200 EXAM QUESTIONS TESTBANK
WITH CORRECT ANSWERS
what makes up the internal structures of the breast?
Fibrous, glandular, and adipose tissues
In performing an assessment of a woman's axillary lymph system, the nurse
would assess which of these nodes?
Central, lateral, pectoral, and subscapular
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lungs occurs with
Atelectasis, Lobar pneumonia, Pleural Effusion, Fractured Rib, or
Pneumothorax
Pain accompanies deep breathing when
pleurae are inflamed
What is tactile fremitus?
,vibrations that are felt by the hand on the chest wall
How do you check tactile fremitus
use the ball of your finger or the ulnar edge of your hand and touch the
person chest as they repeat a phrase
Decreased Fremitus
occurs with an obstructed bronchus, pleural effusion or thickening,
pneumothorax, or emphysema
Increased Fremitus
Occurs with compression or consolidation of lung tissue. Present when the
bronchus is patent and the consolidation extends to the lung surfaces
Rhonchal Fremitus
palpable with thick bronchial secretions
Pleural Friction Fremitus
palpable with inflammation of the pleura
Crepitus
,A coarse crackling sensation palpable over the skin occurs in subq
emphysema when air escapes from the lungs and enters subq tissue
resonance
the low pitch clear hollow sound that predominates in healthy lung tissue in
adults
hyperresonance
lower-pitched, booming sound found when too much air is present such as in
emphysema or pneumothorax
dull note
(soft, muffled thud) signals abnormal density in the lungs, as with
pneumonia, pleural effusion, atelectasis, or tumor.
extraneuous noises
noises that may be confused with breath sounds
examiners breathing on stethoscope
pt shivering
pt hairy chest
rustling of gown
3 types of breath sounds
, bronchial, bronchovesicular, vesicular
where do you hear bronchial
trachea- high pitch, loud, harsh, hollow,- inspiration< expiration
Where do you hear bronchovesicular breath sounds
Over major bronchi inspiration = expiration
Where do you hear vesicular sounds?
peripheral areas of the lungs (lobes of the lungs) low and soft- Inspiration >
expiration
decreased or absent breath sounds occur when
1. Bronchial tree is obstructed
2. Emphysema
3. Pleurisy or pleural thickening with air (pneumothorax) or fluid (pleural
effusion)
increased breath sounds
Consolidation (pneumonia), or compression (fluid). enhances transmission of
sound. the sound is close to your ear