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3P Respiratory
- The line that extends through the inferior angle of the scapula when thearms are at the sides
of the body is the:
Answer: scapular line.
2. Breath sounds heard over the periphery of the lung fields are:
Answer: vesicular.
- A condition associated with a chronic cough that produces copiousamounts of purulent
sputum is most likely:
Answer: bronchiectasis.
- The line that bisects the center of each clavicle at a point halfway between the palpated
sternoclavicular and acromioclavicular joints is the:
Answer: midclavicularline.
- On auscultation of the chest, if the patient says "ninety-nine" and it is clearly heard, this is
indicative of:
Answer: lung density in the area.
- The angle of Louis is a useful place to start counting ribs.This landmark islocated:
Answer: on the manubrium and body of the sternum.
- When performing a respiratory assessment on a 4-year-old child, furtherevaluation is
warranted in the presence of:
Answer: supraclavicular retractions.
- When percussing the right upper posterior area of the chest, a dullness replaces the
resonance sound usually heard in the lung.This sound would besuggestive of:
Answer: lobar pneumonia.
- A 37-year-old female has audible stridor.This type of stridor is consistentwith:
Answer: a foreign object lodged in the upper trachea.
10. The lower tip of the scapula is located:
Answer: around the seventh or eighth rib.
11. Stridor heard louder in the neck than over the chest wall indicates:
Answer: a partialobstruction in the larynx. 1 / 2
- Which one of the following infants should be seen immediately by the nurse practitioner?
Answer: A two- week- old infant with nasal congestion and a respiratoryrate of 64 breaths/minute
13. The midaxillary line:
Answer: runs down from the apex of the axilla and lies betweenand parallel to the anterior and posterior lines.
14. Adventitious breath sounds, such as crackles, are:
Answer: popping, frying sounds,may be low or high- pitched and usually heard on inspiration.
15. When examining a patient for chest expansion, begin by:
Answer: placing the thumbs of the examiner at about the level of the tenth ribs with the fingers looselygrasping and parallel to the lateral rib cage.
16. One of the anterior thoracic landmarks is the costal angle. It is located:
Answer: -where the right and left costal margins form an angle where they meet at the xiphoid process.
17. When percussing the lower posterior chest, begin by:
Answer: standing on the siderather than directly behind the patient.
- A 65-year-old man presents with complaints of daytime sleepiness, unrestful sleep, and
loud snoring. These symptoms are MOST consistent with:
Answer: obstructive sleep apnea (OSA).
19. Breath sounds heard on chest over the hilar region are:
Answer: bronchovesicular.
- The middle section of the thoracic cavity containing the esophagus, trachea, heart, and
great vessels is the:
Answer: mediastinum.
- A patient who presents with a long history of cigarette smoking exhibitsa dry to
productive cough with dyspnea and weight loss. These symptoms could be consistent with:
Answer: a neoplasm of the lung.
22. The hilar region of the lungs describes:
Answer: the area around the heart.
23. A deviated trachea could be caused by all of the following except:
Answer: pneumonia.
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