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RESPIRATORY NURS 8020 -AHA- UNIVERSITY OF CINCINNATI TEST QUESTIONS AND ANSWERS
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RESPIRATORY NURS 8020 -AHA- UNIVERSITYOF CINCINNATI TEST QUESTIONS AND
ANSWERS
Important to listen _____________________ since you will hear adventurous
noises better - ANSWER Posteriorly.
The typical chest shape is as follows: Anterior-Posterior (AP) Diameter <
Transverse Diameter.
The word for a sunken sternum or funnel chest is Pectus Excavatum.
What is the name for a protrusion of the sternum, pigeon chest? Pectus
Carinatum.
What is the word used to describe redness/calluses above the knee caused by
being in a tripod position or leaning forearms on knees; observed in severe
COPD? - Answer Dahl's sign.
What is another name for Dahl's Sign? ANSWER "Thinker's Sign"
Breathing pattern, erratic 3-4 breaths, followed by frequent periods of apnea,
cycle lasts 10 seconds - one minute - due to head trauma, brain abscess, heat
stroke. - Answer: Biot's Pattern.
Breathing pattern, regular patterns of increases and declines in respirations with
periods of apnea, breathes 20-30 seconds then 20 seconds of apnea, present in
severe CHF, Renal Failure, Meningitis, drug overdose, natural aging, and
infants when asleep - ANSWER Cheyne-Stroke Pattern
Areas felt while palpation Subcutaneous emphysema is called - ANSWER
Crepitation.
, During the symmetrical expansion test of the lungs, if the RLL (left hand) slides
away but the right hand does not move, it would indicate: - Answer:
Pneumonia.
The symmetrical expansion test of the lungs, in which neither the right or left
thumb moves, suggests: - Answer COPD
Lung Assessment: Positive (+) Tactile Fremitus is a typical finding. T / F -
Answer: True
To assess tactile fremitus, an NP would use the ________ side of the hand to
move along the chest wall while the patient repeats "99". - ANSWER Ulna
Increased Tactile Fremitus would suggest: ANSWER Compression or
consolidation of the lung tissue (PNA).
Reduced Tactile Fremitus may indicate obstruction, air trapping, or irregular air
movement (pleural effusion, pneumothorax, emphysema).
The infant's percussion would involve ________________ throughout, which
would be inconvenient for the nurse practitioner. - ANSWER Hyperresonance
The resonance across all lung fields is abnormal. T / F - ANSWER False - This
is a normal finding.
During the physical assessment of the lungs, the NP observes dullness during
percussion. What diagnostic would the NP consider? - ANSWER Pneumonia
During the physical assessment of the lungs, the NP observes flatness during
percussion. What diagnostic would the NP consider? - ANSWER Large pleural
effusion.
During the physical examination of the lungs, the NP observes hyperresonance
during percussion of the lungs. What diagnostic would the NP consider? -
ANSWER Emphysema, COPD, or asthma.
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