NU 650 Final Exam SG Questions With Complete Solutions

Order of Assessment correct answer: Inspection, Palpation, Percussion and Auscultation. EXCEPT with abdomen Comprehensive Health History correct answer: chief complaint, reason for visit, ROS, past medical and surgical history, social history and family history Pediatric Body measurements correct answer: length, height, weight, head circumference fro birth to 36 months Normal/Hypertension cut off correct answer: <130 normal 140+ hypertension Fontanel Closure correct answer: posterior 1-2 months, anterior 9mo-2years otoscope correct answer: adult-up and back, peds- down and back, using largest speculum that will fit comforably tympanic membrane correct answer: Cone of light R-5 l-7 EOM testing correct answer: CN III, IV, VI AP diameter of chest correct answer: 1:2 (AP less than transverse) barrel chest correct answer: COPD Flat or Dull percussion correct answer: effusion or pneumonia normal resonant percussion correct answer: healthy lung Hyperressonance (percussion) correct answer: trapped air crackles/rales correct answer: high pitched, discontinuous Wheezes correct answer: high-pitched whistling or squeaking sounds during inspiration or expiration Rhonchi correct answer: snoring, rumbling sounds heard upon auscultation of the chest during respiration-low pitched tactile fremitus correct 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