Question 1

Which term would you use to document a respiratory rate more than 20 breaths/min in an adult?

Accepted Answer

A)  Dyspnea 
B)  Orthopnea 
C)  Platypnea 
D)  Tachypnea 
A)  Dyspnea 
B)  Orthopnea 
C)  Platypnea 
D)  Tachypnea

Question 2

Which bronchial structure(s) is(are) most susceptible to aspiration of foreign bodies?

Accepted Answer

A)  Left mainstem bronchus 
B)  Terminal bronchioles 
C)  Right mainstem bronchus 
D)  Respiratory bronchioles 
A)  Left mainstem bronchus 
B)  Terminal bronchioles 
C)  Right mainstem bronchus 
D)  Respiratory bronchioles

Question 3

The anteroposterior diameter of the chest is normally approximately the same as the transverse diameter in which age group?

Accepted Answer

A)  Infants 
B)  School-age children 
C)  Adolescents 
D)  Young adults 
A)  Infants 
B)  School-age children 
C)  Adolescents 
D)  Young adults

Question 4

Your older clinic patient is being seen today as a follow-up for a 2-day history of pneumonia. The patient continues to have a productive cough, shortness of breath, and lethargy and has been spending most of the day lying in bed. You should begin the chest examination by:

Accepted Answer

A)  percussing all lung fields. 
B)  auscultating the lung bases. 
C)  determining tactile fremitus. 
D)  estimating diaphragmatic excursion. 
A)  percussing all lung fields. 
B)  auscultating the lung bases. 
C)  determining tactile fremitus. 
D)  estimating diaphragmatic excursion.

Question 5

A 44-year-old male patient who complains of a cough has presented to the emergency department. He admits to smoking one pack per day. During your inspection of his chest, the most appropriate lighting source to highlight chest movement is:

Accepted Answer

A)  bright tangential lighting. 
B)  daylight from a window. 
C)  flashlight in a dark room. 
D)  fluorescent ceiling lights. 
A)  bright tangential lighting. 
B)  daylight from a window. 
C)  flashlight in a dark room. 
D)  fluorescent ceiling lights.

Question 6

Fetal gas exchange is mediated by the:

Accepted Answer

A)  lungs. 
B)  heart. 
C)  amniotic fluid. 
D)  placenta. 
A)  lungs. 
B)  heart. 
C)  amniotic fluid. 
D)  placenta.

Question 7

To distinguish crackles from rhonchi, you should auscultate the lungs:

Accepted Answer

A)  before and after the patient coughs. 
B)  first at the lung base and then at the apex. 
C)  with the patient inhaling and then exhaling. 
D)  with the patient recumbent and then sitting. 
A)  before and after the patient coughs. 
B)  first at the lung base and then at the apex. 
C)  with the patient inhaling and then exhaling. 
D)  with the patient recumbent and then sitting.

Question 8

In barrel chest, the ratio of the anteroposterior diameter to the transverse (lateral) diameter is _____.

Accepted Answer

In a barrel chest, an increase in the ch

Question 9

Tactile fremitus is best felt:

Accepted Answer

A)  along the costal margin and xiphoid process. 
B)  in the suprasternal notch along the clavicle. 
C)  parasternally at the second intercostal space. 
D)  posterolaterally beneath the scapula. 
A)  along the costal margin and xiphoid process. 
B)  in the suprasternal notch along the clavicle. 
C)  parasternally at the second intercostal space. 
D)  posterolaterally beneath the scapula.

Question 10

A cause for alarm during chest assessment of a newborn is:

Accepted Answer

A)  crackles. 
B)  rhonchi. 
C)  gurgles from the gastrointestinal tract. 
D)  stridor. 
A)  crackles. 
B)  rhonchi. 
C)  gurgles from the gastrointestinal tract. 
D)  stridor.

Question 11

You would expect to document the presence of a pleural friction rub for a patient being treated for:

Accepted Answer

A)  pneumonia. 
B)  atelectasis. 
C)  pleurisy. 
D)  emphysema. 
A)  pneumonia. 
B)  atelectasis. 
C)  pleurisy. 
D)  emphysema.

Question 12

The characteristic barrel chest of the older adult is the result of a combination of factors, including:

Accepted Answer

A)  skeletal changes of aging. 
B)  increased muscular expansion of the chest wall. 
C)  less fibrous alveoli. 
D)  increased vital capacity. 
A)  skeletal changes of aging. 
B)  increased muscular expansion of the chest wall. 
C)  less fibrous alveoli. 
D)  increased vital capacity.

Question 13

Changes in the clarity and volume of spoken sounds during auscultation of the lungs can help you distinguish:

Accepted Answer

A)  consolidation from airway constriction. 
B)  a foreign body from a purulent exudate. 
C)  pulmonary edema from pleurisy. 
D)  right from left tracheal deviation. 
A)  consolidation from airway constriction. 
B)  a foreign body from a purulent exudate. 
C)  pulmonary edema from pleurisy. 
D)  right from left tracheal deviation.

Question 14

How is the sputum of a viral infection different from the sputum of a bacterial infection?

Accepted Answer

A)  Sputum production is greater with viral conditions than with bacterial infections. 
B)  The sputum is odorous in viral conditions and nonodorous in bacterial infections. 
C)  The sputum is yellow, green, or rust-colored in bacterial infections and mucoid in viral infections. 
D)  The sputum is much thinner in bacterial infections than in viral infections. 
A)  Sputum production is greater with viral conditions than with bacterial infections. 
B)  The sputum is odorous in viral conditions and nonodorous in bacterial infections. 
C)  The sputum is yellow, green, or rust-colored in bacterial infections and mucoid in viral infections. 
D)  The sputum is much thinner in bacterial infections than in viral infections.

Question 15

The respiratory rate of a sleeping newborn is expected to be _____ breaths/min.

Accepted Answer

The expected respira

Question 16

When auscultating the apex of the lung, you should listen at a point:

Accepted Answer

A)  even with the second rib. 
B)  4 cm above the first rib. 
C)  higher on the right side. 
D)  on the convex diaphragm surface. 
A)  even with the second rib. 
B)  4 cm above the first rib. 
C)  higher on the right side. 
D)  on the convex diaphragm surface.

Question 17

The foramen ovale should close:

Accepted Answer

A)  by 24 weeks of gestation. 
B)  within minutes of birth. 
C)  by 4 weeks of age. 
D)  By 12 months of age. 
A)  by 24 weeks of gestation. 
B)  within minutes of birth. 
C)  by 4 weeks of age. 
D)  By 12 months of age.

Question 18

A 29-year-old patient presents with a new complaint of productive cough, with purulent sputum. He also complains of right lower quadrant abdominal pain. You suspect pneumonia in which lobe?

Accepted Answer

A)  Right lower 
B)  Right upper 
C)  Left upper 
D)  Left lower 
A)  Right lower 
B)  Right upper 
C)  Left upper 
D)  Left lower

Question 19

Nancy Walker is a 16-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that, apart from occasional colds, Nancy is not prone to respiratory problems. Which potential risk factor is most important to assess with regard to Nancy's current problem?

Accepted Answer

A)  Anorexia symptoms 
B)  Cocaine use 
C)  Last menses 
D)  Signs of rheumatic fever 
A)  Anorexia symptoms 
B)  Cocaine use 
C)  Last menses 
D)  Signs of rheumatic fever

Question 20

A pregnant woman is expected to develop:

Accepted Answer

A)  tachypnea and decreased tidal volume. 
B)  deep breathing but not more frequent breathing. 
C)  dyspnea and increased functional residual capacity. 
D)  bradypnea and increased tidal volume. 
A)  tachypnea and decreased tidal volume. 
B)  deep breathing but not more frequent breathing. 
C)  dyspnea and increased functional residual capacity. 
D)  bradypnea and increased tidal volume.

Exam 13: Chest and Lungs

Which term would you use to document a respiratory rate more than 20 breaths/min in an adult?

Which bronchial structure(s) is(are) most susceptible to aspiration of foreign bodies?

The anteroposterior diameter of the chest is normally approximately the same as the transverse diameter in which age group?

Your older clinic patient is being seen today as a follow-up for a 2-day history of pneumonia. The patient continues to have a productive cough, shortness of breath, and lethargy and has been spending most of the day lying in bed. You should begin the chest examination by:

A 44-year-old male patient who complains of a cough has presented to the emergency department. He admits to smoking one pack per day. During your inspection of his chest, the most appropriate lighting source to highlight chest movement is:

Fetal gas exchange is mediated by the:

To distinguish crackles from rhonchi, you should auscultate the lungs:

In barrel chest, the ratio of the anteroposterior diameter to the transverse (lateral) diameter is _____.

Tactile fremitus is best felt:

A cause for alarm during chest assessment of a newborn is:

You would expect to document the presence of a pleural friction rub for a patient being treated for:

The characteristic barrel chest of the older adult is the result of a combination of factors, including:

Changes in the clarity and volume of spoken sounds during auscultation of the lungs can help you distinguish:

How is the sputum of a viral infection different from the sputum of a bacterial infection?

The respiratory rate of a sleeping newborn is expected to be _____ breaths/min.

When auscultating the apex of the lung, you should listen at a point:

The foramen ovale should close:

A 29-year-old patient presents with a new complaint of productive cough, with purulent sputum. He also complains of right lower quadrant abdominal pain. You suspect pneumonia in which lobe?

A pregnant woman is expected to develop:

The History and Interviewing Process

Cultural Competency

Examination Techniques and Equipment

Vital Signs and Pain Assessment

Mental Status

Growth and Measurement

Nutrition

Skin, Hair, and Nails

Lymphatic System

Head and Neck

Eyes

Ears, Nose, and Throat

Heart

Blood Vessels

Breasts and Axillae

Abdomen

Female Genitalia

Male Genitalia

Anus, Rectum, and Prostate

Musculoskeletal System

Neurologic System

Sports Participation Evaluation

Putting It All Together

Taking the Next Steps: Critical Thinking

Recording Information

Emergency or Life-Threatening Situations

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