NRl 324/l NR324l Examl 1:l Adultl Healthl Il
Guidel (Latestl 2026/l 2027l Update)l |l Qsl
&l As|l Gradel A|l 100%l Correctl (Verifiedl
Answers)-l Chamberlain
QUESTION
Normall seruml electrolytel valuesl forl Sodium-Potassium-Calcium-Magnesium
Answer:
Na+l 135-145l mEq/L
K+l 3.5-5.0l mEq/L
Ca+l 8.6-10.2l mg/dL
Mg2l 1.5-2.5l mEq/L
QUESTION
resonant
Answer:
normall percussionl soundl overl lungs
QUESTION
Finel crackles
Answer:
seriesl ofl short-duration,l discontinuous,l high-pitchedl soundsl heardl justl beforel thel endl ofl
inspiration
(similarl soundl madel byl rollingl hairl betweenl fingersl behindl ear)
QUESTION
Coursel crackles
Answer:
,al seriesl ofl long-duration,l discontinuous,l low-pitchedl soundsl causedl byl airl passingl
throughl airwayl intermittentlyl occludedl byl mucus,l unstablel bronchiall wall,l orl foldl ofl
mucosa
-evidentl onl inspirationl andl atl timesl expiration
(similarl soundl tol blowingl throughl strawl underl water)
QUESTION
Whatl isl thel differencel betweenl cracklesl andl rhonchi?
Answer:
Cracklesl isl airl throughl fluidl (basel ofl lungs)
Rhonchil isl airl throughl mucusl (upperl airway)
QUESTION
Wheezes
Answer:
continuousl high-pitchedl squeakingl orl musicall soundsl causedl byl rapidl vibrationl ofl
bronchiall walls
-firstl evidentl onl expirationl butl possiblyl evidentl onl inspirationl asl obstructionl ofl airwayl
increases
QUESTION
Stridor
Answer:
al continuousl musicall orl crowingl soundl ofl constantl pitch.l Resultl ofl partiall obstructionl
ofl larynxl orl trachea
QUESTION
Pleurall frictionl rub
Answer:
al creakingl orl gratingl soundl froml roughened,l inflamedl pleurall surfacesl rubbingl together
-Evidentl duringl inspiration,l expiration,l orl bothl andl nol changel withl coughing
-Oftenl uncomfortable,l especiallyl onl deepl inspiration
QUESTION
,Egophony
Answer:
•positivel (abnormal)l whenl thel personl saysl "E"l butl itl isl heardl asl "A."
QUESTION
Bronchophony
Answer:
isl positivel (abnormal)l whenl al personl repeatsl "boy-oh-boy"l andl thel wordsl arel easilyl
understoodl andl arel clearl andl loud
QUESTION
whisperedl pectoriloquy
Answer:
isl positivel (abnormal)l whenl thel patientl whispersl "one-two-three"l andl thel almostl
inaudiblel voicel isl transmittedl quitel clearlyl andl distinctly
QUESTION
bronchoscopy
Answer:
Flexiblel fiberopticl scopel isl usedl forl diagnosis,l biopsy,l specimenl collection,l orl
assessmentl ofl changes.l Itl mayl alsol bel donel tol suctionl mucousl plugs,l lavagel lungs,l orl
removel foreignl objects.
-visualizesl thel bronchi
QUESTION
Howl isl al bronchoscopyl performed?
Answer:
bel performedl inl anl outpatientl procedurel room,l inl al surgicall suite,l orl atl thel bedsidel inl
thel ICUl orl onl al medical-surgicall unit,l withl thel patientl lyingl downl orl seated.
-insertedl throughl nosel orl mouthl
-l coatedl withl waterl solublel lubricant
QUESTION
, Canl al bronchoscopyl bel performedl onl Ptsl whol arel receivingl mechanicall ventilation
Answer:
Yes,l throughl thel endotracheall tube
QUESTION
Nursingl Responsibilitiesl forl bronchoscopy
Answer:
Before:l Obtainl signedl consent.l Instructl patientl tol bel NPOl forl 6-12l hrl beforel thel test.l
Givel sedativel (asl ordered).
After:l Keepl patientl NPOl untill gagl reflexl returns.l Monitorl forl recoveryl froml sedation.l
Blood-tingedl mucusl isl notl abnormal.l Ifl biopsyl wasl done,l monitorl forl hemorrhagel andl
pneumothorax.
QUESTION
Thel nursel isl preparingl thel patientl forl al diagnosticl procedurel tol removel pleurall fluidl
forl analysis.l Thel nursel wouldl preparel thel patientl forl whichl test?
a.l Thoracentesis
b.l Bronchoscopy
c.l Pulmonaryl angiography
d.l Sputuml culturel andl sensitivity
Answer:
a.l Thoracentesis
QUESTION
Thoracentesis
Answer:
Usedl tol obtainl specimenl ofl pleurall fluidl forl diagnosis,l removel pleurall fluid,l orl instilll
medication.l Chestl x-rayl isl alwaysl obtainedl afterl procedurel tol checkl forl pneumothorax.
QUESTION
Nursingl Responsibilitiesl forl thoracentesis
Answer:
Before:l Explainl procedurel tol patientl andl obtainl signedl consentl beforel procedure.
Guidel (Latestl 2026/l 2027l Update)l |l Qsl
&l As|l Gradel A|l 100%l Correctl (Verifiedl
Answers)-l Chamberlain
QUESTION
Normall seruml electrolytel valuesl forl Sodium-Potassium-Calcium-Magnesium
Answer:
Na+l 135-145l mEq/L
K+l 3.5-5.0l mEq/L
Ca+l 8.6-10.2l mg/dL
Mg2l 1.5-2.5l mEq/L
QUESTION
resonant
Answer:
normall percussionl soundl overl lungs
QUESTION
Finel crackles
Answer:
seriesl ofl short-duration,l discontinuous,l high-pitchedl soundsl heardl justl beforel thel endl ofl
inspiration
(similarl soundl madel byl rollingl hairl betweenl fingersl behindl ear)
QUESTION
Coursel crackles
Answer:
,al seriesl ofl long-duration,l discontinuous,l low-pitchedl soundsl causedl byl airl passingl
throughl airwayl intermittentlyl occludedl byl mucus,l unstablel bronchiall wall,l orl foldl ofl
mucosa
-evidentl onl inspirationl andl atl timesl expiration
(similarl soundl tol blowingl throughl strawl underl water)
QUESTION
Whatl isl thel differencel betweenl cracklesl andl rhonchi?
Answer:
Cracklesl isl airl throughl fluidl (basel ofl lungs)
Rhonchil isl airl throughl mucusl (upperl airway)
QUESTION
Wheezes
Answer:
continuousl high-pitchedl squeakingl orl musicall soundsl causedl byl rapidl vibrationl ofl
bronchiall walls
-firstl evidentl onl expirationl butl possiblyl evidentl onl inspirationl asl obstructionl ofl airwayl
increases
QUESTION
Stridor
Answer:
al continuousl musicall orl crowingl soundl ofl constantl pitch.l Resultl ofl partiall obstructionl
ofl larynxl orl trachea
QUESTION
Pleurall frictionl rub
Answer:
al creakingl orl gratingl soundl froml roughened,l inflamedl pleurall surfacesl rubbingl together
-Evidentl duringl inspiration,l expiration,l orl bothl andl nol changel withl coughing
-Oftenl uncomfortable,l especiallyl onl deepl inspiration
QUESTION
,Egophony
Answer:
•positivel (abnormal)l whenl thel personl saysl "E"l butl itl isl heardl asl "A."
QUESTION
Bronchophony
Answer:
isl positivel (abnormal)l whenl al personl repeatsl "boy-oh-boy"l andl thel wordsl arel easilyl
understoodl andl arel clearl andl loud
QUESTION
whisperedl pectoriloquy
Answer:
isl positivel (abnormal)l whenl thel patientl whispersl "one-two-three"l andl thel almostl
inaudiblel voicel isl transmittedl quitel clearlyl andl distinctly
QUESTION
bronchoscopy
Answer:
Flexiblel fiberopticl scopel isl usedl forl diagnosis,l biopsy,l specimenl collection,l orl
assessmentl ofl changes.l Itl mayl alsol bel donel tol suctionl mucousl plugs,l lavagel lungs,l orl
removel foreignl objects.
-visualizesl thel bronchi
QUESTION
Howl isl al bronchoscopyl performed?
Answer:
bel performedl inl anl outpatientl procedurel room,l inl al surgicall suite,l orl atl thel bedsidel inl
thel ICUl orl onl al medical-surgicall unit,l withl thel patientl lyingl downl orl seated.
-insertedl throughl nosel orl mouthl
-l coatedl withl waterl solublel lubricant
QUESTION
, Canl al bronchoscopyl bel performedl onl Ptsl whol arel receivingl mechanicall ventilation
Answer:
Yes,l throughl thel endotracheall tube
QUESTION
Nursingl Responsibilitiesl forl bronchoscopy
Answer:
Before:l Obtainl signedl consent.l Instructl patientl tol bel NPOl forl 6-12l hrl beforel thel test.l
Givel sedativel (asl ordered).
After:l Keepl patientl NPOl untill gagl reflexl returns.l Monitorl forl recoveryl froml sedation.l
Blood-tingedl mucusl isl notl abnormal.l Ifl biopsyl wasl done,l monitorl forl hemorrhagel andl
pneumothorax.
QUESTION
Thel nursel isl preparingl thel patientl forl al diagnosticl procedurel tol removel pleurall fluidl
forl analysis.l Thel nursel wouldl preparel thel patientl forl whichl test?
a.l Thoracentesis
b.l Bronchoscopy
c.l Pulmonaryl angiography
d.l Sputuml culturel andl sensitivity
Answer:
a.l Thoracentesis
QUESTION
Thoracentesis
Answer:
Usedl tol obtainl specimenl ofl pleurall fluidl forl diagnosis,l removel pleurall fluid,l orl instilll
medication.l Chestl x-rayl isl alwaysl obtainedl afterl procedurel tol checkl forl pneumothorax.
QUESTION
Nursingl Responsibilitiesl forl thoracentesis
Answer:
Before:l Explainl procedurel tol patientl andl obtainl signedl consentl beforel procedure.
