topbar.asp
 Nursing continuing education $3/hr

Exam & Evaluation (Respiratory Assessment: Adult and Child)
 
Questions: Please respond to following statements.

1 The respiratory center is located in the:
  Medulla
  Aortic arch
  Cerebral cortex
2 The major muscle of respiration is the:
  Sternocleidomastoid
  Scalene
  Trapezius
  Diaphragm
3 Which of the following symptoms indicates airflow obstruction and poor ventilation?
  Intercostal retractions
  Nasal flaring
  Pursed lip breathing
  All of the above
4 Kussmal breathing may be seen in a patient with:
  Chronic obstructive lung disease
  Diabetic acidosis
  Strenuous exercise
  Restrictive lung disease
5 According to the Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition, Chapter 11, please answer the following question. If shortness of breath (SOB) in the supine position is called orthopnea, what is the name for SOB in the erect posture?
6 Which of the following is not a normal finding on palpation?
  Asymmetrical chest expansion
  Tactile fremitus
  Warm, dry skin
  No tender spots
7 The best description for "resonant" sounds heard on percussion would be:
  Sounds heard normally over dense areas such as the heart or liver
  Hollow, drum like sounds; normally heard over the stomach
  Low-pitched, hollow sounds heard over normal lung tissue
  Extremely dull sounds heard over solid areas such as bone
  Louder and low pitched sounds normally heard in children and thin adults
8 The best description for "flat" sounds heard on percussion would be:
  Sounds heard normally over dense areas such as the heart or liver
  Hollow, drum like sounds; normally heard over the stomach
  Low-pitched, hollow sounds heard over normal lung tissue
  Extremely dull sounds heard over solid areas such as bone
  Louder and low pitched sounds normally heard in children and thin adults
9 The best description for "dull or thudlike" sounds heard on percussion would be:
  Sounds heard normally over dense areas such as the heart or liver
  Hollow, drum like sounds; normally heard over the stomach
  Low-pitched, hollow sounds heard over normal lung tissue
  Extremely dull sounds heard over solid areas such as bone
  Louder and low pitched sounds normally heard in children and thin adults
10 The best description for "hyperresonant" sounds heard on percussion would be:
  Sounds heard normally over dense areas such as the heart or liver
  Hollow, drum like sounds; normally heard over the stomach
  Low-pitched, hollow sounds heard over normal lung tissue
  Extremely dull sounds heard over solid areas such as bone
  Louder and low pitched sounds normally heard in children and thin adults
11 The best description for "tympanic" sounds heard on percussion would be:
  Sounds heard normally over dense areas such as the heart or liver
  Hollow, drum like sounds; normally heard over the stomach
  Low-pitched, hollow sounds heard over normal lung tissue
  Extremely dull sounds heard over solid areas such as bone
  Louder and low pitched sounds normally heard in children and thin adults
12 The best description for "vesicular" sounds heard on auscultation would be:
  Tubular sounds heard in the posterior chest between the scapulae; equal inspiration/expiration
  Harsh sounds heard over the trachea
  Loud and high pitched sounds; expiratory sounds last longer than inspiratory sounds
  Soft, blowing or rustling sounds heard throughout most of the lung fields
13 The best description for "bronchial" sounds heard on auscultation would be:
  Tubular sounds heard in the posterior chest between the scapulae; equal inspiration/expiration
  Harsh sounds heard over the trachea
  Loud and high pitched sounds; expiratory sounds last longer than inspiratory sounds
  Soft, blowing or rustling sounds heard throughout most of the lung fields
14 The best description for "bronchovesicular" sounds heard on auscultation would be:
  Tubular sounds heard in the posterior chest between the scapulae; equal inspiration/expiration
  Harsh sounds heard over the trachea
  Loud and high pitched sounds; expiratory sounds last longer than inspiratory sounds
  Soft, blowing or rustling sounds heard throughout most of the lung fields
15 The best description for "tracheal" sounds heard on auscultation would be:
  Tubular sounds heard in the posterior chest between the scapulae; equal inspiration/expiration
  Harsh sounds heard over the trachea
  Loud and high pitched sounds; expiratory sounds last longer than inspiratory sounds
  Soft, blowing or rustling sounds heard throughout most of the lung fields
16 Fluid or atelectasis in the airways produces what type of adventitious breath sound?
  Crackles
  Wheezes
  Pleural friction rub
17 An accumulation of fluid or solid material in the lungs is known as:
  Hyperresonance
  Tympany
  Consolidation
18 Gas exchange takes place in the:
  bronchioles
  mainstem bronchus
  alveoli
  trachea
19 Mr. Green, age 65, is a post-operative patient with atelectasis. You would expect to find all of the following on respiratory assessment, except:
  Decreased respiratory rate and decreased pulse rate
  Tactile fremitus decreased or absent
  Breath sounds decreased or absent on the affected side
  Delayed chest expansion on the affected side
20 Mrs. Smith, age 81, has been admitted to the hospital with a diagnosis of pneumonia. Which findings would you expect with respiratory assessment. Check all that apply:
  Increased tactile fremitus
  Softer than normal breath sounds
  Louder than normal breath sounds
  Bronchophony, egophony, whispered pectoriloquy
  Fine to medium crackles
21 Mr. Jones, age 37, has a possible pneumothorax. If pneumothorax is present, which findings would you expect with respiratory assessment. Check all that apply:
  Decreased tactile fremitus
  Dullness with percussion
  Hyperresonance with percussion
  Louder than normal breath sounds over the affected area
  Breath sounds absent over the affected area
22 Which of the following statements are true of stridor?
  Stridor is a high pitched sound heard during breathing
  Stridor is caused by upper airway obstruction
  Stridor is a serious sign of respiratory distress
  All of the above
23 Which of the following might be observed on inspection of a patient with COPD?
  Increased anterior-posterior diameter or barrel chest
  Pursed lip breathing
  Body bent forward with arms propped
  All of the above
24 An area of hyperrsonance on one side of the chest may indicate:
  COPD
  Pneumonia
  Pneumothorax
  Pleural effusion
25 A barrel chest develops as a result of:
  Curvature of the spine
  Overexpansion of the pulmonary structures
  Consolidation of lung tissue
26 All of the following are true about the sternal angle, except:
  also known as the Angle of Louis
  it's continuous with the 2nd rib
  site of trachea bifurcation into right and left mainstem bronchi
  corresponds with the lower border of the atria of the heart
27 Breath sounds of toddlers differ from adults in the following ways, except:
  more bronchial sounding
  inspiration more pronounced than expiration
  more intense
28 Wheezes are caused by:
  collapsed alveoli
  fluid in alveoli
  narrowed airways
29 According to the American Lung Association's website, a productive cough that lasts 3 months during 2 consecutive years with hypersecretion of mucus describes which respiratory condition?
  Emphysema
  Pleural effusion
  Acute bronchitis
  Chronic bronchitis
30 The body's respiratory center is primarily stimulated by:
  An increase in heart rate
  A rise in blood carbon dioxide
  A decrease in blood oxygen
  All of the above
31 Which of the following is an abnormal finding on chest inspection?
  Respiratory rate of 12-20 in an adult
  Abdominal movement
  Mouth breathing
  Inspiration lasting approximately twice as long as expiration.
Please Evaluate the course. Choose the appropriate button to rate the following.

A The learning outcomes for this activity were met.
Strongly Agree   Agree   Neutral   Disagree   Strongly Disagree  
B This activity will enhance my knowledge/skill /practice as a health care provider.
Strongly Agree   Agree   Neutral   Disagree   Strongly Disagree  
C You are required to spend a total of 300 minutes studying this course, internet links, exam and evaluation. Please confirm by entering the number "300" in this box.
D Please tell us if you required MORE than 300 minutes to complete this course.  If so, how much TOTAL time did you spend?
E As a result of this activity, please share at least one action you will take to change your professional practice/performance.
F Where did you hear about the RnCeus.com website?
Word of mouth
Search engine
Link from another website
School: