©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
AHN 568 Module 1 Study Guide Solutions
Normal respiratory assessment findings - ANSWER✔✔-percussion: resonant
trachea: midline
BS: vesicular. bronchovesicular and bonchial over large bronchi and trachea.
normal tactile fremitus and transmitted voice sounds
Left sided HF respiratory assessment findings - ANSWER✔✔-percussion: resonant
trachea: midline
BS: vesicular
adventitious: late inspiratory crackles in dependent part of lunch; possible wheeze
normal voice sounds and tactile fremitus.
chronic bronchitis - ANSWER✔✔-percussion: resonant
trachea: midline
BS: vesicular
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, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
extra BS: scattered coarse crackles in early inspiration and expiration; wheeze, rhonchi
Lobar Pneumonia (consolidation) assessment findings - ANSWER✔✔-percussion: dull over airless area
midline trachea
BS: bronchial over the involved area
extra BS: late inspiratory crackles over area
increased tactile fremitus. egophony, bronchophony, whispered pectoriloquy.
Partial Lobar Obstruction (atelectasis) - ANSWER✔✔-percussion: dull over airless area
trachea shifts TOWARD involved side
Absent breath sounds with bonchial plug except when its a right upper lobe atelectasis with adjacent
tracheal breath sounds transmitted.
no adventitious sounds.
tactile fremitis is absent if bronchial plus, but tactile fremitus and voice sounds might be increased if it's
right upper lobe atelectasis.
atelectasis= - ANSWER✔✔-lobar obstruction from mucus, foreign object ,or organ pressing on lobe.
alveoli collapse. has NO ADVENTITIOUS BREATH SOUNDS.
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, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Pleural Effusion respiratory assessment - ANSWER✔✔-percussion: dull over the fluid
trachea shifts AWAY from effusion if large
BS: decreased to absent. or bronchial sounds over top of effusion.
no extra BS but maybe a pleural rub.
decreased or absent tactile fremitus, but could be increased at top of large effusion
pneumothorax respiratory assessment - ANSWER✔✔-percussion: hyperresonant or tympany over
pleural air.
trachea shifts away from tension PTX
BS: decreased or absent over the PTX
no extra BS, but many a pleural rub
decreased or absent tactile fremitus over pleural air
COPD respiratory assessment - ANSWER✔✔-percussion: all over hyperressonant
trachea midline
BS: delayed expiration, decreased BS
extra BS: crackles, wheeze, rhonchi or chronic bronchitis
Page 3/26
FIRST PUBLISH OCTOBER 2024
AHN 568 Module 1 Study Guide Solutions
Normal respiratory assessment findings - ANSWER✔✔-percussion: resonant
trachea: midline
BS: vesicular. bronchovesicular and bonchial over large bronchi and trachea.
normal tactile fremitus and transmitted voice sounds
Left sided HF respiratory assessment findings - ANSWER✔✔-percussion: resonant
trachea: midline
BS: vesicular
adventitious: late inspiratory crackles in dependent part of lunch; possible wheeze
normal voice sounds and tactile fremitus.
chronic bronchitis - ANSWER✔✔-percussion: resonant
trachea: midline
BS: vesicular
Page 1/26
, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
extra BS: scattered coarse crackles in early inspiration and expiration; wheeze, rhonchi
Lobar Pneumonia (consolidation) assessment findings - ANSWER✔✔-percussion: dull over airless area
midline trachea
BS: bronchial over the involved area
extra BS: late inspiratory crackles over area
increased tactile fremitus. egophony, bronchophony, whispered pectoriloquy.
Partial Lobar Obstruction (atelectasis) - ANSWER✔✔-percussion: dull over airless area
trachea shifts TOWARD involved side
Absent breath sounds with bonchial plug except when its a right upper lobe atelectasis with adjacent
tracheal breath sounds transmitted.
no adventitious sounds.
tactile fremitis is absent if bronchial plus, but tactile fremitus and voice sounds might be increased if it's
right upper lobe atelectasis.
atelectasis= - ANSWER✔✔-lobar obstruction from mucus, foreign object ,or organ pressing on lobe.
alveoli collapse. has NO ADVENTITIOUS BREATH SOUNDS.
Page 2/26
, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Pleural Effusion respiratory assessment - ANSWER✔✔-percussion: dull over the fluid
trachea shifts AWAY from effusion if large
BS: decreased to absent. or bronchial sounds over top of effusion.
no extra BS but maybe a pleural rub.
decreased or absent tactile fremitus, but could be increased at top of large effusion
pneumothorax respiratory assessment - ANSWER✔✔-percussion: hyperresonant or tympany over
pleural air.
trachea shifts away from tension PTX
BS: decreased or absent over the PTX
no extra BS, but many a pleural rub
decreased or absent tactile fremitus over pleural air
COPD respiratory assessment - ANSWER✔✔-percussion: all over hyperressonant
trachea midline
BS: delayed expiration, decreased BS
extra BS: crackles, wheeze, rhonchi or chronic bronchitis
Page 3/26
