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11E-Assessment of the Thorax

Total questions: 30

Worksheet time: 16mins

Name
Class
Date
1.

Nurse Bambi is teaching a patient on how muscles of respiration work. Nurse Bambi is correct when he says which muscle contracts during inspiration to expand the thoracic cavity?

a)

External intercostals

b)

Diaphragm

c)

Pectoralis Major

d)

Sternocleidomastoid

2.

In the healthy adult, the lubricating serous fluid between the layers allows movement of the visceral layer over the parietal layer during ventilation. Severe dehydration will reduce the volume of pleural fluid, resulting in which abnormality?

a)

Friction rub

b)

Wheezing

c)

Rales

d)

Gurgles

3.

Nurse Jada is assessing a patient laterally, he knows that the following vertical reference lines will help him describe a location of the chest wall. Select All That Apply.

a)

Mid-axillary Line

b)

Anterior Axillary Line

c)

Posterior Axillary Line

d)

Upper Axillary Line

e)

Lower Axillary Line

4.

Nurse Irma is taking care of a patient with a deformity on the chest characterized by a narrow transverse diameter, an increased anteroposterior diameter, and a protruding sternum. Nurse Irma is correct when she identifies this deformity as?

a)

Pigeon Chest

b)

Barrel Chest

c)

Funnel Chest

d)

Kyphosis

5.

A Clinical Instructor is asking a student nurse about the mechanism of breathing, specifically what happens during expiration. The student nurse is correct when she answers the following; Select All That Apply.

a)

Diaphragm descends and rib cage expands

b)

Diaphragm relaxes and rib cage recoils

c)

Atmospheric pressure is greater than alveolar pressure

d)

Alveolar pressure is greater than atmospheric pressure

e)

Thoracic cavity volume decreases, pressure increases

6.

Nurse Jack is assessing a patient for breath sounds. As Nurse Jack auscultated, he hears a “blowing” sound, of moderate-intensity and moderate-pitched. Nurse Jack is correct when he identifies it as which breath sound?

a)

Vesicular

b)

Bronchovesicular

c)

Bronchial

d)

Wheeze

7.

Nurse Steven is admitting a patient with scoliosis. Upon initial physical assessment, which observations can Nurse Steven find? Select All That Apply

a)

Uneven shoulders

b)

Curve in spine

c)

Uneven hips

d)

Exaggerated inward curve of the spine

e)

Exaggerated, forward rounding of the back

8.

Nurse Susie is about to percuss the posterior thorax of a patient. Nurse Susie is correct when she positions the patient in which position?

a)

bend the head and fold the arms forward across the chest

b)

stand straight and arms at the side

c)

sitting position with the arms at the side

d)

prone with arms at the side

9.

Nurse Mia is about to percuss the lateral thorax of a patient. Nurse Mia is correct when she starts percussion at the axilla working down to which rib?

a)

7th rib

b)

8th rib

c)

9th rib

d)

10th rib

10.

Nurse Emmi is inspecting the configuration of the posterior thorax of a patient with funnel chest. Nurse Emmi is correct when she describes which chest configuration?

a)

narrow transverse diameter, an increased anteroposterior diameter

b)

narrowing the anteroposterior diameter

c)

ratio of the anteroposterior to transverse diameter is 1 to 1

d)

anteroposterior diameter is half its transverse diameter

11.

A patient is to be inspected by Nurse Layla for his breathing pattern. Nurse Layla now observes for characteristic of the rise and fall of the chest and its rate, she observes that the patient displays deep, rapid and with periods of apnea and a regular pattern of breathing. Nurse Layla is correct when she calls this as which abnormal finding?

a)

Cheyne-stokes ventilation

b)

Kussmaul

c)

Biot’s respiration

d)

Air Trapping

12.

A patient is directed to breath deeply through the mouth while Nurse Jim is auscultating for breath sounds in the thorax. By doing this, what is Nurse Jim assessing for?

a)

Assess airflow through the airway

b)

Assess lung’s resonance

c)

Assess for increase and decrease of lung density

d)

Evaluate expansion of thoracic cage

13.

Nurse Linda is auscultating the patient’s posterior thorax for voice sounds. Upon auscultation, she heard an abnormal sound. What should Nurse Linda do next?

a)

Instruct patient to cough.

b)

Document the said abnormal sound.

c)

Resume the auscultation at each point.

d)

Refer to the health care provider.

14.

Nurse Mindy is about to percuss the posterior thorax. Nurse Mindy is correct when she does the percussion on which of the following order?

1. Withdraw the striking finger quickly.

2. Compare one side of the lung with the other.

3.Press the pleximeter finger firmly on the chest wall.

4. Strike the pleximeter finger with the right middle finger.

a)

3412

b)

1234

c)

4321

d)

2134

15.

Nurse Teddy percusses the posterior thorax and notes the findings. He is correct when he reports which of the following abnormal finding?

a)

Areas of dullness or flatness over lung tissue

b)

Areas of dullness over ribs

c)

Percussion notes resonate except over scapula

d)

Area of resonance at 7th rib

16.

Nurse Annie is assessing the client’s anterior thorax. What are the true ribs? False ribs? Floating ribs?

a)

1-6. 7-10, 11-12

b)

1-7, 8-10, 11-12

c)

1-7, 8-9, 10-12

d)

1-6, 7-9, 10-12

17.

What does the tubercle of ribs 3-9 articulate with?

a)

Costal cartilage

b)

Transverse process

c)

Vertebrae

d)

Spinal Cord

18.

TRUE or FALSE:

False rib is attach indirectly to sternum (connect to costocartilage).

a)

True

b)

False

19.

TRUE or FALSE:

Typical ribs are, ribs 1,2,10 and 12?

a)

True

b)

False

20.

Nurse Annie will be assessing the client’s posterior chest. What landmarks should be used in the posterior chest?

a)

Check the midsternal and midclavicular lines

b)

Check the vertebral and scapular lines

c)

Check the anterior axillary, posterior axillary, and midaxillary lines

d)

Check the intercostal spaces

21.

This occurs as intercostal muscles lift the sternum and elevate the ribs, resulting in an increase in anteroposterior diameter.

a)

External Respiration

b)

Vertical Expansion of Chest

c)

Horizontal Expansion of Chest

d)

Ventilation

22.

Upon assessment Nurse Annie palpated The U - shaped indentation located on the superior border of the manubrium. What is it called?

a)

Sternum

b)

Sternal Angle or Angle of Louis

c)

Suprasternal Notch

d)

Xiphoid Process

23.

Below the suprasternal notch a bony ridge that can be felt where the manubrium articulates with the body

a)

Sternum

b)

Sternal Angle or Angle of Louis

c)

Suprasternal Notch

d)

Mediastinum

24.

Upon assessment of thorax, Which of the following indicates normal respiratory function?

a)

Use of accessory muscles

b)

Nasal flaring

c)

Symmetrical chest expansion

d)

Lip pursing

25.

When palpating the thorax, which of the following would be an abnormal finding?

a)

Tenderness

b)

Pulsations

c)

Masses

d)

All of the options

26.

When percussing the thorax, which of the following would be a normal finding?

a)

Dullness over the lung fields

b)

Resonance over the lung fields

c)

Dullness over the ribs, heart, and diaphragm

d)

None of the option

27.

Normal breath sounds include:

a)

Vesicular sounds

b)

Rhonchi

c)

Wheezes

d)

Crackles

28.

When auscultating the lungs, it is important to:

a)

Compare each side bilaterally.

b)

Note abnormal sounds.

c)

Ask the patient to take slow, deep breaths

d)

All of the option

29.

For barrel-chest. What is the diameter ratio?

a)

Narrowing the anteroposterior diameter

b)

Ratio of the anteroposterior to transverse diameter is 1 to 1

c)

Narrow transverse diameter, increased anteroposteror diameter

d)

Ratio of the anteroposterior to transverse diameter is 1 to 2

30.

For chest excursion assessment of the anterior thorax. How do you measure chest excursion and deep breathing?

a)

Stand behind patient. Put thumbs on spinal processes at 10th rib.

b)

Place palms in lower rib cage with thumbs in costal margin

c)

Palpate with hand positioned over the left clavicle and move your hand left to rig

d)

Locate T9 and T10 ang place palms.