Chapter 13: Chest and Lungs

Chapter 13: Chest and Lungs

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The anteroposterior diameter of the chest is normally approximately the same as the transverse diameter in which age group?

a.	Infants
b.	School-age children
c.	Adolescents
d.	Young adults

 

 

ANS:  A

The chest of infants is generally round, with equal dimensions of anteroposterior and transverse diameters.

 

DIF:    Cognitive Level: Remembering (Knowledge)                    REF:   p. 264

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Physiologic Adaptation

 

2. A 44-year-old male patient who complains of a cough has presented to the emergency department. He admits to smoking one pack per day. During your inspection of his chest, the most appropriate lighting source to highlight chest movement is:

a.	bright tangential lighting.
b.	daylight from a window.
c.	flashlight in a dark room.
d.	fluorescent ceiling lights.

 

 

ANS:  A

Bright tangential light is best for visualizing chest movements.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 268

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Physiologic Adaptation

 

3. When auscultating the apex of the lung, you should listen at a point:

a.	even with the second rib.
b.	4 cm above the first rib.
c.	higher on the right side.
d.	on the convex diaphragm surface.

 

 

ANS:  B

The apex of the lung is 4 cm above the first rib.

 

DIF:    Cognitive Level: Analyzing (Analysis)                             REF:   p. 262

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Physiologic Adaptation

 

4. You are documenting a rash between the eighth and ninth ribs on the lateral border. This intercostal space will be documented in terms of the:

a.	rib immediately above it.
b.	rib immediately below it.
c.	number of centimeters it is positioned below the clavicle.
d.	number of inches it is positioned below the clavicle.

 

 

ANS:  A

The number of each intercostal space corresponds to that of the rib immediately above it.

 

DIF:    Cognitive Level: Understanding (Comprehension)             REF:   p. 263

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Physiologic Adaptation

 

5. To count the ribs and the intercostal spaces, you begin by palpating the reference point of the:

a.	distal point of the xiphoid.
b.	manubriosternal junction.
c.	suprasternal notch.
d.	acromion process.

 

 

ANS:  B

The angle of Louis, the junction of the manubrium and the sternum, corresponds to the second rib, the reference point for counting ribs and intercostal spaces.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 263

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Physiologic Adaptation