MARYVILLE NURS 612 EXAM 1 CORE PATIENT
INTERVIEWING AND PHYSICAL ASSESSMENT
REVIEW 2026
◉ pleural friction rub.
Answer: dry, rubbing, or grating sound; palpable, coarse, grating
vibration; usually on inspiration; caused by inflammation of the
pleural surfaces; think feel of leather rubbing on leather
◉ thoracic expansion.
Answer: stand behind patient and place thumbs along spinal process
at level of 10th rib, with palms lightly in contact with the
posterolateral surfaces; watch the thumbs during quiet and deep
breathing; loss of symmetry = problem on either 1 or both sides.
◉ crepitus.
Answer: crackly/crinkly sensation that can be palpated and heard, a
gentle bubbly feeling; indicates air in the subcutaneous tissue from a
rupture somewhere in the resp system, or infection with gas
producing organism
◉ palpating the chest and trachea.
, Answer: palpate the throracic muscles and skeleton; feeling for
pulsations, areas of tenderness, bulges, depressions, masses, and
unusual movement
◉ tactile fremitus.
Answer: palpable vibration of the chest wall that results from speech
or other verbalizations. best felt posteriorly and laterally at the level
of the bifurcation of the bronchi; have patient say "99" while you
palpate with palmer surface of fingers or ulner aspect of the hand;
use firm, light touch
◉ abnormal tactile fremitus.
Answer: decreased of absent fremitus may be caused by excess air in
lungs or may indicate emphysema, pleural thickening, or effusion,
massive pulm edema, or bronchial obstruction. Increased fremitus
often coarser or rougher in feel, caused by presence of fluids or solid
mass within the lungs.
◉ 7 characteristics of enlarged lymph nodes.
Answer: location, size and shape, consistency, mobility, discreteness,
tenderness, and warmth
◉ occipital lymph nodes.
Answer: lymph nodes at the base of the skull
INTERVIEWING AND PHYSICAL ASSESSMENT
REVIEW 2026
◉ pleural friction rub.
Answer: dry, rubbing, or grating sound; palpable, coarse, grating
vibration; usually on inspiration; caused by inflammation of the
pleural surfaces; think feel of leather rubbing on leather
◉ thoracic expansion.
Answer: stand behind patient and place thumbs along spinal process
at level of 10th rib, with palms lightly in contact with the
posterolateral surfaces; watch the thumbs during quiet and deep
breathing; loss of symmetry = problem on either 1 or both sides.
◉ crepitus.
Answer: crackly/crinkly sensation that can be palpated and heard, a
gentle bubbly feeling; indicates air in the subcutaneous tissue from a
rupture somewhere in the resp system, or infection with gas
producing organism
◉ palpating the chest and trachea.
, Answer: palpate the throracic muscles and skeleton; feeling for
pulsations, areas of tenderness, bulges, depressions, masses, and
unusual movement
◉ tactile fremitus.
Answer: palpable vibration of the chest wall that results from speech
or other verbalizations. best felt posteriorly and laterally at the level
of the bifurcation of the bronchi; have patient say "99" while you
palpate with palmer surface of fingers or ulner aspect of the hand;
use firm, light touch
◉ abnormal tactile fremitus.
Answer: decreased of absent fremitus may be caused by excess air in
lungs or may indicate emphysema, pleural thickening, or effusion,
massive pulm edema, or bronchial obstruction. Increased fremitus
often coarser or rougher in feel, caused by presence of fluids or solid
mass within the lungs.
◉ 7 characteristics of enlarged lymph nodes.
Answer: location, size and shape, consistency, mobility, discreteness,
tenderness, and warmth
◉ occipital lymph nodes.
Answer: lymph nodes at the base of the skull
