lung sounds practice questions

You are auscultating a patient's lung sounds. During your assessment, you note there is a low-pitched harsh, grating sound that sounds like a pleural friction rub. However, you're not sure if this is a pleural friction rub or pericardial friction rub. What do you do next to determine the difference? A. Have the patient cough and see if the sound clears B. Assess the posterior lower lobe only C. Have the patient hold their breath and note if the sound is still present D. Place the patient in supine position and reassess for the sound

The answer is C. A pleural friction rub can sound similar to a pericardial friction rub. If you are unsure about what you are hearing, have the patient hold their breath which will cause the lungs to stop inflating and deflating. If you still hear the sound, it is possible the patient has a pericardial friction rub rather than pleural friction rub. All the other options are incorrect.

While assessing a patient's lung sounds you note bronchial breath sounds in the peripheral lung fields. What could this finding represent? A. This is a normal finding. B. Pulmonary emboli C. Lung consolidation like with pneumonia D. Pleuritis

The answer is C. Bronhical breath sounds should only be heard in the trachael area. It is ABNORMAL to hear them in the perpherial lung fields. If this happens, it could represent lung consolidation like with pneumonia.

True or False: Low-pitched wheezes are polyphonic sounds that can be cleared when coughing. True False

The answer is FALSE. Low-pitched wheezes are MONOPHONIC (have one sound quality to them) that are not usually cleared by coughing.

On auscultation of a patient in respiratory distress, you hear a high-pitched, harsh sound that is monophonic and is present only during inspiration. This is known as: A. Stridor B. Vesicular C. Rales D. Rhonchi

a

These breath sounds are found anteriorly and posteriorly throughout the peripheral lung fields? A. High-pitched wheezes B. Vesicular C. Discontinuous D. Bronchial

b

These type of breath sounds are found at the site of the bronchi and are located anteriorly at the 1st and 2nd intercostal space & posteriorly in between the scapulae? A. Crackles B. Wheezes C. Bronchovesicular D. Vesicular

c

This lung sound is continuous, high-pitched with musical instrument sound that is polyphonic and occurs mainly during expiration but can be present with inspiration as well? A. Stridor B. Fine crackles C. High-pitched wheeze D. High-pitched crackles

c

Select all of the following that are considered discontinuous breath sounds: A. High-pitched wheeze B. Stridor C. Pleural friction rub D. Fine crackles E. Low-pitched wheeze F. Coarse Crackles

c,d,f

Bronchial breath sounds can be auscultated where? A. Peripheral lung fields B. Sternal area C. Mid-scapulae area D. Tracheal area

d

During auscultation, the anterior part of the chest mainly provides an assessment of the upper lobes of the right and left lungs, while the posterior part of the chest provides mainly provides an assessment of the lower lobes of the right and left lungs. True False

true