NR545 HEALTH ASSESSMENT
CHAMBERLAIN EXAM QUESTIONS AND
ANSWERS
pneumonia - Answer--an infection in alveoli that inflames the sacs in one or both lungs
-May become filled with fluid as well. -Symptoms include cough with phlegm or pus,
fever, chills, and difficulty breathing.
Auscultation: breath sounds louder than normal.
bronchophony, egophony, whispered pectoriloquy present Crackles, fine to medium
Palpation: chest expansion decreased on involved side
Percussion: dull over affected area
Tactile fremitus: increased
emphysema - Answer--a destructive disease of the lung in which the alveoli that
promote oxygen exchange between the air and the bloodstream are destroyed
-Symptoms include shortness of breath, wheezing, or a chronic cough
Auscultation: decreased vesicular breath sounds may have prolonged expiration
usually no adventitious sounds; occasional wheeze
Palpation: chest expansion decreased, can cause barrel chest
Percussion: hyperresonant
Tactile fremitus: decreased
pulmonary edema - Answer--When fluid builds up in lungs, usually due to heart failure
-Other causes include pneumonia, exposure to certain toxins and drugs, and being at
high elevations
-Symptoms include mild to extreme breathing difficulty, cough, chest pain, and fatigue
Auscultation: crepitus, crackles, rales wheezing can occur
Palpation: chest expansion decreased
Percussion: dull
Tactile fremitus: decreased
Crackles/rales - Answer--abnormal lung sounds that are rattling sounds or like a Velcro
fastener being opened also sound like crinkled paper or salt in a hot frying pan
-Caused by the opening of small airways and alveoli
wheezing - Answer--high pitched whistling sound made while breathing
diminished bases - Answer-on bases of lungs, cannot hear as loudly as other side
-usually in COPD patients
tracheal - Answer--over the trachea
-expire>inspire
, -harsh high pitched
bronchial - Answer--next to trachea
-expire> inspire
-loud high pitched
Bronchial vesicular - Answer--sternal border between scapula
-inspire=expire
-medium, medium pitch
vesicular - Answer--remainder of lungs
-inspire> expire
-soft low pitch
bronchi spasm - Answer--diminished breath sounds fluid or spasm wheezing sound
what is assessed with cough and sputum - Answer--amount
-color
-consistency
-odor
phlegm - Answer-yellow or green: infections
hemoptysis - Answer-bloody secretions
pink frothy sputum - Answer-swelling in lungs, pulmonary edema
costovertebral angle - Answer-90 degrees or less is normal
AP:T - Answer--should be 1:2
-1:1 indicated barrel chest
-side to back thickness
African Americans - Answer--hypertension in young black men
-obesity and diabetes
-right heart failure
-stroke
-thrill
thrill - Answer--turbulent blood flow from a large vessel to a small vessel
S1 - Answer-LUB
-systolic
-pushing blood out
-av valves close
CHAMBERLAIN EXAM QUESTIONS AND
ANSWERS
pneumonia - Answer--an infection in alveoli that inflames the sacs in one or both lungs
-May become filled with fluid as well. -Symptoms include cough with phlegm or pus,
fever, chills, and difficulty breathing.
Auscultation: breath sounds louder than normal.
bronchophony, egophony, whispered pectoriloquy present Crackles, fine to medium
Palpation: chest expansion decreased on involved side
Percussion: dull over affected area
Tactile fremitus: increased
emphysema - Answer--a destructive disease of the lung in which the alveoli that
promote oxygen exchange between the air and the bloodstream are destroyed
-Symptoms include shortness of breath, wheezing, or a chronic cough
Auscultation: decreased vesicular breath sounds may have prolonged expiration
usually no adventitious sounds; occasional wheeze
Palpation: chest expansion decreased, can cause barrel chest
Percussion: hyperresonant
Tactile fremitus: decreased
pulmonary edema - Answer--When fluid builds up in lungs, usually due to heart failure
-Other causes include pneumonia, exposure to certain toxins and drugs, and being at
high elevations
-Symptoms include mild to extreme breathing difficulty, cough, chest pain, and fatigue
Auscultation: crepitus, crackles, rales wheezing can occur
Palpation: chest expansion decreased
Percussion: dull
Tactile fremitus: decreased
Crackles/rales - Answer--abnormal lung sounds that are rattling sounds or like a Velcro
fastener being opened also sound like crinkled paper or salt in a hot frying pan
-Caused by the opening of small airways and alveoli
wheezing - Answer--high pitched whistling sound made while breathing
diminished bases - Answer-on bases of lungs, cannot hear as loudly as other side
-usually in COPD patients
tracheal - Answer--over the trachea
-expire>inspire
, -harsh high pitched
bronchial - Answer--next to trachea
-expire> inspire
-loud high pitched
Bronchial vesicular - Answer--sternal border between scapula
-inspire=expire
-medium, medium pitch
vesicular - Answer--remainder of lungs
-inspire> expire
-soft low pitch
bronchi spasm - Answer--diminished breath sounds fluid or spasm wheezing sound
what is assessed with cough and sputum - Answer--amount
-color
-consistency
-odor
phlegm - Answer-yellow or green: infections
hemoptysis - Answer-bloody secretions
pink frothy sputum - Answer-swelling in lungs, pulmonary edema
costovertebral angle - Answer-90 degrees or less is normal
AP:T - Answer--should be 1:2
-1:1 indicated barrel chest
-side to back thickness
African Americans - Answer--hypertension in young black men
-obesity and diabetes
-right heart failure
-stroke
-thrill
thrill - Answer--turbulent blood flow from a large vessel to a small vessel
S1 - Answer-LUB
-systolic
-pushing blood out
-av valves close
