During an assessment of an adult, the nurse has noted unequal chest expansion and recognizes that this occurs in which situation?
a. In an obese patient
b. When part of the lung is obstructed or collapsed
c. When bulging of the intercostal spaces is present
d. When accessory muscles are used to augment respiratory effort
Question 2The nurse knows that auscultation of fine crackles would most likely be noticed in:
a. A healthy 5-year-old child.
b. A pregnant woman.
c. The immediate newborn period.
d. Association with a pneumothorax.
Question 3A mother brings her 3-month-old infant to the clinic for evaluation of a cold. She tells the nurse that he has had a runny nose for a week. When performing the physical assessment, the nurse notes that the child has nasal flaring and sternal and
intercostal retractions. The nurse's next action should be to:
a.
Assure the mother that these signs are normal symptoms of a cold.
b.
Recognize that these are serious signs, and contact the physician.
c.
Ask the mother if the infant has had trouble with feedings.
d.
Perform a complete cardiac assessment because these signs are probably indicative of early heart failure.
Question 4The nurse knows that a normal finding when assessing the respiratory system of an older adult is:
a. Increased thoracic expansion.
b. Decreased mobility of the thorax.
c. Decreased anteroposterior diameter.
d. Bronchovesicular breath sounds throughout the lungs.
Question 5When inspecting the anterior chest of an adult, the nurse should include which assessment?
a. Diaphragmatic excursion
b. Symmetric chest expansion
c. Presence of breath sounds
d. Shape and configuration of the chest wall
Question 6When assessing the respiratory system of a 4-year-old child, which of these findings would the nurse expect?
a. Crepitus palpated at the costochondral junctions
b. No diaphragmatic excursion as a result of a child's decreased inspiratory volume
c. Presence of bronchovesicular breath sounds in the peripheral lung fields
d. Irregular respiratory pattern and a respiratory rate of 40 breaths per minute at rest
Question 7The nurse is percussing over the lungs of a patient with pneumonia. The nurse knows that percussion over an area of atelectasis in the lungs will reveal:
a. Dullness.
b. Tympany.
c. Resonance.
d. Hyperresonance.
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