APEA – Respiratory (Advanced
Assessment) 2025 | Complete Study Guide
with Questions & Rationales | Graded A+
A condition associated with a chronic cough that produces copious amounts of
purulent sputum is most likely:
-Tracheobronchitis
-Chronic bronchitis
-Bronchiectasis
-Laryngitis - ---✔✔✔ANSWER----Bronchiectasis
Explanation:An acute viral illness that presents with a burning retrosternal
discomfort and a dry cough is tracheobronchitis. An acute, mild illness often
associated with viral nasopharyngitis and goarseness is laryngitis. The initial cough
is dry and nonproductive by may become productive over time. a chronic
bronchitis cough is characteristically productive with mucoid to purulent sputum
and by be blood tinged. Bronchiectasis produces a chronic cough with sputum that
is copious and foul-smelling. It may be blood tinged.
,When auscultating breath sounds, use the diaphragm of the stethoscope by placing
it initially on the
-Anterior chest at the nipple line
-Lateral surface of the chest near the axilla
-Posterior chest at the cervical 7 level
-Anterior chest in the upper sternal area - ---✔✔✔ANSWER----Posterior
chest at the cervical 7 level (apices)
Increased anteroposterior diameter of the chest, purse-lipped breathing, and
dyspnea with talking, suggest:
-PNA
-Lung CA
-Bronchitis
-COPD - ---✔✔✔ANSWER----COPD
Diminished breath sounds should be interpreted as:
-Suggestive of COPD
-Suggestive of severe respiratory failure
-An abnormal finding warranting further explanation
-A normal finding - ---✔✔✔ANSWER----An abnormal finding warranting
further explanation
To document chest findings located between the scapulae, which one of the
following terms would be used?
-Infraclavicular
, -Supraclavicular
-Interscapular
-Infrascapular - ---✔✔✔ANSWER----Interscapular
A 3 year-old presents with a history of fever and cough over the past 24 hours.
Findings on exam reveal: temperature of 102°F, apical heart rate of 157
beats/minute, and respiratory rate of 40 breaths/minute. Tachypnea in this child is
most likely related to:
-Paradoxical respirations
-Child's febrile state
-Child's age
-Airway obstruction - ---✔✔✔ANSWER----Child's febrile state.
Orthopnea is typically associated with all of the following conditions except:
=left ventricular hypertrophy
-Pulmonary embolus
-Mitral Stenosis
-Obstructive lung DZ - ---✔✔✔ANSWER----Pulmonary embolus.
One of the anterior thoracic landmarks is the costal angle. It is located:
-Where the manubrium and body of the sternum intersect
-Where the right and left costal margins form an angle where they meet at the
xiphoid process
-Where the suprasternal notch and the sternum form an angle
Assessment) 2025 | Complete Study Guide
with Questions & Rationales | Graded A+
A condition associated with a chronic cough that produces copious amounts of
purulent sputum is most likely:
-Tracheobronchitis
-Chronic bronchitis
-Bronchiectasis
-Laryngitis - ---✔✔✔ANSWER----Bronchiectasis
Explanation:An acute viral illness that presents with a burning retrosternal
discomfort and a dry cough is tracheobronchitis. An acute, mild illness often
associated with viral nasopharyngitis and goarseness is laryngitis. The initial cough
is dry and nonproductive by may become productive over time. a chronic
bronchitis cough is characteristically productive with mucoid to purulent sputum
and by be blood tinged. Bronchiectasis produces a chronic cough with sputum that
is copious and foul-smelling. It may be blood tinged.
,When auscultating breath sounds, use the diaphragm of the stethoscope by placing
it initially on the
-Anterior chest at the nipple line
-Lateral surface of the chest near the axilla
-Posterior chest at the cervical 7 level
-Anterior chest in the upper sternal area - ---✔✔✔ANSWER----Posterior
chest at the cervical 7 level (apices)
Increased anteroposterior diameter of the chest, purse-lipped breathing, and
dyspnea with talking, suggest:
-PNA
-Lung CA
-Bronchitis
-COPD - ---✔✔✔ANSWER----COPD
Diminished breath sounds should be interpreted as:
-Suggestive of COPD
-Suggestive of severe respiratory failure
-An abnormal finding warranting further explanation
-A normal finding - ---✔✔✔ANSWER----An abnormal finding warranting
further explanation
To document chest findings located between the scapulae, which one of the
following terms would be used?
-Infraclavicular
, -Supraclavicular
-Interscapular
-Infrascapular - ---✔✔✔ANSWER----Interscapular
A 3 year-old presents with a history of fever and cough over the past 24 hours.
Findings on exam reveal: temperature of 102°F, apical heart rate of 157
beats/minute, and respiratory rate of 40 breaths/minute. Tachypnea in this child is
most likely related to:
-Paradoxical respirations
-Child's febrile state
-Child's age
-Airway obstruction - ---✔✔✔ANSWER----Child's febrile state.
Orthopnea is typically associated with all of the following conditions except:
=left ventricular hypertrophy
-Pulmonary embolus
-Mitral Stenosis
-Obstructive lung DZ - ---✔✔✔ANSWER----Pulmonary embolus.
One of the anterior thoracic landmarks is the costal angle. It is located:
-Where the manubrium and body of the sternum intersect
-Where the right and left costal margins form an angle where they meet at the
xiphoid process
-Where the suprasternal notch and the sternum form an angle
