Week 2- Advanced Respiratory Test
Bank Jarvis Chapter 19. Q&A A+ Review
The nurse is teaching the nursing students to palpate the vertebra prominens when
beginning posterior thoracic assessment of a patient. The students will: - ANS-Look for
the spinous process of C7.
When performing a respiratory assessment on a patient, the nurse notes a costal angle
of approximately 90 degrees. This characteristic is: - ANS-A normal finding in a healthy
adult
When assessing a patient's lungs, the nurse recognizes that the left lung: - ANS-
Consists of two lobes.
The nurse landmarks the apices of the lungs to: - ANS-Extend 3 to 4 cm above the
inner third of the clavicles
During an examination of the anterior thorax, the nurse is aware that the trachea
bifurcates anteriorly at the: - ANS-Sternal angle.
During an assessment, the nurse knows that expected assessment findings in the
normal adult lung include the presence of: - ANS-Muffled voice sounds and symmetric
tactile fremitus
The primary respiratory muscles engaged in normal inspiration include the: - ANS-
Diaphragm and intercostals
During assessment of the patient's posterior chest for lung sounds, the nurse will
auscultate the right lung for the: - ANS-Lower lobe, because the upper lobe is too small.
A 65-year-old patient with a history of heart failure comes to the clinic with complaints of
"being awakened from sleep with shortness of breath." Which action by the nurse is
most appropriate? - ANS-Assess for other signs and symptoms of paroxysmal nocturnal
dyspnea
When assessing tactile fremitus, the nurse normally feel tactile fremitus most intensely:
- ANS-Between the scapulae
The nurse is reviewing the technique of palpating for tactile fremitus with a new
graduate. Which statement by the graduate nurse reflects a correct understanding of
tactile fremitus? "Tactile fremitus": - ANS-"Is caused by sounds generated from the
larynx."
During percussion, the nurse knows that a dull percussion note elicited over a lung lobe
most likely results from: - ANS-Increased density of lung tissue.
