Question 1

Which anatomical landmark is used to locate the second intercostal space on the anterior thoracic cage?

Accepted Answer

Sternal angle (Angle of Louis)

Question 2

During a respiratory assessment, you palpate for tactile fremitus. What is the correct technique to use?

Accepted Answer

Use the ball or ulnar edge of the hand while the patient says '99'

Question 3

Which of the following percussion notes is expected over healthy lung tissue?

Accepted Answer

Resonance

Question 4

A nurse is auscultating breath sounds over the posterior thorax. Where are bronchovesicular sounds normally heard?

Accepted Answer

Between the scapulae and near the sternum

Question 5

A 2-day-old infant receives an Apgar score of 7 at 1 minute. Which of the following is most likely TRUE about the infant's condition?

Accepted Answer

The infant has a moderately depressed status and may need some support

Question 6

Which of the following best describes the anatomical location of the right middle lobe of the lung?

Accepted Answer

Anterior chest, between the 4th and 6th ribs at the midclavicular line

Question 7

A nurse percusses the anterior chest and hears dullness over the right lower thorax. Which underlying structure is most likely responsible for this finding?

Accepted Answer

Liver

Question 8

Which reference line is located at the center of the anterior chest?

Accepted Answer

Midsternal line

Question 9

A 5-year-old child is being assessed for breath sounds. Which finding is considered normal in the peripheral lung fields for this age group?

Accepted Answer

Bronchovesicular sounds

Question 10

Which of the following best describes the sequence for auscultation of the posterior thorax?

Accepted Answer

Start at the apex and move downward, comparing side to side

Question 11

Which equation best represents the calculation of the Apgar score?

Accepted Answer

$$A = H + R + M + Re + C$$

Question 12

A patient presents with decreased tactile fremitus on the left lower lobe. Which condition is most likely present?

Accepted Answer

Pleural effusion

Question 13

Which of the following is a characteristic of vesicular breath sounds?

Accepted Answer

Soft, low-pitched, heard over peripheral lung fields

Question 14

A nurse is palpating for symmetrical chest expansion. Which finding would indicate a possible pneumothorax?

Accepted Answer

One hand moves less than the other during inspiration

Question 15

Which of the following best describes the normal anterior-posterior (AP) to transverse (Tr) chest diameter ratio in a healthy adult?

Accepted Answer

$$AP:Tr = 1:2$$

Question 16

A nurse is percussing the posterior thorax and hears flatness over the scapula. What does this indicate?

Accepted Answer

Normal finding due to bone

Question 17

Which of the following is the correct order for physical examination of the respiratory system?

Accepted Answer

Inspection, palpation, percussion, auscultation

Question 18

A patient has a history of chronic obstructive pulmonary disease (COPD). Which pulmonary function measurement is most likely to be decreased?

Accepted Answer

Forced expiratory volume in 1 second ($$FEV_1)$$

Question 19

Which of the following is a common finding in the chest diameter of a child under 6 years old?

Accepted Answer

$$AP:Tr = 1:1$$

Question 20

A nurse is assessing a patient with suspected pneumonia. Which combination of findings would most likely support this diagnosis?

Accepted Answer

Increased tactile fremitus, dullness to percussion, bronchial breath sounds

The Respiratory System: Assessment and Anatomy for Personal Health

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