NR 509 APEA final study guide 2020

APEA final study guide Question 1 A 3 year-old presents with a history of fever and cough over the past 24 hours. Findings on exam reveal: temperature of 102°F, apical heart rate of 157 beats/minute, and respiratory ...

APEA final study guide Question 1 A 3 year-old presents with a history of fever and cough over the past 24 hours. Findings on exam reveal: temperature of 102°F, apical heart rate of 157 beats/minute, and respiratory rate of 40 breaths/minute. Tachypnea in this child is most likely related to Question 2 Q) When percussing the lower posterior chest, begin by: Question 3 The palpation technique used to assess respiratory expansion of the chest is placing the hands on the eight or tenth ribs posteriorly with the thumbs close to the vertebrae, sliding the hand medially and grasping a small fold of skin between the thumbs. Then: Question 4 When trying to differentiate between hemoptysis or blood streaked material, which one of the following observations is correct? Question 5 When percussing the chest in a patient who has left sided heart failure, the sound emanated would be: Question 6 The line that extends through the inferior angle of the scapula when the arms are at the sides of the body is the: Question 7 A condition associated with a chronic cough that produces copious amounts of purulent sputum is most likely: Question 8 A patient who walked into the examination room, may be observed to be sitting and leaning forward in his chair. Lips were pursed during exhalation and arms are supported on the table. This position could be consistent with patients who have: Question 9 Breath sounds heard over the periphery of the lung fields are: bronchial. Question 10 When percussing the posterior chest, which one of the following techniques would be omitted? Question 11 When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are: Question 12 Breath sounds consisting of a full inspiratory phase and a shortened and softer expiratory phase normally audible over the hilar region of the chest are termed: . Question 13 An acute viral illness that presents with a burning retrosternal discomfort and a dry cough is suggestive of: Question 14 One of the anterior thoracic landmarks is the costal angle. It is located: Question 15 Atypical respiratory symptoms associated with gastroesophageal disease (GERD) may include all of the following except: Question 16 On auscultation of the chest, if the patient says "ninety-nine" and it is clearly heard, this is indicative of: Question 17 Respiratory effort in the neonate is initiated at birth as a result of: Question 18 Adventitious breath sounds, such as crackles, are: Question 19 Breath sounds heard on chest over the hilar region are: Question 20 Breath sounds consisting of a full inspiratory and expiratory phase with the inspiratory phase usually being louder and normally heard over the trachea and larynx are considered: Question 21 Pain from pleurisy may be referred to the: Question 22 When performing a respiratory assessment on a 4-year-old child, further evaluation is warranted in the presence of: Question 23 Which technique best determines whether the tissues in the chest are air-filled, fluid-filled, or solid? Question 24 Breath sounds auscultated over the periphery of the lung fields are quiet and wispy during the inspiratory phase followed by a short, almost silent expiratory phase. These breath sounds are considered: Question 25 A patient who presents with a long history of cigarette smoking exhibits a dry to productive cough with dyspnea and weight loss. These symptoms could be consistent with: Question 26 The hilar region of the lungs describes: Question 27 The anterior surface landmark on the thorax that is denoted by a hollow U-shaped depression just above the sternum and between the clavicles is termed the: Question 28 Factors that aggravate costochondritis may include: Question 30 To locate the twelfth rib, palpate: Question 31 To document chest findings located between the scapulae, which one of the following terms would be used? Question 32 The midaxillary line: Question 33 Retractions are observed in all the following areas except the: Question 34 When examining a patient for chest expansion, begin by: Question 35 The lower tip of the scapula is located: Question 36 A patient presents with a productive cough. Which one of the following descriptions of the mucus is correct? Question 37 Diminished breath sounds should be interpreted as: Question 38 When inspecting the chest for respiratory effort, which one of the following is not part of the Question 39 The angle of Louis is a useful place to start counting ribs. This landmark is located: Question 40 When auscultating breath sounds, use the diaphragm of the stethoscope by placing it initially on the: Question 41 The line that bisects the center of each clavicle at a point halfway between the palpated sternoclavicular and acromioclavicular joints is the: Question 42 When palpating the thorax, a crackling, popping noise under the skin is heard. On auscultation, a sound similar to hair being rubbed between the fingers is noted. These symptoms could be consistent with: Question 43 To document chest findings located below the scapulae, which one of the following terms would be used? Question 44 A 37-year-old female has audible stridor. This type of stridor is consistent with: Question 45 When percussing the right upper posterior area of the chest, a dullness replaces the resonance sound usually heard in the lung. This sound would be suggestive of: Question 46 Orthopnea is typically associated with all of the following conditions except: Question 47 Stridor heard louder in the neck than over the chest wall indicates: Question 48 Increased anteroposterior diameter of the chest, purse-lipped breathing, and dyspnea with talking, Question 49 The middle section of the thoracic cavity containing the esophagus, trachea, heart, and great vessels is the: Question 50 To document chest findings located at the lower most portion of the lungs, which one of the following terms would be used? . Question 51 Which one of the following infants should be seen immediately by the nurse practitioner?