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Your patient is exhibiting rapid shallow breathing, with a respiratory rate >24 respirations per minute.
Which of the following conditions are they experiencing?
B. tachypnea
Increased tactile fremitus would be evident in an individual who has which of the following conditions?
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?
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:
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?
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:
C. crackles
,NUR2092 Health Assessment Exam
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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
A clinical manifestation common in an individual with chronic obstructive pulmonary disease (COPD) is:
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
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
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?
C. lower lobes - posterior chest
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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
Which of the following chest configurations is an exaggerated posterior curvature of the thoracic spine
that is associated with aging and physical fitness?
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
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
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?
C. chest pain that is worse on deep inspiration and dyspnea