Skip Navigation LinksHome > January 2014 - Volume 44 - Issue 1 > Chest X-ray interpretation: Not just black and white
Nursing:
doi: 10.1097/01.NURSE.0000441900.80913.f5
CE Connection

Chest X-ray interpretation: Not just black and white

Free Access
Article Outline
Collapse Box

Author Information

For more than 10 additional continuing education articles related to diagnostic tools, go to NursingCenter.com/CE.

Earn CE credit online: Go to http://www.nursingcenter.com/CE/nursing and receive a certificate within minutes.

Back to Top | Article Outline

INSTRUCTIONS Chest X-ray interpretation: Not just black and white

TEST INSTRUCTIONS

* To take the test online, go to our secure website at http://www.nursingcenter.com/ce/nursing.

* On the print form, record your answers in the test answer section of the CE enrollment form on page 48. Each question has only one correct answer. You may make copies of these forms.

* Complete the registration information and course evaluation. Mail the completed form and registration fee of $21.95 to: Lippincott Williams & Wilkins, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.

* You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.

* Registration deadline is January 31, 2016.

Back to Top | Article Outline
DISCOUNTS and CUSTOMER SERVICE

* Send two or more tests in any nursing journal published by Lippincott Williams & Wilkins together by mail, and deduct $0.95 from the price of each test.

* We also offer CE accounts for hospitals and other healthcare facilities on nursingcenter.com. Call 1-800-787-8985 for details.

Back to Top | Article Outline
PROVIDER ACCREDITATION

Lippincott Williams & Wilkins, publisher of Nursing2014 journal, will award 2.3 contact hours for this continuing nursing education activity.

Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #50-1223. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.3 contact hours.

Your certificate is valid in all states.

The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product.

Chest X-ray interpretation: Not just black and white

GENERAL PURPOSE: To help nurses recognize both normal anatomy and life-threatening abnormalities on a chest X-ray (CXR). LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to: 1. Identify normal findings on a CXR. 2. Discuss CXR findings that indicate pathology.

1. Which statement is true regarding CXR views?

a. Portable CXRs provide posteroanterior (PA) views.

b. For PA views, the X-ray beam passes from the front to the back of the chest.

c. Patients must stand for anteroposterior (AP) views.

d. In the AP view, the heart is magnified.

2. On maximum inspiration, the diaphragm should be seen at the segment of the

a. 6th rib anteriorly.

b. 8th rib posteriorly.

c. 10th rib anteriorly.

d. 12th rib posteriorly.

3. The most common location of pleural effusions on erect CXRs is the

a. right middle lobe.

b. lung apices.

c. lung bases.

d. mediastinum.

4. Which of the following shows up as a radiolucent area on a CXR?

a. trachea

b. fat pads

c. ECG electrodes

d. heart

5. When a CXR has good penetration, the

a. left hemidiaphragm is usually higher than the right.

b. lower thoracic vertebral bodies can be seen through the heart.

c. diaphragm will appear black.

d. breasts will appear white.

6. Posterior structures on a CXR include

a. bilateral upper lung lobes.

b. the right and left heart borders.

c. the right lung's middle lobe.

d. the descending aorta.

7. A deviated trachea on CXR may indicate any of the following except

a. improper patient positioning.

b. thyroid enlargement.

c. pneumonia.

d. tension pneumothorax.

8. An endotracheal tube is placed correctly when the tip is

a. 1 to 2 cm in the right bronchus.

b. 1 to 2 cm above the carina.

c. 3 to 5 cm above the carina.

d. 3 to 5 cm in the left bronchus.

9. Widened intercostal spaces may be associated with

a. pneumothorax.

b. hyperinflation of the lungs.

c. cardiomegaly.

d. acute respiratory distress syndrome.

10. An enlarged mediastinum may indicate

a. an aortic aneurysm.

b. pneumonia.

c. tuberculosis.

d. pulmonary edema.

11. A flattened diaphragm is often seen in patients who have

a. a pleural effusion.

b. abdominal distension.

c. phrenic nerve compression.

d. COPD.

12. The tip of a temporary transvenous pacemaker's lead should be in the

a. proximal left pulmonary artery.

b. superior vena cava.

c. right ventricular apex.

d. right atrium.

13. When the silhouette sign is seen in the anterior thoracic structures, pneumonia is found in

a. an upper lung lobe.

b. the left lower lung lobe.

c. the right middle lung lobe.

d. the right lower lung lobe.

14. Which statement is correct about atelectasis on CXR?

a. Lung volume is reduced.

b. Diaphragmatic depression is present.

c. Alveoli are hyperinflated.

d. Lower lobe density is decreased.

15. All of the following may indicate pulmonary edema on CXR except

a. a butterfly pattern.

b. an air bronchogram sign.

c. a ground-glass appearance.

d. Kerley B lines.

16. The lobe most likely to become atelectatic is the

a. right upper lobe.

b. left lower lobe.

c. right middle lobe.

d. left upper lobe.

17. Findings on CXR that may indicate calcifications include lesions with

a. speculated edges.

b. the same density as water.

c. lobulated edges.

d. the same density as bone.

18. Cavitation of the lung on CXR is seen with

a. an abscess.

b. bullae.

c. tuberculosis.

d. blebs.

Figure. No caption a...
Image Tools

© 2014 by Wolters Kluwer Health | Lippincott Williams & Wilkins.

Login