Respiratory Physical Assessment - Exam 1

Question 1

Describe broncial breath sounds

Answer 1

Normal breath sound

Loud, harsh, high-pitched

Heard over trachea*, bronchi (between the clavicles and midsternum), and over main bronchus

Question 2

Describe bronchovesicular breath sounds

Answer 2

Normal heart sound

Blowing sounds, moderate intesity and pitch

Heard over main bronchi*, over large airways on either side of the sternum, at the angle of Louis, and between the scapulae

Question 3

Vesicular Breath Sounds

Answer 3

Normal Breath Sound

soft, breezy quality, low-pitched

Heard over lesser bronchi, brochioles, and lobes (heard best at base of lungs)

Question 4

Normal Respiratory Assessment

Answer 4

Pink color, even and relaxed intercostal spaces, equal chest symmetry, less than 90 degrees down rib slope, even 12-20 per minute unlabored resp. patterns (rate, rhythm, depth), 1:2 ratio anterior-posterior to lateral diameter, sternum is level with ribs, trachea is midline, chest expands 3 inches with deep inspiration

No pain or tenderness, symmetrical thoracic expansion, excursion (placing thumbs on either side of spine over lower rib cage, should move approx. 1 inch)

no crackles, wheezing, rhonchi