heard over the pneumothorax?
no lung sounds
How should the patient breath when you are auscultating the lungs?
through their mouth
What is Tachypnea?
rapid breathing (more than 20 respirations)
What is Bradypnea?
slow breathing (less than 10 respirations)
What is orthopnea?
difficulty breathing while lying down
What is apnea?
absence of breathing
What is hemoptysis?
blood in sputum
What is chronic emphysema also known as?
barrel chest
What is chronic emphysema?
anterior posterior increases to the SAME as transverse, 1:1 ratio
What is a sign of a collapsed lung?
no breath sounds
What are signs and symptoms of respiratory distress?
, tripoding, heaving, nasal flaring, cyanosis, slow cap refill, high respiration rate
What is productive coughing?
coughing up sputum
What is non-productive coughing?
dry coughing
What is hyperventilation?
rapid deep breathing
What is hypoventilation?
slow and shallow breathing
What is circumoral cyanosis?
cyanosis around the mouth, blue around the lips/mouth
What is clubbing?
raising of the nail/nail bed past 160 degrees
What causes clubbing?
long term lack of oxygen
What does capillary refill indicate?
peripheral perfusion and cardiac output
How are the intercostal spaces numbered in relation to the ribs?
space is named for rib above it
What is an example of intercostal space numer in relation to the ribs?
intercostal space 1 is under rib 1
When auscultating lungs how do you compare right to left?
order and method start from right to left drop down to left to right
COMPLETE SOLUTIONS VERIFIED
How many lobes in right lung vs. left lung?
right has 3 lobes and left has 2 lobes
Where do you examine the right middle lobe (RML)?
between the 4th and 6th ribs in axillary region
What is the protocol for auscultating lungs?
tell patient to sit up and take deep breaths, breathe in and out when you place your
stethoscope on back. Watch for dizziness or chest pain
Where do you start when you auscultate the lungs?
start at left apex and move to right apex; drop down and come over
What is aspiration pneumonia?
fluid in the lungs that can become solidified; changes in lung songs may be crackles:
What are the measurements of anterior, posterior, and the transverse diameter of
the lungs?
anterior and posterior is 7 in, transverse is 14 in
What is the anterior-posterior to transverse ratio?
1:2
NORMAL CHEST MEASUREMENT YOU SAY:
1:2 ratio, so width of chest is double the depth of the chest
NORMAL CHEST MEASUREMENT YOU CAN ALSO SAY:
the width transverse diameter of the chest to the depth of the chest is 2:1
,What is a pneumothorax?
a collapsed lung
What is heard over the pneumothorax?
no lung sounds
How should the patient breath when you are auscultating the lungs?
through their mouth
What is Tachypnea?
rapid breathing (more than 20 respirations)
What is Bradypnea?
slow breathing (less than 10 respirations)
What is orthopnea?
difficulty breathing while lying down
What is apnea?
absence of breathing
What is hemoptysis?
blood in sputum
What is chronic emphysema also known as?
barrel chest
What is chronic emphysema?
anterior posterior increases to the SAME as transverse, 1:1 ratio
What is a sign of a collapsed lung?
no breath sounds
What are signs and symptoms of respiratory distress?
, tripoding, heaving, nasal flaring, cyanosis, slow cap refill, high respiration rate
What is productive coughing?
coughing up sputum
What is non-productive coughing?
dry coughing
What is hyperventilation?
rapid deep breathing
What is hypoventilation?
slow and shallow breathing
What is circumoral cyanosis?
cyanosis around the mouth, blue around the lips/mouth
What is clubbing?
raising of the nail/nail bed past 160 degrees
What causes clubbing?
long term lack of oxygen
What does capillary refill indicate?
peripheral perfusion and cardiac output
How are the intercostal spaces numbered in relation to the ribs?
space is named for rib above it
What is an example of intercostal space numer in relation to the ribs?
intercostal space 1 is under rib 1
When auscultating lungs how do you compare right to left?
order and method start from right to left drop down to left to right
