Lungs And Respiratory System

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Question 1
Free
Multiple Choice

A patient tells the nurse that she has smoked 2 packs of cigarettes a day for 20 years. The nurse records this as how many pack-years?

Choose correct answer/s
A

10

B

20

C

40

D

60

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Question 2
Free
Multiple Choice

After taking a brief health history, a nurse needs to complete a focused assessment on which patient?

Choose correct answer/s
A

A male who works as a painter

B

A male who plays basketball and hockey

C

A female who recently moved into a college dormitory

D

A female who has a history of gout

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Question 3
Free
Multiple Choice

During a symptom analysis, a patient describes his productive cough and states his sputum is thick and yellow. Based on these data, the nurse suspects which factor as the cause of these symptoms?

Choose correct answer/s
A

Virus

B

Allergy

C

Fungus

D

Bacteria

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Question 4
Free
Multiple Choice

During the problem-based history, a patient reports coughing up sputum when lying on the right side, but not when lying on the back or left side. The nurse suspects this patient may have a lung abscess. What additional question does the nurse ask to gather more data?

Choose correct answer/s
A

"Does the sputum have an odor?"

B

"Do you have chest pain when you take a deep breath?"

C

"Have you also experienced tightness in your chest?"

D

"Have you coughed up any blood?"

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Question 5
Free
Multiple Choice

Which question will give the nurse additional information about the nature of a patient's dyspnea?

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A

"How often do you see the physician?"

B

"How has this condition affected your day-to-day activities?"

C

"Do you have a cough that occurs with the dyspnea?"

D

"Does your heart rate increase when you are short of breath?"

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Question 6
Multiple Choice

A patient complains of shortness of breath and having to sleep on three pillows to breathe comfortably at night. During the nurse's examination, what findings will suggest that the cause of this patient's dyspnea is due to heart disease rather than respiratory disease?

Choose correct answer/s
A
Increased anteroposterior diameter
B
Clubbing of the fingers
C
Bilateral peripheral edema
D
Increased tactile fremitus
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Question 7
Multiple Choice

During a history, a nurse notices a patient is short of breath, is using pursed-lip breathing, and maintains a tripod position. Based on these data, what abnormal finding should the nurse expect to find during the examination?

Choose correct answer/s
A
Increased tactile fremitus
B
Inspiratory and expiratory wheezing
C
Tracheal deviation
D
An increased anteroposterior diameter
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Question 8
Multiple Choice

A nurse notices a patient's chest wall moving in during inspiration and out during expiration. What additional assessment must the nurse perform immediately?

Choose correct answer/s
A
Palpate for tracheal deviation.
B
Auscultate for bronchovesicular breath sounds in the lung periphery.
C
Palpate posterior thoracic muscles for tenderness.
D
Auscultate for absence of breath sounds in the lung periphery.
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Question 9
Multiple Choice

A nurse inspects a patient's hands and notices clubbing of the fingers. The nurse correlates this finding with what condition?

Choose correct answer/s
A
Pulmonary infection
B
Trauma to the thorax
C
Chronic hypoxemia
D
Allergic reaction
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Question 10
Multiple Choice

A nurse is assessing a patient who was diagnosed with emphysema and chronic bronchitis 5 years ago. During the assessment of this patient's integumentary system, what finding should the nurse correlate to this respiratory disease?

Choose correct answer/s
A
Dry, flaky skin
B
Clubbing of the fingers
C
Hypertrophy of the nails
D
Hair loss from the scalp
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Question 11
Multiple Choice

A nurse is auscultating the lungs of a healthy male patient and hears crackles on inspiration. What action can the nurse take to ensure this is an accurate finding?

Choose correct answer/s
A
Make sure the bell of the stethoscope is used, rather than the diaphragm.
B
Hold stethoscope firmly to prevent movement when placed over chest hair.
C
Ask the patient not to talk while the nurse is listening to the lungs.
D
Change the patient's position to ensure accurate sounds.
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Question 12
Multiple Choice

A patient is admitted to the emergency department with a tracheal obstruction. What sound does the nurse expect to hear as this patient breathes?

Choose correct answer/s
A
Dull sounds on percussion
B
Soft, muffled rhonchi heard over the trachea
C
Bubbling or rasping sounds heard over the trachea
D
High-pitched sounds on inspiration and exhalation
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Question 13
Multiple Choice

A nurse auscultates low-pitched, coarse snoring sounds in a patient's lungs during inhalation. What is the most appropriate action for the nurse to take at this time?

Choose correct answer/s
A
Palpate the posterior thorax for vocal fremitus.
B
Ask the patient to cough and repeat auscultation.
C
Auscultate the posterior thorax for vocal sounds.
D
Percuss the posterior thorax for tone.
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Question 14
Multiple Choice

A nurse had previously heard crackles over both lungs of a patient. As the patient improves, what lung sounds does the nurse expect to hear in the patient's lungs?

Choose correct answer/s
A
Vesicular breath sounds heard in peripheral lung fields
B
Bronchial breath sounds heard over the bronchi
C
Bronchovesicular breath sounds heard over the apices
D
Rhonchi heard over the main bronchi
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Question 15
Multiple Choice

The nurse is comparing pitch and duration of the various types of a patient's breath sounds and recognizes which one of these as an expected finding?

Choose correct answer/s
A
Bronchial sounds are low-pitched and have a 2:1 inspiratory-versus-expiratory ratio.
B
Bronchovesicular sounds have a moderate pitch and 1:1 expiratory-versus-inspiratory ratio.
C
Vesicular breath sounds are high-pitched and have a 1:2 inspiratory-versus-expiratory ratio.
D
Wheezes are low-pitched and have a 2.5:1 inspiratory-versus-expiratory ratio.
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Question 16
Multiple Choice

On inspection, a nurse finds the patient's anteroposterior diameter of the chest to be the same as the lateral diameter. Based on this finding, what additional data does the nurse anticipate?

Choose correct answer/s
A
Increased vocal fremitus on palpation
B
Dull tones heard on percussion
C
Decreased breath sounds on auscultation
D
Complaint of sharp chest pain on inspiration
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Question 17
Multiple Choice

Where does a nurse expect to hear bronchovesicular lung sounds in a healthy adult?

Choose correct answer/s
A
In the lower lobes
B
Over the trachea
C
In the apices of the lungs
D
Near the sternal border
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Question 18
Multiple Choice

A nurse in the emergency department is assessing a patient with a moderate left pneumothorax. What does this nurse expect to find during the respiratory examination?

Choose correct answer/s
A
Increased fremitus over the left chest
B
Tracheal deviation to the left side
C
Hyporesonant percussion tones over the left chest
D
Distant to absent breath sounds over the left chest
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Question 19
Multiple Choice

A nurse suspects a patient has a chest wall injury and wants to collect more data about thoracic expansion. Which is the appropriate technique to use?

Choose correct answer/s
A
Place the palmar side of each hand against the lateral thorax at the level of the waist, ask the patient to take a deep breath, and observe lateral movement of the hands.
B
Place both thumbs on either side of the patient's T9 to T10 spinal processes, extend fingers laterally, ask the patient to take a deep breath, and observe lateral movement of the thumbs.
C
Place both thumbs on either side of the patient's T7 to T8 spinal processes, extend fingers laterally, ask the patient to exhale deeply, and observe lateral inward movement of the thumbs.
D
Place the palmar side of each hand on the shoulders of the patient, ask the patient to sit up straight and take a deep breath, and observe symmetric movement of the shoulders.
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Question 20
Multiple Choice

A patient has right lower lobe pneumonia, creating a consolidation in that lung. In assessing for vocal fremitus, the nurse found increased fremitus over the right lower lung. What finding does the nurse anticipate when assessing vocal resonance to confirm the consolidation?

Choose correct answer/s
A
Bronchophony reveals the patient's spoken "99" as clear and loud.
B
No sounds are expected since sounds cannot be transmitted through consolidation.
C
Egophony reveals indistinguishable sounds when the patient says "e-e-e."
D
Whispered pectoriloquy reveals a muffled sound when the patient says "1-2-3."
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