Objective Respiratory Assessment

Question 1

A patient is presenting active contraction of the abdominal and internal intercostal muscles during a specific phase of respiration. What is the definition for this sign?

Answer 1

Active expiration

Question 2

5 points on the assessment of cough

Answer 2

Strength: Strong, Fair, Weak
Dry or moist
Effective, non-effective
Productive, no-productive
Tight or barking

Question 3

x = ?

A capillary refill time above X seconds may be a sign of dehydration and decreased peripheral perfusion

Answer 3

2 seconds

Question 4

What are you expecting to hear during the auscultation of a pneumothorax?

Answer 4

Nothing - Absent Breath Sounds

Question 5

What are Kussmaul respirations?

Answer 5

Increased RR, depth and irregular rhythm. Observed in diabetic patients.

Question 6

What could cause a central, retrosternal pain with or without radiation to the jaw or upper extremities frequently on left.

Answer 6

Ischemic Heart Disease

Question 7

What is dyspnoea?

Answer 7

Is the subjective sensation of difficulty breathing

Question 8

What means the ABCDE respiratory assessment means?

Answer 8

Airway
Breathing
Circulation
Disability
Exposure

Question 9

What do you auscultate on the 2nd intercostal space at the Left Sternal border?

Answer 9

Aortic arc

Question 10

Define Percussion Note

Answer 10

a method of tapping over the surface of the chest to determine the nature of the underlying structures.

Question 11

Normal adult heart rate

Answer 11

60- 100 bpm

Question 12

What would you do if your patient becomes SOB during Auscultation?

Answer 12

STOP AUSCULTATION - POSITION THE PATIENT - COMMENCE RELAXED DEEP BREATHING

Question 13

What does the crackles sound means?

Answer 13

These sounds are often associated with lung inflammation or infection.

Question 14

Waist circumferences is associated with risk for…

Answer 14

DMII
Dyslipidemia
Hypertension
Cardiovascular

Question 15

I:E ratio is 1:2

How would you define this ratio?

Answer 15

Normal breathing

Question 16

Auscultation of superior lobe

Answer 16

First intercostal space

Question 17

Normal values of blood saturation?

Answer 17

95-100%

Question 18

What is orthopnea?

Answer 18

When a patient is unable to breath comfortably lying flat

Question 19

Purulent rusty sputum is more likely to be an infection caused by

Answer 19

Pneumococcus, Mycoplasma

Question 20

What is eupnea?

Answer 20

Normal breathing between 12-20 breaths/minute

Question 21

What is the value of X?
With a nasal cannula, we assume that the fraction of oxygen that is inspired (above the normal atmospheric level or 21%) increases by X% for every additional litre of oxygen flow administered.

Answer 21

4%

Question 22

What is tachypnea?

Answer 22

Respiratory rate that is greater than the normal for age. >20 breaths/minute in adults

Question 23

How much FiO2 I am giving to a patient through a nasal cannula with a flow rate of 2 litres/min.

Answer 23

29%

Question 24

I:E ratio of 1:3 or 1:4 it is likely to be seen on which disease?

Answer 24

COPD

Question 25

Auscultation location of the right and left anterior upper lobe

Answer 25

Mid clavicular line, between clavicle and 4th intercostal space

Question 26

What is apnea?

Answer 26

Is the absence of breathing.

Question 27

Normal body mass index BMI?

Answer 27

20-25 kgs/m2

Question 28

What is bradypnea?

Answer 28

Respiratory rate that is lower than normal for age. <12 breaths/ min in adults

Question 29

Purulent redcurrant jelly sputum is more likely to be an infection caused by

Answer 29

Klebsiella

Question 30

How much is the FiO2 inside a room?

Answer 30

21%

Question 31

Auscultation of middle lobe

Answer 31

Third intercostal space

Question 32

When do you hear the stridor sound?

Answer 32

When there is obstruction of the upper airway

Question 33

What is tachypnoea?

Answer 33

An increase if respiratory rate (RR) above 20 breaths per minute.

Question 34

When do you hear the gurgling sound?

Answer 34

When there is fluid in the upper airway

Question 35

Purulent yellow sputum is more likely to be an infectious caused by

Answer 35

Haemophilus

Question 36

What is the Cheyne-Stokes patern?

Answer 36

Cheyne-Stokes respiration is characterized by alternating apnea and hyperventilation during sleep

Question 37

What is the best position for CHF or other cardiac conditions?

Answer 37

SEMI FOWLER’S

Question 38

What does the rhonchi sound mean?

Answer 38

Means that there are secretions in the larger airways

Question 39

``` What sound we should expect to be present on these 4 conditions? → atelectasis → pleural effusion → pulmonary edema → pulmonary fibrosis ```

Answer 39

Crackles

Question 40

What is considered a high waist circumference in women?

Answer 40

Above 35

Question 41

The 5 primary vital signs are:

Answer 41

* Pulse Rate (Heart Rate) * Respiratory Rate (Breathing Rate) * Oxygen Saturation * Blood Pressure * Body Temperature

Question 42

Purulent dark green/brown sputum is more likely to be an infection caused by

Answer 42

Pseudomonas

Question 43

What is considered a high waist circumference in men?

Answer 43

Above 40

Question 44

What are the four stages of blood pressure? BP

Answer 44

Normal -120mm Hg Elevated 120-129 mm Hg Stage 1 130=139 mm HG Stage 2 140 mm Hg

Question 45

How much FiO2 I am giving to a patient through a venturi mask with a flow rate of 4 litres/min.

Answer 45

24-28% FiO2

Question 46

What is the Cheyne-Stokes patern?

Answer 46

Is a pattern of crescendo-decrescendo respirations followed by a period of apnea. Is the result of disordered central control of breathing

Question 47

Components of breathing assessment (3)

Answer 47

Chest shape Chest and abdominal movement (pattern) Effort (Inspiration or expiration)

Question 48

Define Fremitus

Answer 48

A vibration felt on the body during palpation.

Question 49

Normal infant heart rate

Answer 49

100-130 bpm

Question 50

Normal child heart rate

Answer 50

80-100 bpm

Question 51

A 63-year-old male patient was just admitted to the ICU. While auscultating his lungs, you hear bronchial breath sounds over the right lower lobe. This would indicate which of the following? A. Pneumothorax B. Normal lungs C. Pleural effusion in the patient’s right lower lobe D. Consolidation in the patient’s right lower lobe

Answer 51

Correct Answer: D: Consolidation in the patient’s right lower lobe

Question 52

Respiratory infection caused by harmful microorganisms and is characterized by a productive cough, often with greenish or yellowish secretions.

Answer 52

Pneumonia

Question 53

When do you hear the wheezing sound?

Answer 53

When there is obstruction of the lower airways

Question 54

How much FiO2 I am giving to a patient through a nasal cannula with a flow rate of 4 litres/min.

Answer 54

37%