Week 2- Advanced Respiratory Test Bank Jarvis Chapter 19. Q&A A+ Review

Week 2- Advanced Respiratory Test Bank Jarvis Chapter 19. Q&A A+ Review
The nurse is teaching the nursing students to palpate the vertebra prominens when
beginning posterior thoracic assessment of a patient. The students will: - ANS-Look for
the spinous process of C7.
When performing a respiratory assessment on a patient, the nurse notes a costal angle
of approximately 90 degrees. This characteristic is: - ANS-A normal finding in a healthy
adult
When assessing a patient's lungs, the nurse recognizes that the left lung: - ANSConsists of two lobes.
The nurse landmarks the apices of the lungs to: - ANS-Extend 3 to 4 cm above the
inner third of the clavicles
During an examination of the anterior thorax, the nurse is aware that the trachea
bifurcates anteriorly at the: - ANS-Sternal angle.
During an assessment, the nurse knows that expected assessment findings in the
normal adult lung include the presence of: - ANS-Muffled voice sounds and symmetric
tactile fremitus
The primary respiratory muscles engaged in normal inspiration include the: - ANSDiaphragm and intercostals
During assessment of the patient's posterior chest for lung sounds, the nurse will
auscultate the right lung for the: - ANS-Lower lobe, because the upper lobe is too small.
A 65-year-old patient with a history of heart failure comes to the clinic with complaints of
"being awakened from sleep with shortness of breath." Which action by the nurse is
most appropriate? - ANS-Assess for other signs and symptoms of paroxysmal nocturnal
dyspnea
When assessing tactile fremitus, the nurse normally feel tactile fremitus most intensely:
- ANS-Between the scapulae
The nurse is reviewing the technique of palpating for tactile fremitus with a new
graduate. Which statement by the graduate nurse reflects a correct understanding of
tactile fremitus? "Tactile fremitus": - ANS-"Is caused by sounds generated from the
larynx."
During percussion, the nurse knows that a dull percussion note elicited over a lung lobe
most likely results from: - ANS-Increased density of lung tissue.
The nurse is observing the auscultation technique of another nurse. The correct method
to use when progressing from one auscultatory site on the thorax to another is
_________________ comparison. - ANS-Side-to-side
When auscultating the lungs of an adult patient, the nurse notes that low-pitched, soft
breath sounds are heard over the posterior lower lobes, with inspiration being longer
than expiration. The nurse interprets these sounds as: - ANS-Vesicular breath sounds
and normal in that location
The nurse is auscultating the chest of an adult patient. Which technique is correct? -
ANS-Firmly holding the diaphragm of the stethoscope against the chest
The nurse is percussing over the lungs of a patient with pneumonia. The nurse knows
that percussion over an area of atelectasis in the lungs will reveal: - ANS-Dullness
During auscultation of the lungs, the nurse expects decreased breath sounds to be
heard in which situation? - ANS-When the bronchial tree is obstructed
The nurse knows that a normal finding when assessing the respiratory system of an
older adult is: - ANS-Decreased mobility of the thorax.
A mother brings her 3-month-old infant to the clinic for evaluation of a cold. She tells the
nurse that he has had "a runny nose for a week." When performing the physical
assessment, the nurse notes that the child has nasal flaring and sternal and intercostal
retractions. The nurse's next action should be to: - ANS-Recognize that these are
serious signs, and contact the physician.
When assessing the respiratory system of a 4-year-old child, which of these findings
would the nurse expect? - ANS-Presence of bronchovesicular breath sounds in the
peripheral lung fields
When inspecting the anterior chest of an adult, the nurse should include which
assessment? - ANS-Shape and configuration of the chest wall
The nurse knows that auscultation of fine crackles would most likely be noticed in: -
ANS-The immediate newborn period
During an assessment of an adult, the nurse has noted unequal chest expansion and
recognizes that this occurs in which situation? - ANS-When part of the lung is
obstructed or collapsed
During auscultation of the lungs of an adult patient, the nurse notices the presence of
bronchophony. The nurse should assess for signs of which condition? - ANS-Pulmonary
consolidation

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