Question 1

Deviation of the trachea occurs in which conditions?

Accepted Answer

A)   Pneumothorax
B)   Pulmonary fibrosis
C)   Chronic obstructive pulmonary disease
D)   Emphysema
E)   Pleural effusionF) None of the above
G) A) and E)

Question 2

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?

Accepted Answer

A)   Sonorous wheezes
B)   Crackles
C)   Sibilant wheezes
D)   Pleural friction rubE) None of the above
F) All of the above

Question 3

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

Accepted Answer

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 settingF) B) and D)
G) A) and B)

Question 4

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

Accepted Answer

A)   Resonance
B)   Hyperresonance
C)   Tympany
D)   DullnessE) B) and C)
F) A) and B)

Question 5

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

Accepted Answer

A)   Coarse rales
B)   Pleural friction rub
C)   Fine crackles
D)   Expiratory wheezesE) All of the above
F) B) and C)

Question 6

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?

Accepted Answer

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.E) A) and B)
F) A) and C)

Question 7

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

Accepted Answer

A)   Inspection
B)   Palpation
C)   Percussion
D)   AuscultationE) A) and B)
F) A) and C)

Question 8

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?

Accepted Answer

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 fieldsE) A) and D)
F) C) and D)

Question 9

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

Accepted Answer

A)   Hypoxia
B)   Dyspnea
C)   Dehydration
D)   MalnutritionE) All of the above
F) A) and C)

Question 10

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

Accepted Answer

A)   Increased diaphragmatic excursion
B)   Decreased tactile fremitus
C)   Dull percussion tones
D)   Pleural friction rubE) None of the above
F) A) and B)

Exam 17: Pulmonary Clinical Assessment

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

Correct Answer
verified

Deviation of the trachea occurs in which conditions?

Correct Answer
verified

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?

Correct Answer
verified

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

Correct Answer
verified

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
verified

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?

Correct Answer
verified

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

Correct Answer
verified

Exam 17: Pulmonary Clinical Assessment

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

Correct AnswerverifiedShow Answer

Deviation of the trachea occurs in which conditions?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified