During a respiratory assessment, which of the following findings is most indicative of a pneumothorax?

Stridor on inspiration

Wheezing on expiration

Absent breath sounds on one side

Crackles on inspiration

Answer and Explanation

The Correct Answer is C

Rationale:
A. Stridor indicates upper airway obstruction, not a pneumothorax.
B. Wheezing suggests narrowed airways, commonly seen in asthma or COPD, not pneumothorax.
C. Absent breath sounds on one side are a hallmark finding of pneumothorax because air in the pleural space prevents lung expansion and sound transmission.
D. Crackles are associated with fluid in the alveoli, such as in pneumonia or heart failure, not pneumothorax.

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Correct Answer is A

Explanation

Rationale:
A. Lethargy is a common manifestation of pulmonary tuberculosis due to chronic infection and fatigue.
B. Dry cough is incorrect; TB typically presents with a productive cough, which may eventually contain blood (hemoptysis).
C. High-grade fever is uncommon; TB usually causes a low-grade fever, particularly in the afternoon or evening.
D. Weight gain is incorrect; clients with TB typically experience weight loss due to prolonged illness and decreased appetite.

A. Wheezing heard on auscultation over the affected area B. Dullness to percussion over the affected area C. increased tactile fremitus over the affected area D. Hyperresonance to percussion over the affected area

Correct Answer is B

Explanation

Rationale:
A. Wheezing is associated with airway obstruction (e.g., asthma or COPD), not pleural effusion.
B. Dullness to percussion is a classic finding in pleural effusion because fluid in the pleural space dampens the sound produced during percussion.
C. Increased tactile fremitus occurs with consolidation (e.g., pneumonia), whereas pleural effusion usually decreases fremitus due to fluid separating the lung tissue from the chest wall.
D. Hyperresonance is characteristic of conditions with excess air in the lungs, such as pneumothorax or emphysema, not pleural effusion.

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During a respiratory assessment, which of the following findings is most indicative of a pneumothorax?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has pulmonary tuberculosis. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

Which of the following findings is most commonly associated with pleural effusion during a respiratory assessment?

Correct Answer is B

Explanation

Which of the following are the most common manifestations of COPD? (Select all that apply.)

A nurse is developing a plan of care for a client who has COPD. The nurse should include which of the following interventions in the plan?

A nurse is admitting a client who is having an exacerbation of his asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications?

Which of the following patients is at the highest risk for developing pneumonia?

A nurse is assessing a patient who has been admitted with shortness of breath. Which of the following should be the nurse's priority intervention after hearing wheezing upon auscultation of the patient's lungs?

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