MARYVILLE NURS 612 EXAM 2 EXAMPREP
TESTED QUESTIONS AND DETAILED
SOLUTIONS
◉ What causes decreased tactile fremitus?
Answer: COPD, pleural effusion, pneumothorax, tumor, or obesity.
◉ How should chest percussion be performed?
Answer: Percuss side-to-side, comparing symmetric intercostal
spaces from apices to bases.
◉ What percussion note is expected over healthy lung tissue?
Answer: Resonance.
◉ What does dullness to percussion indicate?
Answer: Consolidation, atelectasis, pleural effusion, or tumor.
◉ What does hyperresonance indicate?
Answer: Air trapping as seen in COPD or pneumothorax.
◉ Normal diaphragmatic excursion
,Answer: 3-5 cm and symmetric bilaterally.
◉ What does decreased diaphragmatic excursion suggest?
Answer: Pleural effusion, diaphragmatic paralysis, or hyperinflated
lungs.
◉ Where are vesicular breath sounds heard?
Answer: Over most peripheral lung fields.
◉ Describe vesicular breath sounds
Answer: Soft, low-pitched; inspiration is longer than expiration.
◉ Where are bronchovesicular breath sounds heard?
Answer: 1st and 2nd intercostal spaces anteriorly and between the
scapulae posteriorly.
◉ Describe bronchovesicular breath sounds
Answer: Medium pitch and intensity; inspiration equals expiration.
◉ Where are bronchial breath sounds heard?
Answer: Over the manubrium/trachea.
, ◉ Describe bronchial breath sounds
Answer: Loud, high-pitched; expiration is longer than inspiration.
◉ Describe crackles (rales)
Answer: Discontinuous popping sounds caused by fluid or collapsed
alveoli reopening.
◉ Conditions associated with crackles
Answer: Heart failure, pneumonia, pulmonary fibrosis, pulmonary
edema.
◉ Describe wheezes
Answer: High-pitched musical sounds caused by narrowed airways.
◉ Conditions associated with wheezes
Answer: Asthma, COPD, bronchospasm.
◉ Describe rhonchi
Answer: Low-pitched snoring sounds caused by secretions in large
airways; may clear with coughing.
◉ What is bronchophony?
TESTED QUESTIONS AND DETAILED
SOLUTIONS
◉ What causes decreased tactile fremitus?
Answer: COPD, pleural effusion, pneumothorax, tumor, or obesity.
◉ How should chest percussion be performed?
Answer: Percuss side-to-side, comparing symmetric intercostal
spaces from apices to bases.
◉ What percussion note is expected over healthy lung tissue?
Answer: Resonance.
◉ What does dullness to percussion indicate?
Answer: Consolidation, atelectasis, pleural effusion, or tumor.
◉ What does hyperresonance indicate?
Answer: Air trapping as seen in COPD or pneumothorax.
◉ Normal diaphragmatic excursion
,Answer: 3-5 cm and symmetric bilaterally.
◉ What does decreased diaphragmatic excursion suggest?
Answer: Pleural effusion, diaphragmatic paralysis, or hyperinflated
lungs.
◉ Where are vesicular breath sounds heard?
Answer: Over most peripheral lung fields.
◉ Describe vesicular breath sounds
Answer: Soft, low-pitched; inspiration is longer than expiration.
◉ Where are bronchovesicular breath sounds heard?
Answer: 1st and 2nd intercostal spaces anteriorly and between the
scapulae posteriorly.
◉ Describe bronchovesicular breath sounds
Answer: Medium pitch and intensity; inspiration equals expiration.
◉ Where are bronchial breath sounds heard?
Answer: Over the manubrium/trachea.
, ◉ Describe bronchial breath sounds
Answer: Loud, high-pitched; expiration is longer than inspiration.
◉ Describe crackles (rales)
Answer: Discontinuous popping sounds caused by fluid or collapsed
alveoli reopening.
◉ Conditions associated with crackles
Answer: Heart failure, pneumonia, pulmonary fibrosis, pulmonary
edema.
◉ Describe wheezes
Answer: High-pitched musical sounds caused by narrowed airways.
◉ Conditions associated with wheezes
Answer: Asthma, COPD, bronchospasm.
◉ Describe rhonchi
Answer: Low-pitched snoring sounds caused by secretions in large
airways; may clear with coughing.
◉ What is bronchophony?
