Exam 2 Advanced Health Assessment Test BEST
QUESTIONS AND ANSWERS 100% CORRECT
What causes barrel chest? - ANSWER: This results from comprised respirations d/t chronic asthma,
emphysema, or cystic fibrosis.
Indication of pectus carinatum, often referred to as pigeon chest
Present with prominent sternal protrusion
Characteristics of barrel chest - ANSWER: The AP diameter approaches or equals the lateral
diameter with a ratio 1.0 or even greater suggest a chronic respirator condition that causes barrel
chest
What is tachypnea? - ANSWER: RR >20/min hyperventilation, pt may be splinting d/t px from fx rib
or pleurisy, increase liver size, and ascites that prevents the diaphragm decent
What is bradypnea? - ANSWER: RR<12/min may be neurologic, electrolyte disturbances, infection,
pt protection self from px, too much sedation/px med or excellent cardiovascular fitness.
Areas of hyperresonance are percussed over the lung fields in which condition? - ANSWER:
Emphysema, areas of trapped air that occur with emphysema
Pleruisy causes what sound? - ANSWER: -a friction rub with auscultation
PNA and pleural effusion are likely to cause what sounds? - ANSWER: Squeaking or grating sounds
of the pleural linings rubbing together
The manubriosternal angle (angle of Louis) is continuous with which anatomical landmark? -
ANSWER: Second rib
Which findings on the pt hx is suspicious for pulmonary tuberculosis? - ANSWER: -Night sweats
Which assessment findings of the resp. sys in a 2 month old infant is considered abnormal? -
ANSWER: grunting
Which assessment finding suggests a child has epiglottis? - ANSWER: -difficulty swallowing
,Exam 2 Advanced Health Assessment Test BEST
QUESTIONS AND ANSWERS 100% CORRECT
-a harsh barking cough occurs with acute laryngotracheitis or croup
A pt with metabolic acidosis is likely to display which type of respiration? - ANSWER: A rapid deep
breathing
Kussmaul respirations occur with metabolic acidosis. The pt breathes deeply and rapidly as the body
blows off CO2 to compensate
In which condition is fluid present in the pleural space? - ANSWER: Pleural effusion
During a hx a client tells the nurse that he has smoked 2 packs of cigarettes per day for 10 years and
1 pack per day for the past 15 years - ANSWER: 35?
Define vesicular breath sounds? - ANSWER: Normal, soft and low-pitched over peripheral lung
fields, Inspiration is longer and louder than expiration phase, heard over healthy lung tissue
Bronchovesicular sounds are heard where? - ANSWER: Over the main bronchus and over the upper
right posterior lung. Medium pitch with equal expiration and inspiration
What does wheezing sound like? - ANSWER: -musical noise like a whistle
-usually louder on expiration
-heard continuously during inspiration and expiration
What does rhonchi sound like? and what does it indicate? - ANSWER: -snoring or rattling noises
heard upon auscultation
-they indicate obstructions by thick secretions of mucus. Quality of sound changes if the person
coughs or sometimes changes position
What does a pleural friction rub sound like and what is it caused by? - ANSWER: -dry rubbing or
grating sounds
-caused by inflammation or pleural spaces
, Exam 2 Advanced Health Assessment Test BEST
QUESTIONS AND ANSWERS 100% CORRECT
Rate and depth of breathing will increase with? - ANSWER: -acidosis
-CNS lesion (pons)
-anxiety
-ASA poisoning
-oxygen need (hypoxemia)
-pain
Rate and depth of breathing will decrease with? - ANSWER: -alkalosis (metabolic)
-CNS lesion (cerebrum)
-Myasthenia gravis
-narcotic OD
-obesity (extreme)
Indication of retractions - ANSWER: -seen when the chest pain caves in at the sternum, between the
ribs, at the suprasternal notch, above the clavicle, and at the lowest costal margins
-suggests an obstruction to inspiration at any point in the respiratory tract
Indications of clubbed fingers - ANSWER: Enlargement of the terminal fingers and toes
Clubbing-180 degrees
Regular - 160 degrees
Associated with emphysema, lung cancer, the cyanosis of congenital heart disease or cystic fibrosis.
How do you assess diaphragmatic excursion? - ANSWER: -inspection of the posterior without
clothing
-ask the pt to take a deep breath and hold it
-percuss down the scapular line, lowest broader marked by change in resonance to dullness
-mark with pen and allow pt to take breath then repeat on the other side
QUESTIONS AND ANSWERS 100% CORRECT
What causes barrel chest? - ANSWER: This results from comprised respirations d/t chronic asthma,
emphysema, or cystic fibrosis.
Indication of pectus carinatum, often referred to as pigeon chest
Present with prominent sternal protrusion
Characteristics of barrel chest - ANSWER: The AP diameter approaches or equals the lateral
diameter with a ratio 1.0 or even greater suggest a chronic respirator condition that causes barrel
chest
What is tachypnea? - ANSWER: RR >20/min hyperventilation, pt may be splinting d/t px from fx rib
or pleurisy, increase liver size, and ascites that prevents the diaphragm decent
What is bradypnea? - ANSWER: RR<12/min may be neurologic, electrolyte disturbances, infection,
pt protection self from px, too much sedation/px med or excellent cardiovascular fitness.
Areas of hyperresonance are percussed over the lung fields in which condition? - ANSWER:
Emphysema, areas of trapped air that occur with emphysema
Pleruisy causes what sound? - ANSWER: -a friction rub with auscultation
PNA and pleural effusion are likely to cause what sounds? - ANSWER: Squeaking or grating sounds
of the pleural linings rubbing together
The manubriosternal angle (angle of Louis) is continuous with which anatomical landmark? -
ANSWER: Second rib
Which findings on the pt hx is suspicious for pulmonary tuberculosis? - ANSWER: -Night sweats
Which assessment findings of the resp. sys in a 2 month old infant is considered abnormal? -
ANSWER: grunting
Which assessment finding suggests a child has epiglottis? - ANSWER: -difficulty swallowing
,Exam 2 Advanced Health Assessment Test BEST
QUESTIONS AND ANSWERS 100% CORRECT
-a harsh barking cough occurs with acute laryngotracheitis or croup
A pt with metabolic acidosis is likely to display which type of respiration? - ANSWER: A rapid deep
breathing
Kussmaul respirations occur with metabolic acidosis. The pt breathes deeply and rapidly as the body
blows off CO2 to compensate
In which condition is fluid present in the pleural space? - ANSWER: Pleural effusion
During a hx a client tells the nurse that he has smoked 2 packs of cigarettes per day for 10 years and
1 pack per day for the past 15 years - ANSWER: 35?
Define vesicular breath sounds? - ANSWER: Normal, soft and low-pitched over peripheral lung
fields, Inspiration is longer and louder than expiration phase, heard over healthy lung tissue
Bronchovesicular sounds are heard where? - ANSWER: Over the main bronchus and over the upper
right posterior lung. Medium pitch with equal expiration and inspiration
What does wheezing sound like? - ANSWER: -musical noise like a whistle
-usually louder on expiration
-heard continuously during inspiration and expiration
What does rhonchi sound like? and what does it indicate? - ANSWER: -snoring or rattling noises
heard upon auscultation
-they indicate obstructions by thick secretions of mucus. Quality of sound changes if the person
coughs or sometimes changes position
What does a pleural friction rub sound like and what is it caused by? - ANSWER: -dry rubbing or
grating sounds
-caused by inflammation or pleural spaces
, Exam 2 Advanced Health Assessment Test BEST
QUESTIONS AND ANSWERS 100% CORRECT
Rate and depth of breathing will increase with? - ANSWER: -acidosis
-CNS lesion (pons)
-anxiety
-ASA poisoning
-oxygen need (hypoxemia)
-pain
Rate and depth of breathing will decrease with? - ANSWER: -alkalosis (metabolic)
-CNS lesion (cerebrum)
-Myasthenia gravis
-narcotic OD
-obesity (extreme)
Indication of retractions - ANSWER: -seen when the chest pain caves in at the sternum, between the
ribs, at the suprasternal notch, above the clavicle, and at the lowest costal margins
-suggests an obstruction to inspiration at any point in the respiratory tract
Indications of clubbed fingers - ANSWER: Enlargement of the terminal fingers and toes
Clubbing-180 degrees
Regular - 160 degrees
Associated with emphysema, lung cancer, the cyanosis of congenital heart disease or cystic fibrosis.
How do you assess diaphragmatic excursion? - ANSWER: -inspection of the posterior without
clothing
-ask the pt to take a deep breath and hold it
-percuss down the scapular line, lowest broader marked by change in resonance to dullness
-mark with pen and allow pt to take breath then repeat on the other side
