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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.

Alice Edwards
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NSG 3 1 6 0 NCLEX REVIEWM r . Paul Haidet (Miami Campus Content Enrichment Specialist;Thorax and Lungs (Chapter 19)NSG 3160 NCLEX Database QuestionsQuestion 1The vertebra prominens is:J p The spinous process of 07b. Usually nonpalpable in most individualsc. Opposite the interior border of the scapulad. Located next to the manubrium of the sternum2

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Question 2A costal angle of approximately 90 degrees is:a. Observed in patients w i t h kyphosisb. Indicative of pectus excavatumnormal finding in a healthy adultd. An expected finding in a patient w i t h a barrel chestQuestion 3The left lung:(a) Consists of two lobesb. Is divided by the horizontal fissurec. Primarily consists of an upper lobe on the posteriorchestd. Is shorter than the right lung because of theunderlying stomach4

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Question 4The apices of the lungs:a. Are at the level of the second rib anteriorlyfr) Extend 3 t o 4 cm above the inner third of the claviclesc. Are located at the sixth rib anteriorly and the eighthrib laterallyd. Rest o n the diaphragm at the fifth intercostal space inthe midclavicular line (MCL)Question 5The trachea bifurcates anteriorly at the:a. Costal angle(B) Sternal anglec. Xiphoid processd. Suprasternal notch6

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Question 6The normal adult lung include the presence of:a. Adventitious sounds and limited chest expansionb. Increased tactile fremitus and dull percussion tonesjc Muffled voice sounds and symmetric tactile fremitusd. Absent voice sounds and hyperresonant percussiontonesQuestion 7The primary muscles of respiration include the:£a)Diaphragm and intercostalsb. Sternomastoid and scalenic. Trapezii and rectus abdominisd. External obliques and pectoralis major

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Question 8Which action by the nurse is most appropriate for an older patientwith a history of heart failure who complains of shortness ofbreath at night?a. Obtaining a detailed health history of the patient's allergies anda history o f asthmab. Telling the patient to sleep on his or her right side to facilitateease of respirationsjc)Assessing for other signs and symptoms of paroxysmalnocturnal dyspnead. Assuring the patient that paroxysmal nocturnal dyspnea isnormal and will probably resolve within the next weekQuestion 9It is normal t o feel tactile fremitus most intensely overwhich location?Between the scapulaeb. Third intercostal space, MOLc. Fifth intercostal space, midaxillary line (MAL)d. Over the lower lobes, posterior side10
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Subject
National Council Licensure Examination

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