Respiratory-AHA - NURS 8020 University of Cincinatti Exam
With Complete Solutions Latest Update
Important to Listen _____________________ as you will hear adventitious sounds better -
ANSWER Posteriorly
Normal shape of chest includes: - ANSWER Anterior Posterior (AP) Diameter <
Transverse Diameter
What is the term for a sunken sternum, funnel chest - ANSWER Pectus Excavatum
What is the term for a protrusion of the sternum, pigeon chest - ANSWER Pectus
Carinatum
What is the term for redness/calluses above the knee from being in a tripod
position/leaning forearms on knees; seen in severe COPD - ANSWER Dahl's Sign
What is another name for Dahl's Sign - ANSWER "Thinker's Sign"
Breathing pattern, irregular 3-4 breaths, followed by regular periods of apnea, cycle last
10 seconds - one minute - d/t head trauma, brain abscess, heat stroke - ANSWER Biot's
Pattern
Pattern of breathing-regular patterns of increases and decreases in respirations w/
periods of apnea, breaths 20-30 sec then 20 sec of apnea, present in severe CHF, Renal
Failure, Meningitis, drug OD, normal aging and infants when asleep - ANSWER
Cheyne-Strokes Pattern
Areas felt during palpation subcutaneous emphysema is called - ANSWER Crepitation
, During the symmetrical expansion test of the lungs where RLL (Left hand) slide away but
Right hand does not move would suggest: - ANSWER Pneumonia
During the symmetrical expansion test of the lungs where neither the right or left thumb
moves suggests: - ANSWER COPD
Lung Assessment - Positive ( + ) Tactile Fremitus is a Normal Finding. T / F - ANSWER
True
To assess tactile fremitus an NP would use the ________ side of the hand move down the
chest wall while the patient repeats "99" - ANSWER Ulna
Increased Tactile Fremitus would suggest: - ANSWER Compression or consolidation of
the lung tissue (PNA)
Decreased Tactile Fremitus would suggest: - ANSWER Obstruction, air trapping, or
abnormal air movement (Pleural effusion, pneumothorax, emphysema)
Percussion of the infant would include ________________ throughout which is not very
helpful to the NP. - ANSWER Hyperresonance
Resonance throughout all lung fields is Abnormal. T / F - ANSWER False - It is a NORMAL
finding
During the physical assessment of the lungs the NP notes dullness during percussion of
the lungs. The NP would consider what diagnosis? - ANSWER Pneumonia
During the physical assessment of the lungs the NP notes flatness during percussion of
the lungs. The NP would consider what diagnosis? - ANSWER Large Pleural Effusion
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