NR302 Final Comprehensive Exam Questions and Answers / NR 302 Final
Exam Latest Chamberlain College of Nursing |100% Correct Q & A|
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1. Actual Dx: Actual Diagnosis related to (R/T) (Related Factors) as evidenced by (AEB)
(Defining Characteristics)
2. Risk: Risk for as evidenced by (Risk Factors).
3. Readiness: Readiness for as evidenced by " " (Defining characteristics).
4. Asthma: chronic hyper-reactive condition. Obstruction. Wheezing. Dyspnea, increased RR, use of accessory
muscles, anxiety, prolonged expiration.
Palpation- decreased tactile fremitus
Percussion- resonance. Hyperresonance with chronic.
Auscultation- wheezing, decreased voice sounds. Severe; no breath sounds.
5. Atelectasis: obstruction of airflow. Increased RR, dyspnea, cyanosis, trachea shift to attected side in severe
cases.
Palpation- lack of tactile fremitus. decreased lung expansion on attected side
Percussion- dullness over attected area
Auscultate- absent or diminished but normal breath sounds bilaterally.
6. Chronic Bronchitis: inflammation of tracheobronchial tree. Early morning, congested, chronic productive
cough. White or clear sputum. Wheezes or rhonchi. Dyspnea, tachypnea, use of accessory muscles.
7. Emphysema: COPD. Obstruction of the alveoli. Tripod posture. Use of accessory muscles. Cyanosis. Clubbing
of fingers. Pursed lip breathing. SOB on exertion.
Palpation- Absent or decreased tactile fremitus. Decreased chest expansion.
Percussion- Hyper-resonance.
Auscultate- diminished but normal breath sounds bilaterally, decreased vesicular sounds, wheezing.
8. COPD: >90 costal angle. Barrel chest AP=T. “Tactile fremitus palp. Tripod posture. Use of accessory muscles.
Cyanosis. Clubbing of fingers. Pursed lip breathing. SOB on exertion.
9. Lobular Pneumonia: infection of the alveoli, Consolidation. Tachypnea, congested, hacking, productive
cough, chills, chest pain with breathing. Mucosal edema. Sputum- rust.
Palpation- increased tactile fremitus. Decreased chest expansion on attected side.
Percussion- dullness over attected area.
Auscultation- Egophony changes e to a. Clear Whispered pectoriloguy & bronchophony. Bronchial breath sounds and
crackles.
10. Pleural effusion: fluid in the pleural space. Dyspnea. Tracheal shift to unattected side.
Palpation- Absent or decreased tactile fremitus. decreased chest expansion side attected.
, NR302 Final Comprehensive Exam Questions and Answers / NR 302 Final
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Percussion- Dullness
Auscultation- unilateral lung sounds. Decreased/absent breath/voice sounds. Pleural rub.
11. Pneumothorax: air in pleural space, collapse of the lung. Tachypnea, tracheal shift to unattected side.
Palpation- Decreased Tactile fremitus. Unilateral decrease or delay in respiratory expansion.
Percussion- Hyper-resonance
Auscultation- unilateral of normal lung sounds. Decreased/absent breath/voice sounds.
12. Congestive heart failure: Increased pressure in the pulmonary veins causes interstitial edema around
the alveoli and may cause edema of the bronchial mucosa. Pulmonary congestion.
Increased respiratory rate, shortness of breath (especially on exertion), orthopnea, peripheral edema, pallor. S3.
Hypertrophy. Dry cough.
Palpation- Normal tactile fremitus. Skin cool and clammy.
Percussion- Resonance.
Auscultation-Normal breath sounds and voice sounds. Wheezes or crackles at the bases of the lungs.
13. æL ef t - sided CHF: lung symptoms. 1st Fatigue. Pink frothy sputum. Pulmonary edema. Hypoxia. SOB,
crackles/rales, cough, orthopnea, anxiety, confusion, PND. S3
14. Rt CHF: peripheral symptoms. Skin pale, gray, or cyanotic; nausea, vomiting; pitting edema, peripheral/bilateral
edema, ascites, JVD, HJR, weak pulse, cool moist skin, decreased urine output, increased B.P., weight gain, liver
congestion. Cor Pulmonale
15. Crackles/Rales: discontinuous, intermittent, non-musical, and brief. C-collapsed or fluid-filled alveoli open.
end inspiration, do not clear w cough.
16. Fine rales: soft, high pitched, and very brief.
17. Coarse rales/crackles: louder, moist, lower in pitch, longer, bubbling.
18. Wheezes (sibilant): inspiration/expiration when severe. continuous high pitched with a shrill quality. C-
blocked air flow; asthma, infection, foreign body obstruction.
19. Rhonchi (sonorous): Expiration/ inspiration. Change/disappear w cough. Continuous low pitched with a
snoring, rattling. Fluid-blocked airways.
20. Stridor: inspiration. Loud high pitched crowing heard without stethoscope. Obstructed upper airways.
21. Friction rub: inhalation/exhalation. Low pitched grating, rubbing, pleural inflammation
22. Aortic stenosis: narrowing of the aortic valve. Rheumatic heart DX, atherosclerosis, congential.
23. Mitral regurgitation: backflow of blood from lft ventricle into left atrium. Rheumatic fever, MI.
Exam Latest Chamberlain College of Nursing |100% Correct Q & A|
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1. Actual Dx: Actual Diagnosis related to (R/T) (Related Factors) as evidenced by (AEB)
(Defining Characteristics)
2. Risk: Risk for as evidenced by (Risk Factors).
3. Readiness: Readiness for as evidenced by " " (Defining characteristics).
4. Asthma: chronic hyper-reactive condition. Obstruction. Wheezing. Dyspnea, increased RR, use of accessory
muscles, anxiety, prolonged expiration.
Palpation- decreased tactile fremitus
Percussion- resonance. Hyperresonance with chronic.
Auscultation- wheezing, decreased voice sounds. Severe; no breath sounds.
5. Atelectasis: obstruction of airflow. Increased RR, dyspnea, cyanosis, trachea shift to attected side in severe
cases.
Palpation- lack of tactile fremitus. decreased lung expansion on attected side
Percussion- dullness over attected area
Auscultate- absent or diminished but normal breath sounds bilaterally.
6. Chronic Bronchitis: inflammation of tracheobronchial tree. Early morning, congested, chronic productive
cough. White or clear sputum. Wheezes or rhonchi. Dyspnea, tachypnea, use of accessory muscles.
7. Emphysema: COPD. Obstruction of the alveoli. Tripod posture. Use of accessory muscles. Cyanosis. Clubbing
of fingers. Pursed lip breathing. SOB on exertion.
Palpation- Absent or decreased tactile fremitus. Decreased chest expansion.
Percussion- Hyper-resonance.
Auscultate- diminished but normal breath sounds bilaterally, decreased vesicular sounds, wheezing.
8. COPD: >90 costal angle. Barrel chest AP=T. “Tactile fremitus palp. Tripod posture. Use of accessory muscles.
Cyanosis. Clubbing of fingers. Pursed lip breathing. SOB on exertion.
9. Lobular Pneumonia: infection of the alveoli, Consolidation. Tachypnea, congested, hacking, productive
cough, chills, chest pain with breathing. Mucosal edema. Sputum- rust.
Palpation- increased tactile fremitus. Decreased chest expansion on attected side.
Percussion- dullness over attected area.
Auscultation- Egophony changes e to a. Clear Whispered pectoriloguy & bronchophony. Bronchial breath sounds and
crackles.
10. Pleural effusion: fluid in the pleural space. Dyspnea. Tracheal shift to unattected side.
Palpation- Absent or decreased tactile fremitus. decreased chest expansion side attected.
, NR302 Final Comprehensive Exam Questions and Answers / NR 302 Final
Exam Latest Chamberlain College of Nursing |100% Correct Q & A|
Study online at https://quizlet.com/_gmxbyr
Percussion- Dullness
Auscultation- unilateral lung sounds. Decreased/absent breath/voice sounds. Pleural rub.
11. Pneumothorax: air in pleural space, collapse of the lung. Tachypnea, tracheal shift to unattected side.
Palpation- Decreased Tactile fremitus. Unilateral decrease or delay in respiratory expansion.
Percussion- Hyper-resonance
Auscultation- unilateral of normal lung sounds. Decreased/absent breath/voice sounds.
12. Congestive heart failure: Increased pressure in the pulmonary veins causes interstitial edema around
the alveoli and may cause edema of the bronchial mucosa. Pulmonary congestion.
Increased respiratory rate, shortness of breath (especially on exertion), orthopnea, peripheral edema, pallor. S3.
Hypertrophy. Dry cough.
Palpation- Normal tactile fremitus. Skin cool and clammy.
Percussion- Resonance.
Auscultation-Normal breath sounds and voice sounds. Wheezes or crackles at the bases of the lungs.
13. æL ef t - sided CHF: lung symptoms. 1st Fatigue. Pink frothy sputum. Pulmonary edema. Hypoxia. SOB,
crackles/rales, cough, orthopnea, anxiety, confusion, PND. S3
14. Rt CHF: peripheral symptoms. Skin pale, gray, or cyanotic; nausea, vomiting; pitting edema, peripheral/bilateral
edema, ascites, JVD, HJR, weak pulse, cool moist skin, decreased urine output, increased B.P., weight gain, liver
congestion. Cor Pulmonale
15. Crackles/Rales: discontinuous, intermittent, non-musical, and brief. C-collapsed or fluid-filled alveoli open.
end inspiration, do not clear w cough.
16. Fine rales: soft, high pitched, and very brief.
17. Coarse rales/crackles: louder, moist, lower in pitch, longer, bubbling.
18. Wheezes (sibilant): inspiration/expiration when severe. continuous high pitched with a shrill quality. C-
blocked air flow; asthma, infection, foreign body obstruction.
19. Rhonchi (sonorous): Expiration/ inspiration. Change/disappear w cough. Continuous low pitched with a
snoring, rattling. Fluid-blocked airways.
20. Stridor: inspiration. Loud high pitched crowing heard without stethoscope. Obstructed upper airways.
21. Friction rub: inhalation/exhalation. Low pitched grating, rubbing, pleural inflammation
22. Aortic stenosis: narrowing of the aortic valve. Rheumatic heart DX, atherosclerosis, congential.
23. Mitral regurgitation: backflow of blood from lft ventricle into left atrium. Rheumatic fever, MI.
