NSG 6020 WEEK 3 RESPIRATORY STUDY GUIDE
Chapter 8. Respiratory System
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. A 66-year-old patient presents to the clinic complaining of dyspnea and
wheezing. The patient reports a smoking history of 2 packs of cigarettes per
day since age 16. This would be recorded in the chart as:
A. 50 x 2-pack years
B. 100-pack years
C. 50-year, 2-pack history
D. 100 pack history
B
____ 2. Which of the following is characteristic of COPD?
A. Asymmetric chest expansion
B. Increased lateral diameter
C. Increased anterior-posterior
diameter
D. Pectus excavatum
C
____ 3. When palpating the posterior chest, the clinician notes increased tactile
fremitus over the left lower lobe. This can be indicative of:
A. Pneumonia
B. Emphysema
C. Pneumothorax
D. Asthma
, A
____ 4. During physical examination of a patient, you note resonance on percussion
in the upper lung fields. This is consistent with:
A. COPD
B. Pneumothorax
C. A normal finding
D. Pleural effusion
C
____ 5. Which of the following imaging studies should be considered if a pulmonary
malignancy is suspected?
A. Computed tomography (CT) scan
B. Chest xray with PA, lateral, and
lordotic views
C. Ultrasound
D. Positron emission tomography
(PET) scan
A
____ 6. Alpha-1 antitrypsin deficiency should be considered in patients diagnosed
with:
A. Exercise-induced cough
B. Bronciectasis
C. COPD
D. Pericarditis
C
, ____ 7. Upon assessment of respiratory excursion, the clinician notes asymmetric
expansion of the chest. One side expands greater than the other. This could
be due to:
A. Pneumothorax
B. Pleural effusion
C. Pneumonia
D. Pulmonary embolism
A
____ 8. During auscultation of the chest, your exam reveals a loud grating sound at
the lower anterolateral lung fields, at full inspiration and early expiration.
This finding is consistent with:
A. Pneumonia
B. Pleuritis
C. Pneumothorax
D. A and B
D
____ 9. While assessing auscultated spoken sounds, the ausculated sound is heard as
“a-a-a” when he is asked to repeat “e-e-e.” This is indicative of:
A. Asthma
B. Tumor
C. Pneumonia
D. Pleural effusion
C
____ 10. A cough is described as chronic if it has been present for:
A. 2 weeks or more
B. 8 weeks or more
Chapter 8. Respiratory System
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. A 66-year-old patient presents to the clinic complaining of dyspnea and
wheezing. The patient reports a smoking history of 2 packs of cigarettes per
day since age 16. This would be recorded in the chart as:
A. 50 x 2-pack years
B. 100-pack years
C. 50-year, 2-pack history
D. 100 pack history
B
____ 2. Which of the following is characteristic of COPD?
A. Asymmetric chest expansion
B. Increased lateral diameter
C. Increased anterior-posterior
diameter
D. Pectus excavatum
C
____ 3. When palpating the posterior chest, the clinician notes increased tactile
fremitus over the left lower lobe. This can be indicative of:
A. Pneumonia
B. Emphysema
C. Pneumothorax
D. Asthma
, A
____ 4. During physical examination of a patient, you note resonance on percussion
in the upper lung fields. This is consistent with:
A. COPD
B. Pneumothorax
C. A normal finding
D. Pleural effusion
C
____ 5. Which of the following imaging studies should be considered if a pulmonary
malignancy is suspected?
A. Computed tomography (CT) scan
B. Chest xray with PA, lateral, and
lordotic views
C. Ultrasound
D. Positron emission tomography
(PET) scan
A
____ 6. Alpha-1 antitrypsin deficiency should be considered in patients diagnosed
with:
A. Exercise-induced cough
B. Bronciectasis
C. COPD
D. Pericarditis
C
, ____ 7. Upon assessment of respiratory excursion, the clinician notes asymmetric
expansion of the chest. One side expands greater than the other. This could
be due to:
A. Pneumothorax
B. Pleural effusion
C. Pneumonia
D. Pulmonary embolism
A
____ 8. During auscultation of the chest, your exam reveals a loud grating sound at
the lower anterolateral lung fields, at full inspiration and early expiration.
This finding is consistent with:
A. Pneumonia
B. Pleuritis
C. Pneumothorax
D. A and B
D
____ 9. While assessing auscultated spoken sounds, the ausculated sound is heard as
“a-a-a” when he is asked to repeat “e-e-e.” This is indicative of:
A. Asthma
B. Tumor
C. Pneumonia
D. Pleural effusion
C
____ 10. A cough is described as chronic if it has been present for:
A. 2 weeks or more
B. 8 weeks or more
