Respiratory & Cardiac Practice
Questions (NR 302) Study Set
Exam
The manubriosternal angle is:
a. The articulation of the manubrium and the body of the sternum.
b. A hollow, U-shaped depression just above the sternum.
c. Also known as the breastbone.
d. A term synonymous with costochondral junction - Answer a. The articulation of the
manubrium and the body of the sternum.
Select the correct description of the left lung.
a. Narrower than the right lung with three lobes
b. Narrower than the right lung with two lobes
c. Wider than the right lung with two lobes
d. Shorter than the right lung with three lobes - Answer b. Narrower than the right lung
with two lobes
You assess a patient who reports a cough. The characteristic timing of the cough of
chronic bronchitis is described as:
a. Continuous throughout the day.
b. Productive cough for at least 3 months of the year for 2 consecutive years.
c. Occurring in the afternoon or evening because of exposure to irritants at work.
d. Occurring in the early morning. - Answer b. Productive cough for at least 3 months of
the year for 2 consecutive years.
Which of the following assessments best confirms symmetric chest expansion?
a. Placing hands on the posterolateral chest wall with thumbs at the level of T9 or T10
and then sliding the hands up to pinch a small fold of skin between the thumbs
b. Inspection of the shape and configuration of the chest wall
, c. Placing the palmar surface of the fingers of one hand against the chest and having the
person repeat the words "ninety-nine"
d. Percussion of the posterior chest - Answer a. Placing hands on the posterolateral
chest wall with thumbs at the level of T9 or T10 and then sliding the hands up to pinch a
small fold of skin between the thumbs
You are auscultating breath sounds on a patient. Which of the following best describes
how to proceed?
a. Hold the bell of the stethoscope against the chest wall; listen to the entire right field
and then the entire left field.
b. Hold the diaphragm of the stethoscope against the chest wall; listen to one full
respiration in each location, being sure to do side-to-side comparisons.
c. Listen from the apices to the bases of each lung field using the bell of the
stethoscope.
d. Select the bell or diaphragm depending on the quality of sounds heard; listen for one
respiration in each location, moving from side to side. - Answer b. Hold the diaphragm of
the stethoscope against the chest wall; listen to one full respiration in each location,
being sure to do side-to-side comparisons.
Select the best description of bronchovesicular breath sounds.
a. High-pitched, of longer duration on inspiration than expiration
b. Moderate-pitched, inspiration equal to expiration
c. Low-pitched, inspiration greater than expiration
d. Rustling sound, like the wind in the trees - Answer b. Moderate-pitched, inspiration
equal to expiration
After examining a patient, you note: fever, increased respiratory rate, chest expansion
decreased on left side, dull to percussion over left lower lobe, breath sounds louder with
fine crackles over left lower lobe. These findings are consistent with:
a. Bronchitis.
b. Asthma.
c. Pleural effusion.
d. Lobar pneumonia. - Answer d. Lobar pneumonia.
On examining a patient's nails, you note that the angle of the nail base is >160 degrees
and that the nail base feels spongy to palpation. These findings are consistent with:
a. Acute respiratory distress syndrome.
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