INSTRUCTIONS Chest X-ray interpretation: Not just black and white
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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.
- Which statement is true regarding CXR views?
- Portable CXRs provide posteroanterior (PA) views.
- For PA views, the X-ray beam passes from the front to the back of the chest.
- Patients must stand for anteroposterior (AP) views.
- In the AP view, the heart is magnified.
- On maximum inspiration, the diaphragm should be seen at the segment of the
- 6th rib anteriorly.
- 8th rib posteriorly.
- 10th rib anteriorly.
- 12th rib posteriorly.
- The most common location of pleural effusions on erect CXRs is the
- right middle lobe.
- lung apices.
- lung bases.
- Which of the following shows up as a radiolucent area on a CXR?
- fat pads
- ECG electrodes
- When a CXR has good penetration, the
- left hemidiaphragm is usually higher than the right.
- lower thoracic vertebral bodies can be seen through the heart.
- diaphragm will appear black.
- breasts will appear white.
- Posterior structures on a CXR include
- bilateral upper lung lobes.
- the right and left heart borders.
- the right lung's middle lobe.
- the descending aorta.
- A deviated trachea on CXR may indicate any of the following except
- improper patient positioning.
- thyroid enlargement.
- tension pneumothorax.
- An endotracheal tube is placed correctly when the tip is
- 1 to 2 cm in the right bronchus.
- 1 to 2 cm above the carina.
- 3 to 5 cm above the carina.
- 3 to 5 cm in the left bronchus.
- Widened intercostal spaces may be associated with
- hyperinflation of the lungs.
- acute respiratory distress syndrome.
- An enlarged mediastinum may indicate
- an aortic aneurysm.
- pulmonary edema.
- A flattened diaphragm is often seen in patients who have
- a pleural effusion.
- abdominal distension.
- phrenic nerve compression.
- The tip of a temporary transvenous pacemaker's lead should be in the
- proximal left pulmonary artery.
- superior vena cava.
- right ventricular apex.
- right atrium.
- When the silhouette sign is seen in the anterior thoracic structures, pneumonia is found in
- an upper lung lobe.
- the left lower lung lobe.
- the right middle lung lobe.
- the right lower lung lobe.
- Which statement is correct about atelectasis on CXR?
- Lung volume is reduced.
- Diaphragmatic depression is present.
- Alveoli are hyperinflated.
- Lower lobe density is decreased.
- All of the following may indicate pulmonary edema on CXR except
- a butterfly pattern.
- an air bronchogram sign.
- a ground-glass appearance.
- Kerley B lines.
- The lobe most likely to become atelectatic is the
- right upper lobe.
- left lower lobe.
- right middle lobe.
- left upper lobe.
- Findings on CXR that may indicate calcifications include lesions with
- speculated edges.
- the same density as water.
- lobulated edges.
- the same density as bone.
- Cavitation of the lung on CXR is seen with
- an abscess.