NU 650 Final Exam SG Questions & Answers Already Passed!!

Order of Assessment - Answer-Inspection, Palpation, Percussion and Auscultation. EXCEPT with abdomen Comprehensive Health History - Answer-chief complaint, reason for visit, ROS, past medical and surgical history, social history and family history Pediatric Body measurements - Answer-length, height, weight, head circumference fro birth to 36 months Normal/Hypertension cut off - Answer-130 normal 140+ hypertension Fontanel Closure - Answer-posterior 1-2 months, anterior 9mo-2years otoscope - Answer-adult-up and back, peds- down and back, using largest speculum that will fit comforably tympanic membrane - Answer-Cone of light R-5 l-7 EOM testing - Answer-CN III, IV, VI AP diameter of chest - Answer-1:2 (AP less than transverse) barrel chest - Answer-COPD Flat or Dull percussion - Answer-effusion or pneumonia normal resonant percussion - Answer-healthy lung Hyperressonance (percussion) - Answer-trapped aircrackles/rales - Answer-high pitched, discontinuous Wheezes - Answer-high-pitched whistling or squeaking sounds during inspiration or expiration Rhonchi - Answer-snoring, rumbling sounds heard upon auscultation of the chest during respiration-low pitched tactile fremitus - 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 • DECREASED FREMITUS Means air trapping such as with emphysema or bronchial obstruction. Bronchophony - Answer-the spoken voice sound heard through the stethoscope, which sounds soft, muffled, and indistinct over normal lung tissue, clearer over disease Egophony - Answer-abnormal change in tone of voice that is heard when auscultating the lungs EE--AA UE Arteries - Answer-radial-thumb side, ulnar pinky side Pulse grading - Answer-0 absent 1+ weak 2+ normal 3+ increased 4+ bounding palpate bilaterallyPMI - Answer-point of maximal impulse mid-clavicular and 5th ICS S1 - Answer-normal, closure of AV, Start of systole, loudest at Apex, contraction of ventricles S2 - Answer-normal, closure of semilunar, end of systole, loudest at base, filling of ventricles