NSG 6020 Week 2 Quiz - Questions and Answers: South University

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Question 1. 1. Which of the following percussion notes would you obtain over the gastric bubble? (Points : 2) Resonance * Tympany Hyperresonance Flatness Question 2. 2. Which of the followin... g anatomic landmark associations is correct? (Points : 2) *Second intercostal space for needle insertion in tension pneumothorax T6 for lower margin of endotracheal tube Sternal angle marks the fourth rib Fifth intercostal space for chest tube insertion Question 3. 3. Which of the following is consistent with good percussion technique? (Points : 2) Allow all of the fingers to touch the chest while performing percussion. Maintain a stiff wrist and hand. Leave the plexor finger on the pleximeter after each strike. *Strike the pleximeter over the distal interphalangeal joint. Question 4. 4. A mother brings her infant to you because of a “rattle” in his chest with breathing. Which of the following would you hear if there is a problem in the upper airway? (Points : 12) Different sounds from the nose and the chest Asymmetric sounds *Inspiratory sounds Sounds louder in the lower chest Question 5. 5. Which of the following conditions would produce a hyperresonant percussion note? (Points : 2) *Large pneumothorax Lobar pneumonia Pleural effusion Empyema Question 6. 6. On examination of a young child you notice that he or she has a noisy breathing, barking, "seallike" cough. What would your diagnosis be? (Points : 2) Asthma *Croup Bronchitis Pneumonia Question 7. 7. A patient complains of shortness of breath for the past few days. On examination, you note late inspiratory crackles in the lower third of the chest that were not present a week ago. What is the most likely explanation for these? (Points : 2) Asthma COPD Bronchiectasis *Heart failure Question 8. 8. Which lung sound possesses the characteristics of being louder and higher in pitch, with a short silence between inspiration and expiration and with expiration being longer than inspiration? (Points : 2) Bronchovesicular Vesicular *Bronchial Tracheal Question 9. 9. A sixty-year-old baker presents to your clinic, complaining of increasing shortness of breath and nonproductive cough over the last month. She feels like she can’t do as much activity as she used to do without becoming tired. She even has to sleep upright in her recliner at night to be able This study source was downloaded by 100000831988016 from CourseHero.com on 05-09-2022 14:50:25 GMT -05:00 https://www.coursehero.com/file/24241920/South-University-NRSG-6020-week-2-quizdocx/ to breathe comfortably. She denies any chest pain, nausea, or sweating. Her past medical history is significant for high blood pressure and coronary artery disease. She had a hysterectomy in her 40s for heavy vaginal bleeding. She is married and is retiring from the local bakery soon. She denies any tobacco, alcohol, or drug use. Her mother died of a stroke, and her father died from prostate cancer. She denies any recent upper respiratory illness, and she has had no other symptoms. On examination, she is in no acute distress. Her blood pressure is 160/100, and her pulse is 100. She is afebrile, and her respiratory rate is 16. With auscultation, she has distant air sounds and she has late inspiratory crackles in both lower lobes. On cardiac examination, the S1 and S2 are distant and an S3 is heard over the apex. (Points : 2) Pneumonia COPD Pleural pain *Left-sided heart failure Question 10. 10. When crackles, wheezes, or rhonchi clear with a cough, which of the following is a likely etiology? (Points : 2) * Bronchitis Simple asthma Cystic fibrosis Heart failure [Show More]

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