South University NRSG 6020 week 2 quiz.docx

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 following anatomic landmark associations is correct ? ( Points : 2 )

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Question 3 .   3 . Which of the following is consistent with good percussion technique ? ( Points : 2 )

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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 )

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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 , " seal - like " cough . What would your diagnosis be ? ( Points : 2 ) Asthma

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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 )

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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 )

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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 ca n’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

 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 )

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Question 10 .   10 . When crackles , wheezes , or rhonchi clear with a cough , which of the following is a likely etiology ? ( Points : 2 )