Chest And Lungs

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Question 1

Free

Multiple Choice

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:

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bright tangential lighting.

daylight from a window.

flashlight in a dark room.

fluorescent ceiling lights.

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Question 2

Free

Multiple Choice

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

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even with the second rib.

4 cm above the first rib.

higher on the right side.

on the convex diaphragm surface.

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Question 3

Free

Multiple Choice

To count the ribs and the intercostal spaces, you begin by palpating the reference point of the:

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distal point of the xiphoid.

manubriosternal junction.

suprasternal notch.

acromion process.

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Question 4

Free

Multiple Choice

Mr. Curtis is a 44-year-old patient who has presented to the emergency department with shortness of breath. During the history, the patient describes shortness of breath that gets worse when he sits up. To document this, you will use the term:

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platypnea.

orthopnea.

tachypnea.

bradypnea.

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Question 5

Free

Multiple Choice

Which finding suggests a minor structural variation?

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Barrel chest

Clubbed fingers

Pectus carinatum

Chest wall retractions

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Question 6

Multiple Choice

Ms. Rudman, age 74 years, has no known health problems or diseases. You are doing a preventive healthcare history and examination. Which symptom is associated with intrathoracic infection?

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Barrel chest

Cor pulmonale

Funnel chest

Malodorous breath

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Question 7

Multiple Choice

The best time to observe and count respirations is while:

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the patient is answering questions.

weighing the patient.

palpating the pulse.

the patient is sleeping.

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Question 8

Multiple Choice

As you take vital signs on Mr. Barrow, age 78 years, you note that his respirations are 40 breaths/min. He has been resting, and his mucosa is pink. In regard to Mr. Barrow's respirations, you would:

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document his rate as normal.

do nothing because his color is pink.

note that his rate is below normal.

report that he has an above-average rate.

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Question 9

Multiple Choice

In which patient situation would you expect to assess tachypnea?

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Patient who is depressed

Patient who abuses narcotics

Patient with metabolic acidosis

Patient with myasthenia gravis

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Question 10

Multiple Choice

Which site of chest wall retractions indicates a more severe obstruction in the asthmatic patient?

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Lower chest

Along the anterior axillary line

Above the clavicles

At the nipple line

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Question 11

Multiple Choice

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

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pneumonia.

atelectasis.

pleurisy.

emphysema.

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Question 12

Multiple Choice

Which type of apnea requires immediate action?

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Primary apnea

Secondary apnea

Sleep apnea

Periodic apnea of the newborn

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Question 13

Multiple Choice

With consolidation in the lung tissue, the breath sounds are louder and easier to hear, whereas healthy lung tissue produces softer sounds. This is because:

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consolidation echoes in the chest.

consolidation is a poor conductor of sound.

air-filled lung sounds are from smaller spaces.

air-filled lung tissue is an insulator of sound.

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Question 14

Multiple Choice

Which lung sounds are associated with atelectasis? (Select all that apply.)

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Wheezes

Ronchi

Crackles

Crepitus

Rales

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Question 15

Essay

An Apgar score of __________ is given to the infant who demonstrates irregular respiratory effort.

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