NSG 6020 Health And Physical
Assessment Thorax And Lungs Exam
With 100% Correct And Verified Answers
Common chief complaints of Lungs/thorax - Correct Answer-dyspnea
cough
sputum
chest pain
right lung middle lobe borders - Correct Answer-4th rib at right sternal border
5th rib at mid axillary line
6th rib at mid clavicular line
posterior upper lung lobes - Correct Answer-T1-T3
posterior lower lung lobes - Correct Answer-T3-T10
Mediastinum - Correct Answer-lies between lungs
contains trachea, esophagus, heart, great vessels
Trachea - Correct Answer-bifurcates into right and left bronchi at 4th or 5th vertebra
posteriorly or sternal angle anteriorly
pleura - Correct Answer-serous membrane that enfolds lungs; reflected on walls of
throax and diaphragm.
Moistened w/ serous secretion w/ reduces friction
parietal pleura - Correct Answer-Line chest wall and superior surface of diaphragm
visceral pleura - Correct Answer-lines external surface of lungs
pleural friction rub - Correct Answer-heard when pleura is inflamed and the lubricating
surfaces is lost: coarse, low pitched, grating sound, pain with breathing
phrenic nerve - Correct Answer-innervates diaphragm
diaphragm - Correct Answer-muscle most responsible for inspiratory increase in
thoracic cage size
located inferior thoracic border @ right 5th ICS MCL and left 6th ICS MCL
external intercostal muscles - Correct Answer-located in intercostal spaces
elevate ribs during inspiration, increasing size of thoracic cavity
, internal intercostal muscls - Correct Answer-draw adjacent ribs together
decrease size of thoracic cage during expiration
accessory muscles - Correct Answer-scalene, sternomastoid, trapezius, abdominal
rectus muscles
accommodate increased oxygen demands
Inspection of skin - Correct Answer-color of lips and skin, superficial veins (may indicate
superior vena cava obstruction
Normal: no pallor, rubor, cyanosis, superficial veins, masses
Clubbing - Correct Answer-nail angle >160 degrees
indicates long hypoxia (typically, chronic respiratory or cardiac disease
Anterior/posterior to Thorax ratio - Correct Answer-1:2
shallow breaths - Correct Answer-expected in recent abdominal/thoracic surgery or w/
pain
hyperpnea - Correct Answer-a breath that is greater in volume than the resting tidal
volume- normal in warm up and cool down periods of exercise
Air trapping - Correct Answer-seen in COPD w/ rapid shallow respirations and forced
expirations
kussmaul's - Correct Answer-extreme increased depth and rate (body's attempt to blow
off more CO2); seen in diabetic ketoacidosis and metabolic acidosis as body attempts
to lower PaCO2 level and correct acidosis
sighing - Correct Answer-indicative of emotional dysfunction or CNS lesion
Cheyne-Stokes - Correct Answer-respirations gradually increase in rapidity and volume
to climax then gradually subside and cease entirely x 5-50 seconds then begin again
Biot's or Ataxisic - Correct Answer-breathing with irregularly alternating periods of apnea
and hyperpnea (as in meningitis and conditions w/ increased intracranial pressure
apneusitc - Correct Answer-prolonged gasping inspiration with short, inefficient
expiration. Pauses last 30-60 seconds (when upper part of pons of brain is
removed/damaged)
Agonal - Correct Answer-irregular pattern of varying depth. Usually indicates impending
death
normal trachea findings - Correct Answer-runs midline, straight up from the suprasternal
notch without deviating to either side
Assessment Thorax And Lungs Exam
With 100% Correct And Verified Answers
Common chief complaints of Lungs/thorax - Correct Answer-dyspnea
cough
sputum
chest pain
right lung middle lobe borders - Correct Answer-4th rib at right sternal border
5th rib at mid axillary line
6th rib at mid clavicular line
posterior upper lung lobes - Correct Answer-T1-T3
posterior lower lung lobes - Correct Answer-T3-T10
Mediastinum - Correct Answer-lies between lungs
contains trachea, esophagus, heart, great vessels
Trachea - Correct Answer-bifurcates into right and left bronchi at 4th or 5th vertebra
posteriorly or sternal angle anteriorly
pleura - Correct Answer-serous membrane that enfolds lungs; reflected on walls of
throax and diaphragm.
Moistened w/ serous secretion w/ reduces friction
parietal pleura - Correct Answer-Line chest wall and superior surface of diaphragm
visceral pleura - Correct Answer-lines external surface of lungs
pleural friction rub - Correct Answer-heard when pleura is inflamed and the lubricating
surfaces is lost: coarse, low pitched, grating sound, pain with breathing
phrenic nerve - Correct Answer-innervates diaphragm
diaphragm - Correct Answer-muscle most responsible for inspiratory increase in
thoracic cage size
located inferior thoracic border @ right 5th ICS MCL and left 6th ICS MCL
external intercostal muscles - Correct Answer-located in intercostal spaces
elevate ribs during inspiration, increasing size of thoracic cavity
, internal intercostal muscls - Correct Answer-draw adjacent ribs together
decrease size of thoracic cage during expiration
accessory muscles - Correct Answer-scalene, sternomastoid, trapezius, abdominal
rectus muscles
accommodate increased oxygen demands
Inspection of skin - Correct Answer-color of lips and skin, superficial veins (may indicate
superior vena cava obstruction
Normal: no pallor, rubor, cyanosis, superficial veins, masses
Clubbing - Correct Answer-nail angle >160 degrees
indicates long hypoxia (typically, chronic respiratory or cardiac disease
Anterior/posterior to Thorax ratio - Correct Answer-1:2
shallow breaths - Correct Answer-expected in recent abdominal/thoracic surgery or w/
pain
hyperpnea - Correct Answer-a breath that is greater in volume than the resting tidal
volume- normal in warm up and cool down periods of exercise
Air trapping - Correct Answer-seen in COPD w/ rapid shallow respirations and forced
expirations
kussmaul's - Correct Answer-extreme increased depth and rate (body's attempt to blow
off more CO2); seen in diabetic ketoacidosis and metabolic acidosis as body attempts
to lower PaCO2 level and correct acidosis
sighing - Correct Answer-indicative of emotional dysfunction or CNS lesion
Cheyne-Stokes - Correct Answer-respirations gradually increase in rapidity and volume
to climax then gradually subside and cease entirely x 5-50 seconds then begin again
Biot's or Ataxisic - Correct Answer-breathing with irregularly alternating periods of apnea
and hyperpnea (as in meningitis and conditions w/ increased intracranial pressure
apneusitc - Correct Answer-prolonged gasping inspiration with short, inefficient
expiration. Pauses last 30-60 seconds (when upper part of pons of brain is
removed/damaged)
Agonal - Correct Answer-irregular pattern of varying depth. Usually indicates impending
death
normal trachea findings - Correct Answer-runs midline, straight up from the suprasternal
notch without deviating to either side
