NU 650 FINAL EXAM UPDATED 2026
STUDY PAPER AND TEST BANK WITH
COMPLETE SOLUTIONS
⩥ Comprehensive Health History. Answer: chief complaint, reason for
visit, ROS, past medical and surgical history, social history and family
history
⩥ Pediatric Body measurements. Answer: length, height, weight, head
circumference fro birth to 36 months
⩥ Normal/Hypertension cut off. Answer: <130 normal 140+
hypertension
⩥ Fontanel Closure. Answer: posterior 1-2 months, anterior 9mo-2years
⩥ otoscope. Answer: adult-up and back, peds- down and back, using
largest speculum that will fit comforably
⩥ tympanic membrane. Answer: Cone of light R-5 l-7
⩥ EOM testing. Answer: CN III, IV, VI
,⩥ AP diameter of chest. Answer: 1:2 (AP less than transverse)
⩥ barrel chest. Answer: COPD
⩥ Flat or Dull percussion. Answer: effusion or pneumonia
⩥ normal resonant percussion. Answer: healthy lung
⩥ Hyperressonance (percussion). Answer: trapped air
⩥ crackles/rales. Answer: high pitched, discontinuous
⩥ Wheezes. Answer: high-pitched whistling or squeaking sounds during
inspiration or expiration
⩥ Rhonchi. Answer: snoring, rumbling sounds heard upon auscultation
of the chest during respiration-low pitched
⩥ tactile fremitus. Answer: • INCREASED FREMITUS
- Means there is liquid or solid inside the lungs (consolidation such as
with pneumonia)
- Remember Liquid or solid transmits vibrations better than air
,• DECREASED FREMITUS
Means air trapping such as with emphysema or bronchial obstruction.
⩥ Bronchophony. Answer: the spoken voice sound heard through the
stethoscope, which sounds soft, muffled, and indistinct over normal lung
tissue, clearer over disease
⩥ Egophony. Answer: abnormal change in tone of voice that is heard
when auscultating the lungs EE-->AA
⩥ UE Arteries. Answer: radial-thumb side, ulnar pinky side
⩥ Pulse grading. Answer: 0 absent
1+ weak
2+ normal
3+ increased
4+ bounding
palpate bilaterally
⩥ PMI. Answer: point of maximal impulse mid-clavicular and 5th ICS
⩥ S1. Answer: normal, closure of AV, Start of systole, loudest at Apex,
contraction of ventricles
, ⩥ S2. Answer: normal, closure of semilunar, end of systole, loudest at
base, filling of ventricles
⩥ S3. Answer: third heart sound (normal in pregnant young adults, and
children), gallop
⩥ S4. Answer: extra heart sound, end of diastole, indicative of disease-
AFIB
⩥ murmur grading scale. Answer: I-Barely Audible
II-Quiet, Clearly Audible
III-moderately Loud
IV-loud, thrill
V-Very loud, can palpate thrill
VI-Very loud, thrill palpable and visible
⩥ clubbing. Answer: bulbous enlargement of distal phalanges of fingers
and toes that occurs with chronic cyanotic heart and lung conditions
⩥ edema scale. Answer: 1+ = disappears rapidly. 2+ = last 10-15
seconds. 3+ = lasts more than one minute. 4+ = lasts 2-5 minutes. These
are signs used in what scale?
STUDY PAPER AND TEST BANK WITH
COMPLETE SOLUTIONS
⩥ Comprehensive Health History. Answer: chief complaint, reason for
visit, ROS, past medical and surgical history, social history and family
history
⩥ Pediatric Body measurements. Answer: length, height, weight, head
circumference fro birth to 36 months
⩥ Normal/Hypertension cut off. Answer: <130 normal 140+
hypertension
⩥ Fontanel Closure. Answer: posterior 1-2 months, anterior 9mo-2years
⩥ otoscope. Answer: adult-up and back, peds- down and back, using
largest speculum that will fit comforably
⩥ tympanic membrane. Answer: Cone of light R-5 l-7
⩥ EOM testing. Answer: CN III, IV, VI
,⩥ AP diameter of chest. Answer: 1:2 (AP less than transverse)
⩥ barrel chest. Answer: COPD
⩥ Flat or Dull percussion. Answer: effusion or pneumonia
⩥ normal resonant percussion. Answer: healthy lung
⩥ Hyperressonance (percussion). Answer: trapped air
⩥ crackles/rales. Answer: high pitched, discontinuous
⩥ Wheezes. Answer: high-pitched whistling or squeaking sounds during
inspiration or expiration
⩥ Rhonchi. Answer: snoring, rumbling sounds heard upon auscultation
of the chest during respiration-low pitched
⩥ tactile fremitus. Answer: • INCREASED FREMITUS
- Means there is liquid or solid inside the lungs (consolidation such as
with pneumonia)
- Remember Liquid or solid transmits vibrations better than air
,• DECREASED FREMITUS
Means air trapping such as with emphysema or bronchial obstruction.
⩥ Bronchophony. Answer: the spoken voice sound heard through the
stethoscope, which sounds soft, muffled, and indistinct over normal lung
tissue, clearer over disease
⩥ Egophony. Answer: abnormal change in tone of voice that is heard
when auscultating the lungs EE-->AA
⩥ UE Arteries. Answer: radial-thumb side, ulnar pinky side
⩥ Pulse grading. Answer: 0 absent
1+ weak
2+ normal
3+ increased
4+ bounding
palpate bilaterally
⩥ PMI. Answer: point of maximal impulse mid-clavicular and 5th ICS
⩥ S1. Answer: normal, closure of AV, Start of systole, loudest at Apex,
contraction of ventricles
, ⩥ S2. Answer: normal, closure of semilunar, end of systole, loudest at
base, filling of ventricles
⩥ S3. Answer: third heart sound (normal in pregnant young adults, and
children), gallop
⩥ S4. Answer: extra heart sound, end of diastole, indicative of disease-
AFIB
⩥ murmur grading scale. Answer: I-Barely Audible
II-Quiet, Clearly Audible
III-moderately Loud
IV-loud, thrill
V-Very loud, can palpate thrill
VI-Very loud, thrill palpable and visible
⩥ clubbing. Answer: bulbous enlargement of distal phalanges of fingers
and toes that occurs with chronic cyanotic heart and lung conditions
⩥ edema scale. Answer: 1+ = disappears rapidly. 2+ = last 10-15
seconds. 3+ = lasts more than one minute. 4+ = lasts 2-5 minutes. These
are signs used in what scale?
