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NSG 316 exam 3 PRACTICE QUESTIONS
WITH ACCURATE ANSWERS LATEST UPDATE
2024 - 2025 GRADED A WITH 100
QUESTIONS
the nurse takes a sputum culture as see that the color of the sputum is rust colorered, she will recognize this as...? a. bacterial infection b. cold, bronchitis, viral infection c. TB, pneumococcal pneumonia d. pulmonary edema, side effect from a medication
- ANS-c. TB, pneumococcal pneumonia the nurse takes a sputum culture as see that the color of the sputum is a pink frothy, she will recognize this as...? a. bacterial infection b. cold, bronchitis, viral infection c. TB, pneumococcal pneumonia d. pulmonary edema, side effect from a medication
- ANS-d. pulmonary edema, side effect from a medication the patient has a cough that they describe as hacking, this is a characteristic of what type of condition? a. mycoplasma pneumonia b. early heart failure c. colds, bronchitis, pneumonia-congested
- ANS-a. mycoplasma pneumonia
the patient has a cough that they describe as a dry cough, this is a characteristic of what type of condition? a. mycoplasma pneumonia b. early heart failure c. colds, bronchitis, pneumonia-congested
- ANS-b. early heart failure the patient has a cough that they describe as a croup barking, this is a characteristic of what type of condition? a. mycoplasma pneumonia b. early heart failure c. colds, bronchitis, pneumonia-congested
- ANS-c. colds, bronchitis, pneumonia-congested which s/sx is a predictor of negative outcomes in hospitalized patients? a. dsypnea b. hyperventilation c. hypercapnea d. hypoxia
- ANS-a. dsypnea True or false: Older adults have a less efficient respiratory system (decreased vital capacity, less surface area for gas exchange); thus they have less tolerance for activity.
- ANS-true true or false: Some older adults feel pleuritic pain less intensely than younger adults.
- ANS-true
how do you confirm symmetirc chest expansion? a. inspecting b. placing your warmed hands sideways on the posterolateral chest wall c. by placing your hand on the anterior side of the person and watch them inhale d. palpation
- ANS-b. placing your warmed hands sideways on the posterolateral chest wall ______ accompanies deep breathing when the pleurae are inflamed. a. wheezes b. rhonci c. pain d. breathes
- ANS-c. pain what occurs with decreased fremitus? SATA a. obstructed bronchus b. consolidation of lung tissue c.pneumothorax d. emphysema e.pleural effusion
- ANS-a. obstructed bronchus c.pneumothorax d. emphysema e.pleural effusion what occurs with increased fremitus?
a. obstructed bronchus b. consolidation of lung tissue c.pneumothorax d. emphysema
- ANS-b. consolidation of lung tissue what is the low-pitched, clear, hollow sound that predominates in healthy lung tissue in the adult? a. Resonance b. Hyperresonance c. dull
- ANS-a. Resonance what is soft, muffled thud that signals abnormal density in the lungs, as with pneumonia, pleural effusion, atelectasis, or tumor? a. Resonance b. Hyperresonance c. dull
- ANS-c. dull what is is a lower-pitched, booming sound found when too much air is present such as in emphysema or pneumothorax? a. Resonance b. Hyperresonance c. dull
- ANS-b. Hyperresonance
a. bronchial b. vesicular c. bronchovesicular
- ANS-c. bronchovesicular in _________ the pitch is low the amplitude is soft and the inspiration is greater than expiration a. bronchial b. vesicular c. bronchovesicular - ANS-b. vesicular which quality is harsh hollow tubular? a. bronchial b. vesicular c. bronchovesicular - ANS-a. bronchial which quality is Rustling, like the sound of the wind in the trees? a. bronchial b. vesicular c. bronchovesicular - ANS-b. vesicular which sounds are adventitious sounds? SATA a. crackles b. rales c. wheeze d. rhonchi e. bronchial f. vesicular - ANS-a. crackles
b. rales c. wheeze d. rhonchi what is characterized as discontinuous popping sounds heard over inspiration? a. crackles b. wheeze c. rhonchi d. vesicular - ANS-a. crackles what is characterized as continuous musical sounds heard mainly over expiration? a. crackles b. wheeze c. rhonchi d. vesicular - ANS-b. wheeze what are short, popping, crackling sounds that last only a few breaths? a. crackles b. wheeze c. rhonchi d. atelectatic crackles - ANS-d. atelectatic crackles true or false: it is normal for the ribs to slope downward with symmetric interspaces - ANS-true true or false: Barrel chest has horizontal ribs and costal angle <90 degrees. - ANS-false it is > degree
d. Pectus Excavatum - ANS-b. barrel chest which is also normal with aging A markedly sunken sternum and adjacent cartilages... a. normal chest b. barrel chest c. Pectus Carinatum d. Pectus Excavatum - ANS-d. Pectus Excavatum A forward protrusion of the sternum, with ribs sloping back at either side and vertical depressions along costochondral junctions a. normal chest b. barrel chest c. Pectus Carinatum d. Pectus Excavatum - ANS-c. Pectus Carinatum A lateral S-shaped curvature of the thoracic and lumbar spine, usually with involved vertebrae rotation a. Kyphosis b. Scoliosis c. Pectus Carinatum d. Pectus Excavatum - ANS-b. Scoliosis An exaggerated posterior curvature of the thoracic spine a. Kyphosis b. Scoliosis c. Pectus Carinatum d. Pectus Excavatum - ANS-a. Kyphosis
Kyphosis is associated with aging, Increase in both rate and depth. Normally occurs with extreme exertion, fear, or anxiety a. hyperventilation b. tachypnea c. bradypnea d. hypoventilation - ANS-a. hyperventilation Rapid, shallow breathing. Increased rate, >24 per minute. a. hyperventilation b. tachypnea c. bradypnea d. hypoventilation - ANS-b. tachypnea normal response to fever, fear, or exercise Slow breathing. A decreased but regular rate (<10 per minute), a. hyperventilation b. tachypnea c. bradypnea d. hypoventilation - ANS-c. bradypnea An irregular shallow pattern caused by an overdose of narcotics or anesthetics a. hyperventilation b. tachypnea c. bradypnea d. hypoventilation - ANS-d. hypoventilation
vesicular sounds are? a. low pitched and soft b. high pitched and loud c. moderate in pitch and are equal in duration during inspiration and expiration - ANS-a. low pitched and soft bronchovesicular sounds are? a. low pitched and soft b. high pitched and loud c. moderate in pitch and are equal in duration during inspiration and expiration - ANS-c. moderate in pitch and are equal in duration during inspiration and expiration Crackles are characterized by? a. a. low pitched and soft b. discontinuous popping sounds heard during inspiration c. continuous musical sounds heard mainly during expiration d. high pitched sounds - ANS-b. discontinuous popping sounds heard during inspiration ABNORMAL Wheeze are characterized by? a. a. low pitched and soft b. discontinuous popping sounds heard during inspiration c. continuous musical sounds heard mainly during expiration d. high pitched sounds - ANS-c. continuous musical sounds heard mainly during expiration What are characteristics of the right lung? SATA a. it is shorter than the left lung b. it has three lobes
c. it is skinnier than the left lobe d. it is wider than the left lobe e. it has two lobes - ANS-a. it is shorter than the left lung (because of liver) b. it has three lobes d. it is wider than the left lobe what is pneumonia, bronchiolitis or atelectasis characterized by? a. bronchovesicular breath sounds b. persistent fine crackles that are scattered over the chest c. crackles in the lower lung fields d. persistent peristaltic sounds with diminished breath sounds - ANS-b. persistent fine crackles that are scattered over the chest Why the other answers are in correct a. is normally heard in children c. normally heard in toddler with heart failure d. indicates diaphragmatic hernia where would the nurse place the stethoscope to assess the patient's bronchial breath sounds? a. over the trachea and the larynx b. over the peripheral lung fields c. posteriorly between the scap d. anteriorly near the upper sternum - ANS-a. over the trachea and the larynx where would the nurse place the stethoscope to note a pt's vesicular breath sounds? a. over the trachea and the larynx b. over the peripheral lung fields c. posteriorly between the scap
a. a smooth chest expansion b. a lag in chest expansion c. palpable grating sensation d. slight inspiratory variation - ANS-d. slight inspiratory variation what assessment finding would the nurse expect for a pt with chronic respiratory disease? a. cutaneous angiomas b. clubbing of the distal phalanges c. significant drowsiness d. restlessness and anxiousness - ANS-b. clubbing of the distal phalanges what assessment finding would the nurse expect with a pt who has cerebral hypoxia? a. cutaneous angiomas b. clubbing of the distal phalanges c. significant drowsiness, restlessness and anxiousness d. spider nevi - ANS-c. significant drowsiness, restlessness and anxiousness the nurse auscultates the pt's respiration and notes breath sounds similar to opening velcro. what does the nurse document this finding as? a. fine crackles b. coarse crackles c. pleural friction rub d. high-pitched wheeze - ANS-b. coarse crackles the nurse auscultates the pt's respiration and notes popping sounds heard during inspiration that are discontinuous, high pitched and short? what does the nurse document this finding as? a. fine crackles b. coarse crackles
c. pleural friction rub d. high-pitched wheeze - ANS-a. fine crackles the nurse auscultates the pt's respiration and notes breath sounds similar to two pieces of leather are being rubbed together. what does the nurse document this finding as? a. fine crackles b. coarse crackles c. pleural friction rub d. high-pitched wheeze - ANS-c. pleural friction rub the nurse auscultates the pt's respiration and notes breath sounds similar to wheezing that sounds musical squeaking sound. what does the nurse document this finding as? a. fine crackles b. coarse crackles c. pleural friction rub d. high-pitched wheeze - ANS-d. high-pitched wheeze the nurse is auscultates and hear high-pitched monophonic, inspiratory crowding sound, what does she document this as? a. crackles b. stridor c. coarse rales d. sonorous rhonchi - ANS-b. stridor a nurse hears loud, low-pitched, bubbling and gurgling sounds that start in early inspiration? a. crackles b. stridor c. coarse rales
tough, fibrous, double-walled sac that surrounds and protects the heart a. pericardium b. myocardium c. endocardium - ANS-a. pericardium the muscular wall of the heart; it does the pumping a. pericardium b. myocardium c. endocardium - ANS-b. myocardium the thin layer of endothelial tissue that lines the inner surface of the heart chambers and valves. a. pericardium b. myocardium c. endocardium - ANS-c. endocardium what is the thoracic cage defined by? SATA a. sternum b. lungs c. ribs d. thoracic vertebrae e. scapula - ANS-a. sternum c. ribs d. thoracic vertebrae what separates the thoracic cavity from the abdomen? a. scapula b. thoracic cage
c. diaphragm d. sternum - ANS-c. diaphragm what is used to help localize a respiratory finding horizontally? a. sternum b. manubrium c. angle of louis d. ribs - ANS-c. angle of louis if the costal angle is greater than 90 degree what does this indicate? a. COPD b. emphysema c. asthma d. heart failure - ANS-b. emphysema what is the normal costal angle:The right and left costal margins form an angle where they meet at the xiphoid process.? a. 80 degrees b. 90 degrees c. 50 degrees d. 115 degrees - ANS-b. 90 degrees true or false: the right lung is shorter than the left lung - ANS-true true or false: the right lung is more narrow than the left lung - ANS-false The left lung is narrower than the right lung because the heart bulges to the left
