EXAM 3
Due May 24 at 3pm Points 50 Questions 50
Available after May 24 at 8am Time Limit 80 Minutes
Attempt History
Attempt Time Score
LATEST Attempt 1 73 minutes 36 out of 50
Score for this quiz: 36 out of 50
Submitted May 24 at 2:18pm
This attempt took 73 minutes.
Question 1 pts
The nurse is caring for a patient after thoracic surgery to remove a part
of the lung. The nurse documents “subcutaneous emphysema” after
assessing which of these?
u Answered Booming sounds upon percussion.
rrect Answe r A coarse, crackling sensation palpable over the skin surface.
An audible grating sound with breathing.
A palpable vibration with voice sounds.
, Subcutaneous emphysema is not assessed with auscultation or
percussion. A palpable vibration with speech is tactile fremitus.
Question 2 pts
The nurse is examining an adult patient. During auscultation of the
lower lobes, the nurse notes clear, soft, low pitched breath sounds.
Inspiration is louder than expiration. What is the correct interpretation of
this finding?
These are diminished breath sounds, which are consistent with
emphysema.
These are bronchial breath sounds, which are abnormal in that location.
u Answered
These are bronchovesicular breath sounds, which are normal in that
location.
rrect Answe r
These are vesicular breath sounds, which are normal in that location.
Question 3 pts
, A client presents to the emergency department with asthma
exacerbation. What does the nurse expect to find upon examination?
Tracheal shift.
Purulent mucus production.
Correct! Wheezing and accessory muscle use.
Presence of bronchophony.
Patients suffering an acute asthma attack are likely to exhibit
tachypnea, labored breathing, cyanosis, wheezing, cough, and
anxiety.
Question 4 pts
An adult client on a ventilator becomes acutely restless and agitated.
Which assessment finding alerts the nurse to a left pneumothorax?
Correct! Unequal chest expansion.
Increased tactile fremitus.
Dullness to percussion.
Presence of bronchial breath sounds.
, With a pneumothorax, free air in the pleural space causes partial
or complete lung collapse. If the pneumothorax is large, then
tachypnea and cyanosis are evident. Unequal chest expansion,
decreased or absent tactile fremitus, tracheal deviation to the
unaffected side, decreased chest expansion, hyperresonant
percussion tones, and decreased or absent breath sounds are
found with the presence of pneumothorax.
Question 5 pts
The nurse is frequently assessing lung sounds in a client with a left
apical pnuemothorax. Where should the nurse place the stethoscope to
monitor this problem?
Correct! Supraclavicular area.
Fifth intercostal space in the midclavicular line (MCL).
Fourth interspace posteriorly.
Sixth rib laterally.
The apex of the lung on the anterior chest is 3 to 4 cm above the
inner third of the clavicles. On the posterior chest, the apices are at
the level of C7.
Due May 24 at 3pm Points 50 Questions 50
Available after May 24 at 8am Time Limit 80 Minutes
Attempt History
Attempt Time Score
LATEST Attempt 1 73 minutes 36 out of 50
Score for this quiz: 36 out of 50
Submitted May 24 at 2:18pm
This attempt took 73 minutes.
Question 1 pts
The nurse is caring for a patient after thoracic surgery to remove a part
of the lung. The nurse documents “subcutaneous emphysema” after
assessing which of these?
u Answered Booming sounds upon percussion.
rrect Answe r A coarse, crackling sensation palpable over the skin surface.
An audible grating sound with breathing.
A palpable vibration with voice sounds.
, Subcutaneous emphysema is not assessed with auscultation or
percussion. A palpable vibration with speech is tactile fremitus.
Question 2 pts
The nurse is examining an adult patient. During auscultation of the
lower lobes, the nurse notes clear, soft, low pitched breath sounds.
Inspiration is louder than expiration. What is the correct interpretation of
this finding?
These are diminished breath sounds, which are consistent with
emphysema.
These are bronchial breath sounds, which are abnormal in that location.
u Answered
These are bronchovesicular breath sounds, which are normal in that
location.
rrect Answe r
These are vesicular breath sounds, which are normal in that location.
Question 3 pts
, A client presents to the emergency department with asthma
exacerbation. What does the nurse expect to find upon examination?
Tracheal shift.
Purulent mucus production.
Correct! Wheezing and accessory muscle use.
Presence of bronchophony.
Patients suffering an acute asthma attack are likely to exhibit
tachypnea, labored breathing, cyanosis, wheezing, cough, and
anxiety.
Question 4 pts
An adult client on a ventilator becomes acutely restless and agitated.
Which assessment finding alerts the nurse to a left pneumothorax?
Correct! Unequal chest expansion.
Increased tactile fremitus.
Dullness to percussion.
Presence of bronchial breath sounds.
, With a pneumothorax, free air in the pleural space causes partial
or complete lung collapse. If the pneumothorax is large, then
tachypnea and cyanosis are evident. Unequal chest expansion,
decreased or absent tactile fremitus, tracheal deviation to the
unaffected side, decreased chest expansion, hyperresonant
percussion tones, and decreased or absent breath sounds are
found with the presence of pneumothorax.
Question 5 pts
The nurse is frequently assessing lung sounds in a client with a left
apical pnuemothorax. Where should the nurse place the stethoscope to
monitor this problem?
Correct! Supraclavicular area.
Fifth intercostal space in the midclavicular line (MCL).
Fourth interspace posteriorly.
Sixth rib laterally.
The apex of the lung on the anterior chest is 3 to 4 cm above the
inner third of the clavicles. On the posterior chest, the apices are at
the level of C7.
