Lungs and Thorax Worksheet (3 pts)After completing the reading assignment, write or draw answers in spaces provided and
answer the multiple-choice questions.
1. Describe the most important points about the health history of the respiratory system.
2. List the elements included in the INSPECTION of the respiratory system.
3. List and describe 4 common thoracic deformities (besides barrel chest).
4. Describe the 3 types of normal breath sounds
Name
Location
Description
______________________________________________________________________________
_____________________________________________________________________________
______________________________________________________________________________
5. Define 3 types of adventitious breath sounds.
6. When comparing the anteroposterior diameter of the chest with the transverse diameter,
what is the expected ratio? What is the normal costal angle? What is barrel chest? What is
the significance of this
7. What is the tripod position?
8. List 3 factors that can cause extraneous noise during auscultation of the lungs.
Review Questions:
9. Select the correct description of the left lung.
a. Narrower than the right lung with three lobes.
b. Narrower than the right lung with two lobes.
c. Wider than the right lung with two lobes.
d. Shorter than the right lung with three lobes.
10. What is the characteristic timing of the cough of chronic bronchitis?
a. Continuous throughout the day.
b. Productive cough for at least 3 months of the year for 2 consecutive years.
c. Occurring in the afternoon or evening because of exposure to irritants at work.
d. Occurring in the early morning.
11. Which of the following assessments best confirms symmetric chest expansion?
a. Placing hands on the posterolateral chest wall with thumbs at the level of T9 or T10 and then
sliding the hands up to pinch a small fold of skin between the thumbs.
b. Inspection of the shape and configuration of the chest wall.
c. Placing the palmar surface of the fingers of one hand against the chest and having the person
repeat the words “ninety-nine”.
d. Percussion of the posterior chest.
12. A client has increased respiratory rate, chest expansion decrease on left side, full to
percussion over the left lower lobe, breast sounds louder with fine crackles over the left
lower lobe. What are these findings are consistent with?
a. Bronchitis
b. Asthma
c. Pleural effusion
d. Lobar pneumonia
13. On examination of a client’s nails, you note an angle of the nail base to be >160 degrees
and the nail base feels spongy to palpation. What does this indicate?
a. Acute respiratory distress syndrome
b. Atelectasis
c. Congenital heart disease and COPD
d. Normal findings for the nails
14. What is the best method to auscultate breath sounds on a client?
a. Hold the bell of the stethoscope against the chest wall; listen to the entire right field and then
the entire left field.
b. Hold the diaphragm of the stethoscope against the chest wall; listen to one full respiration in
each location, being sure to do a side to side comparison.
c. Listen from the apices to the bases of each lung field using the bell of the stethoscope.
d. Select the bell or diaphragm depending on the quality of the sounds heard, listen for one
respiration in each location moving from side to side.
15. What do you ask the client to do in order to perform the technique of egophony?
a. “Take several deep breaths and then hold for 5 seconds.”
b. “Say ‘e-e-e’ each time the stethoscope is moved.”
c. “Repeat the phrase ‘ninety-nine’ each time the stethoscope is moved.
d. “Whisper ‘1-2-3’ as auscultation is performed.
16. What does pulse oximetry measure?
a. Arterial oxygen saturation of hemoglobin
b. Venous oxygen saturation of hemoglobin
c. Combined saturation of arterial and venous hemoglobin
d. Carboxyhemoglobin levels
17. What is it important to do when examining for tactile fremitus?
a. Ask the client to breathe quickly
b. Ask the client to cough
c. Palpate the chest symmetrically
d. Use the bell of the stethoscope
Match column A with Column B:
Column A: Configuration of the Thorax
Column B: Description
a. Anteroposterior = transverse diameter
18. Normal chest ___________
19. Barrel chest _______________
20. Pectus excavatum _______________
b. Exaggerated posterior curvature of thoracic
spine
c. Lateral S-shaped curvature of the thoracic
and lumbar spines
d. Sunken sternum and adjacent cartilage
21. Pectus carinatum ______________
24. Scoliosis _______________
25. Kyphosis ________________
e. Elliptic shape with an anteroposterior to
transverse diameter in the ratio of 1:2
f. Forward protrusion of the sternum with ribs
sloping back at either side
Fill in labels from your laboratory manual, pages 154-155.
From Jarvis, C. (2016) Physical Examination & Health Assessment Laboratory Manual [Bookshelf Ambassored] Retrieved from
https://ambassadored.vitalsource.comi#books/97&3232654161cfi/151!/4i4@0.00:0.00.
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