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NSG 3160 NCLEX Review Chapter 19

This NCLEX-style quiz covers thorax and lung assessment, including anatomical landmarks, lung lobes, and respiratory structures—key knowledge for nursing students preparing for physical exams and the NCLEX-RN.

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    NSG 3 1 6 0 NCLEX REVIEW M r . Paul Haidet (Miami Campus Content Enrichment Specialist; Thorax and Lungs (Chapter 19) NSG 3160 NCLEX Database Questions Question 1 The vertebra prominens is: J p The spinous process of 07 b. Usually nonpalpable in most individuals c. Opposite the interior border of the scapula d. Located next to the manubrium of the sternum 2

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    Question 2 A costal angle of approximately 90 degrees is: a. Observed in patients w i t h kyphosis b. Indicative of pectus excavatum normal finding in a healthy adult d. An expected finding in a patient w i t h a barrel chest Question 3 The left lung: (a) Consists of two lobes b. Is divided by the horizontal fissure c. Primarily consists of an upper lobe on the posterior chest d. Is shorter than the right lung because of the underlying stomach 4

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    Question 4 The apices of the lungs: a. Are at the level of the second rib anteriorly fr) Extend 3 t o 4 cm above the inner third of the clavicles c. Are located at the sixth rib anteriorly and the eighth rib laterally d. Rest o n the diaphragm at the fifth intercostal space in the midclavicular line (MCL) Question 5 The trachea bifurcates anteriorly at the: a. Costal angle (B) Sternal angle c. Xiphoid process d. Suprasternal notch 6

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    Question 6 The normal adult lung include the presence of: a. Adventitious sounds and limited chest expansion b. Increased tactile fremitus and dull percussion tones jc Muffled voice sounds and symmetric tactile fremitus d. Absent voice sounds and hyperresonant percussion tones Question 7 The primary muscles of respiration include the: £a) Diaphragm and intercostals b. Sternomastoid and scaleni c. Trapezii and rectus abdominis d. External obliques and pectoralis major

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    Question 8 Which action by the nurse is most appropriate for an older patient with a history of heart failure who complains of shortness of breath at night? a. Obtaining a detailed health history of the patient's allergies and a history o f asthma b. Telling the patient to sleep on his or her right side to facilitate ease of respirations jc) Assessing for other signs and symptoms of paroxysmal nocturnal dyspnea d. Assuring the patient that paroxysmal nocturnal dyspnea is normal and will probably resolve within the next week Question 9 It is normal t o feel tactile fremitus most intensely over which location? Between the scapulae b. Third intercostal space, MOL c. Fifth intercostal space, midaxi llary line (MAL) d. Over the lower lobes, posterior side 10

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