During an assessment, the nurse knows that expected assessment ...

[theo]

During an assessment, the nurse knows that expected assessment findings in the normal adult lung include the presence of:
 
  a. Adventitious sounds and limited chest expansion.
  b. Increased tactile fremitus and dull percussion tones.
  c. Muffled voice sounds and symmetric tactile fremitus.
  d. Absent voice sounds and hyperresonant percussion tones.

Question 2

During an examination of the anterior thorax, the nurse is aware that the trachea bifurcates anteriorly at the:
 
  a. Costal angle.
  b. Sternal angle.
  c. Xiphoid process.
  d. Suprasternal notch.

[shailee]

Answer to Question 1

ANS: C
Normal lung findings include symmetric chest expansion, resonant percussion tones, vesicular breath sounds over the peripheral lung fields, muffled voice sounds, and no adventitious sounds.

Answer to Question 2

ANS: B
The sternal angle marks the site of tracheal bifurcation into the right and left main bronchi; it corresponds with the upper borders of the atria of the heart, and it lies above the fourth thoracic vertebra on the back.