Deck 17: Pulmonary Clinical Assessment

Question 1

In what condition are bronchophony,egophony,and whispering pectoriloquy increased?

A) Pneumonia with consolidation
B) Pneumothorax
C) Asthma
D) Bronchiectasis

Answer 1

Pneumonia with consolidation

Question 2

A patient is admitted with acute respiratory failure secondary to pneumonia.Upon auscultation,the nurse hears creaking,leathery,coarse breath sounds in the lower anterolateral chest area during inspiration and expiration.This finding is indicative of what condition?

A) Emphysema
B) Atelectasis
C) Pulmonary fibrosis
D) Pleural effusion

Answer 2

Pleural effusion

Question 3

Which lung sounds would be most likely heard in a patient experiencing an asthma attack?

A) Coarse rales
B) Pleural friction rub
C) Fine crackles
D) Expiratory wheezes

Answer 3

Expiratory wheezes

Question 4

A patient just involved in a motor vehicle accident has sustained blunt chest trauma as part of his injuries.The nurse notes absent breath sounds on the left side.A left-sided pneumothorax is suspected and is further validated when assessment of the trachea reveals what finding?

A) A shift to the right
B) A shift to the left
C) No deviation
D) Subcutaneous emphysema

Question 5

When auscultating a patient's lungs,the nurse notes breath sounds that sound like popping in the small airways.What should the nurse document in the patient's record?

A) Sonorous wheezes
B) Crackles
C) Sibilant wheezes
D) Pleural friction rub

Question 6

While palpating a patient's lungs the nurse notes fremitus over the patient's trachea but not the lung periphery.What do these findings indicate?

A) Bilateral pleural effusion
B) Bronchial obstruction
C) A normal finding
D) Apical pneumothorax

Question 7

A patient is admitted with acute lung failure secondary to emphysema.Percussion of the lung fields will predictably exhibit which tone?

A) Resonance
B) Hyperresonance
C) Tympany
D) Dullness

Question 8

The nurse is caring for a patient with respiratory failure.The nurse notes the patient's diaphragmatic excursing is 8 cm.What coexisting conditions could account for this finding?

A) Asthma and emphysema
B) Hepatomegaly and ascites
C) Atelectasis and pleural effusion
D) Pneumonia and pneumothorax

Question 9

The nurse performs inspection of the oral cavity as part of a focused pulmonary assessment to check for evidence of what condition?

A) Hypoxia
B) Dyspnea
C) Dehydration
D) Malnutrition

Question 10

Which statement describes the major difference between tachypnea and hyperventilation?

A) Tachypnea has increased rate; hyperventilation has decreased rate.
B) Tachypnea has decreased rate; hyperventilation has increased rate.
C) Tachypnea has increased depth; hyperventilation has decreased depth.
D) Tachypnea has decreased depth; hyperventilation has increased depth.

Question 11

Which chest wall deformity is characterized by an increase in anteroposterior (AP)diameter with displacement of the sternum forward and the ribs outward?

A) Funnel chest
B) Pigeon breast
C) Barrel chest
D) Harrison's groove

Question 12

A patient is admitted with acute lung failure secondary to chronic obstructive pulmonary disease (COPD).Upon inspection of the patient,the nurse observes that the patient's fingers appear discolored.What does this finding indicate the presence of?

A) Clubbing
B) Central cyanosis
C) Peripheral cyanosis
D) Chronic tuberculosis

Question 13

Which condition is an example of a disorder with increased tactile fremitus?

A) Emphysema
B) Pleural effusion
C) Pneumothorax
D) Pneumonia

Question 14

A patient is admitted in respiratory distress secondary to pneumonia.The nurse knows that obtaining a history is very important.What is the appropriate intervention at this time for obtaining this data?

A) Collect an overview of past medical history, present history, and current health status.
B) Do not obtain any history at this time.
C) Curtail the history to just a few questions about the patient's chief complaint and precipitating events.
D) Complete the history and then provide measures to assist the patient to breathe easier.

Question 15

A patient is admitted with diminished to absent breath sounds on the right side,tracheal deviation to the left side,and asymmetric chest movement.These findings are indicative of which disorder?

A) Tension pneumothorax
B) Pneumonia
C) Pulmonary fibrosis
D) Atelectasis

Question 16

A patient presents with chest trauma from a motor vehicle accident.Upon assessment,the nurse documents that the patient is complaining of dyspnea,shortness of breath,tachypnea,and tracheal deviation to the right.In addition,the patient's tongue is blue-gray.Based on this assessment data,what additional assessment findings would the nurse expect to find?

A) Kussmaul breathing pattern
B) Absent breath sounds in the right lower lung fields
C) Absent breath sounds in the left lung fields
D) Diminished breath sounds in the right upper lung fields

Question 17

What is the sequence for auscultation of the anterior chest?

A) Right side, top to bottom, then left side, top to bottom
B) Left side, top to bottom, then right side, top to bottom
C) Side to side, bottom to top
D) Side to side, top to bottom

Question 18

While conducting a physical assessment on a patient with chronic obstructive pulmonary disease (COPD),the nurse notes that the patient's breathing is rapid and shallow.What is this type of breathing pattern called?

A) Hyperventilation
B) Tachypnea
C) Obstructive breathing
D) Bradypnea

Question 19

When assessing a patient,the use of touch to judge the character of the body surface and underlying organs is known as what technique?

A) Inspection
B) Palpation
C) Percussion
D) Auscultation

Question 20

A patient is admitted with an exacerbation of chronic obstructive pulmonary disease (COPD).The nurses notes that the patient has difficulty getting breath out.Which phrase best describes the patient's breathing pattern?

A) Deep sighing breaths without pauses
B) Rapid, shallow breaths
C) Normal breathing pattern interspersed with forced expirations
D) Irregular breathing pattern with both deep and shallow breaths

Question 21

The nurse is performing a pulmonary assessment on a patient with pulmonary fibrosis.Which finding is unexpected?

A) Diminished thoracic expansion
B) Tracheal deviation to the most affected side
C) Hyperresonant percussion tones
D) Decreased breath sounds

Question 22

Which conditions will commonly reveal breath sounds with inspiration greater than expiration on assessment?

A) Normal lung
B) Bronchiectasis
C) Emphysema
D) Acute bronchitis
E) Diffuse pulmonary fibrosis

Question 23

Deviation of the trachea occurs in which conditions?

A) Pneumothorax
B) Pulmonary fibrosis
C) Chronic obstructive pulmonary disease
D) Emphysema
E) Pleural effusion

Question 24

What assessment technique uses the creation of sound waves across the body surface to determine abnormal densities?

A) Inspection
B) Palpation
C) Percussion
D) Auscultation

Question 25

The nurse is observing a new graduate listen to a patient's lungs.Which action by the new graduate indicates a need to review auscultation skills?

A) The nurse starts at the apices and moves to the bases.
B) The nurse compares breath sounds from side to side.
C) The nurse listens during inspiration.
D) The nurse listens posteriorly, laterally, and anteriorly.

Question 26

The nurse is performing a pulmonary assessment on a patient with acute bronchitis.Which finding is unexpected?

A) Rasping productive cough
B) Decreased tactile fremitus
C) Resonant percussion tones
D) Crackles and wheezes

Question 27

What assessment technique involves having the patient breathe in and out slowly with an open mouth?

A) Inspection
B) Palpation
C) Percussion
D) Auscultation

Question 28

How does the patient history assist the nurse in developing the management plan?

A) Provides direction for the rest of the assessment
B) Exposes key clinical manifestations
C) Aids in developing the plan of care
D) The degree of the patient's distress determines the extent of the interview
E) Determines length of stay in the hospital setting

Question 29

The nurse is performing a pulmonary assessment on a patient with a pleural effusion.Which finding is unexpected?

A) Increased diaphragmatic excursion
B) Decreased tactile fremitus
C) Dull percussion tones
D) Pleural friction rub

Question 30

When assessing a patient,the use of observation is referred to as what technique?

A) Inspection
B) Palpation
C) Percussion
D) Auscultation