NSG 500 quiz 2 2025/2026 Questions With All Correct
Answers
lung percussion - ANSWER -dull=cardiac, luver
tympany--stomach
resonant--lungs
flat--muscles and bones
lung percussion order - ANSWER -back (10 areas), right lateral--4 areas, left
lateral 4 areas, front8 areas
classification of breath sounds - ANSWER -vesicular--low pitched, low intesity
(normal healthy tissue)
bronchovesicular--over major bronchi, moderate in pitch and intensity
bronchial breath soudns--highest in pitch and intensity--over trachea
bronchovesicular and bronchial breath sounds over peripheral lung tissue -
ANSWER -ABNORMAL
breath sounds like blowing across the mouth of a bottle - ANSWER -
amphoric=stiff pulmonary caivty or tension pneumothorax
rub sound--lungs - ANSWER -cratchy and high pitched
types of crackles - ANSWER -fine: high pitched discrete with end of inspiration,
doesn't clear with cough
medium: lower more in middle stage of inspiration
coarse: bubbly with inspiration, loud
rhonchi - ANSWER -deeper rumbling more pronounced during expiration. d/t
thick secretions
vocal resonance with lung ausculatation - ANSWER -bronchophony--
consolidation in lungs--even a whisper can be heard clearly
,egophony--consolidation of lung tissue--ee turns into "a"
bronchial breath sounds - ANSWER -harsh, hollow sound - best heard over
trachea and larynx
bronchovesicular breath s - ANSWER -over bronchi, med pitch and loudness
vesicular sounds - ANSWER -heard every where else, softest and lowest pitch
fine crackles are more often in - ANSWER -bases of lungs
coarse crackles more often in - ANSWER -trachea and large bronchi
rhonchi are due to - ANSWER -airway obstruction from mass, secretions,
muscular constriction
wheezes are due to - ANSWER -constriction, mass, secretions
stridor - ANSWER -strained, high-pitched sound heard on inspiration caused by
obstruction in the pharynx or larynx
S1 heart sound - ANSWER -mitral and tricuspid valve closure with ventricular
contraction
s2 - ANSWER -initiation of diastole aortic and pulmonic valves closing after
ventricles have emptied
s3 - ANSWER -sometimes occurs when ventricular filling is almost complete.
due to RAPID ventricular filling. low pitch, use bell
s4 - ANSWER -occurs with atria contraction to ensure ejection of any remaining
blood. Due to forceful atrial ejection into distended ventricle. low pitch, use bell
, chest pain: cardiac - ANSWER -substernal provoked by effort, emotion, eating
and relieved by rest, nitro, often accompanied by diaphoresis and sometimes
nausea
chest pain: pleural - ANSWER -with breathing or coughing: sharp, present with
respiration, absend when holding breath
chest pain: esophageal - ANSWER -burning, substernal, radiation to shoulder,
nocturnal/lying flat, releived with food, antacids and sometimes nitro
chest pain: peptic: - ANSWER -almost always infradiaphragmatic and epigastric.
PM and AM attacks relieved by food
chest pain: biliary - ANSWER -under right scapula, prolonged, after eating, will
trigger angina
chest pain: arthritis/bursitis - ANSWER -local tender/pain with movement
chest pain: cervical - ANSWER -pain with movement, associated with injury
chest pain musculoskeletal - ANSWER -with movement, twisting, bending, focal
tenderness
sequence of chest assessment - ANSWER -inspection, palpation, percussion,
auscultation
what is a thrill? - ANSWER -palpable vibration it feels like the throat of a purring
cat. the thrill signifies turbulent blood flow and directs you to locate the origin of
loud murmurs
-use your palm aspect of your four fingers
with grade 4 murmur or higher
order of cardiac auscultation - ANSWER -Aortic (2nd space right sternal border)
pulmonic (2nd space left sternal border)
second pulmonic area (erb's point) 3rd intercostal space at left sternal border
Answers
lung percussion - ANSWER -dull=cardiac, luver
tympany--stomach
resonant--lungs
flat--muscles and bones
lung percussion order - ANSWER -back (10 areas), right lateral--4 areas, left
lateral 4 areas, front8 areas
classification of breath sounds - ANSWER -vesicular--low pitched, low intesity
(normal healthy tissue)
bronchovesicular--over major bronchi, moderate in pitch and intensity
bronchial breath soudns--highest in pitch and intensity--over trachea
bronchovesicular and bronchial breath sounds over peripheral lung tissue -
ANSWER -ABNORMAL
breath sounds like blowing across the mouth of a bottle - ANSWER -
amphoric=stiff pulmonary caivty or tension pneumothorax
rub sound--lungs - ANSWER -cratchy and high pitched
types of crackles - ANSWER -fine: high pitched discrete with end of inspiration,
doesn't clear with cough
medium: lower more in middle stage of inspiration
coarse: bubbly with inspiration, loud
rhonchi - ANSWER -deeper rumbling more pronounced during expiration. d/t
thick secretions
vocal resonance with lung ausculatation - ANSWER -bronchophony--
consolidation in lungs--even a whisper can be heard clearly
,egophony--consolidation of lung tissue--ee turns into "a"
bronchial breath sounds - ANSWER -harsh, hollow sound - best heard over
trachea and larynx
bronchovesicular breath s - ANSWER -over bronchi, med pitch and loudness
vesicular sounds - ANSWER -heard every where else, softest and lowest pitch
fine crackles are more often in - ANSWER -bases of lungs
coarse crackles more often in - ANSWER -trachea and large bronchi
rhonchi are due to - ANSWER -airway obstruction from mass, secretions,
muscular constriction
wheezes are due to - ANSWER -constriction, mass, secretions
stridor - ANSWER -strained, high-pitched sound heard on inspiration caused by
obstruction in the pharynx or larynx
S1 heart sound - ANSWER -mitral and tricuspid valve closure with ventricular
contraction
s2 - ANSWER -initiation of diastole aortic and pulmonic valves closing after
ventricles have emptied
s3 - ANSWER -sometimes occurs when ventricular filling is almost complete.
due to RAPID ventricular filling. low pitch, use bell
s4 - ANSWER -occurs with atria contraction to ensure ejection of any remaining
blood. Due to forceful atrial ejection into distended ventricle. low pitch, use bell
, chest pain: cardiac - ANSWER -substernal provoked by effort, emotion, eating
and relieved by rest, nitro, often accompanied by diaphoresis and sometimes
nausea
chest pain: pleural - ANSWER -with breathing or coughing: sharp, present with
respiration, absend when holding breath
chest pain: esophageal - ANSWER -burning, substernal, radiation to shoulder,
nocturnal/lying flat, releived with food, antacids and sometimes nitro
chest pain: peptic: - ANSWER -almost always infradiaphragmatic and epigastric.
PM and AM attacks relieved by food
chest pain: biliary - ANSWER -under right scapula, prolonged, after eating, will
trigger angina
chest pain: arthritis/bursitis - ANSWER -local tender/pain with movement
chest pain: cervical - ANSWER -pain with movement, associated with injury
chest pain musculoskeletal - ANSWER -with movement, twisting, bending, focal
tenderness
sequence of chest assessment - ANSWER -inspection, palpation, percussion,
auscultation
what is a thrill? - ANSWER -palpable vibration it feels like the throat of a purring
cat. the thrill signifies turbulent blood flow and directs you to locate the origin of
loud murmurs
-use your palm aspect of your four fingers
with grade 4 murmur or higher
order of cardiac auscultation - ANSWER -Aortic (2nd space right sternal border)
pulmonic (2nd space left sternal border)
second pulmonic area (erb's point) 3rd intercostal space at left sternal border
