NCCC Nur 211 Test 1 (summer)
Questions and Answers 100% Pass
Chest Assessment Abreviations - ✔✔IPPA - Inspection, Palpation,
Percussion, Auscultation
Inspections - ✔✔Look for deformities, retraction, symmetry, rate, rhythm
of breathing, pursed lip breathing, use of accessory muscles
Palpation - ✔✔an examination technique in which the examiner's hands are
used to feel the texture, size, consistency, and location of certain body parts
Observe for tenderness, abnormalities, elicit vocal and tactile fremitus
Percussion - ✔✔tapping on a surface to determine the difference in the
density of the underlying structure
Observe for dullness, flatness, resonance, hyper resonance, tympany
Auscultation - ✔✔Listening with a stethoscope
1
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,Listen to both sides and compare tracheal, bronchial, bronchovesicular,
vesicular
Tracheal Breath Sounds - ✔✔very loud, harsh sounds that are heard by
listening over the trachea in the neck
Bronchial breath sounds - ✔✔normal breath sounds made by air moving
through the bronchi, harsh, tubular quality
Bronchovesicular breath sounds - ✔✔inspiration is unchanged from that of
vesicular breathing, but expiration is as loud, equal in length and similar in
pitch
fine crackles breath sounds - ✔✔rales, sounds similar to rubbing hair
together, can be found in CHF, emphysema, or pneumonia; probably
produced by reopening of small airways or alveoli that are collapsed
during previous expiration or fluid in the alveoli
course breath sounds - ✔✔gurgles or rhonchi, continuous sound produced
when air passes through narrowed bronchus; found in COPD and CHF;
gurgles heard on both inspiration and expiration; can change with cough
2
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,wheeze breath sounds - ✔✔whistling or sighing that results from
narrowing of the lumen of the respiratory passageway; Usually on
expiration;
Asthma, COPD, foreign body aspiration
pleural friction rub - ✔✔continuous, dry grating sound caused by
inflammation of pleural surfaces and loss of lubricating pleural fluid;
produced when two inflamed surfaces rub together during respiration
cycle; found in pleurisy, TB, pulmonary infarction, pneumonia, or lung
cancer
Front View Ausculatation - ✔✔RUL, LUL, LLL, RLL, RML
Back view ausculatation - ✔✔LUL, RUL, LLL, RLL
How many points to check anteriorly during auscultation? - ✔✔10 at
minimum
fremitus - ✔✔a palpable vibration from the spoken voice felt over the chest
wall
Normal percussion sound in lung - ✔✔Resonance
3
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, Egophany - ✔✔"ee" to "ay" change
suggests lobar consolidation. (most common in patients with pneumonia)
The sound of the ee heard through the stethescope; muffled is normal; clear
ay is abnormal
Bronchophony - ✔✔the spoken voice sound heard through the stethoscope,
which sounds soft, muffled, and indistinct over normal lung tissue; "99"
whispered pectoriloquy - ✔✔a whispered phrase heard through the
stethoscope that sounds faint and inaudible over normal lung tissue
reasons to suction trach - ✔✔wheezes crackles gurgling on inspiration or
expiration audible without auscultation, unexplained increase in work of
breathing; vomiting, cyanosis, increased pulse and respirations
Nursing diagnosis for trach care - ✔✔ineffective airway clearance;
ineffective breathing pattern; altered O2/CO2
Yankauer Suction - ✔✔a large filter-tipped rigid plastic suction catheter
used mainly in the mouth or other large body cavity; least invasive trach
suction available; clean technique with gloves and goggles
4
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Questions and Answers 100% Pass
Chest Assessment Abreviations - ✔✔IPPA - Inspection, Palpation,
Percussion, Auscultation
Inspections - ✔✔Look for deformities, retraction, symmetry, rate, rhythm
of breathing, pursed lip breathing, use of accessory muscles
Palpation - ✔✔an examination technique in which the examiner's hands are
used to feel the texture, size, consistency, and location of certain body parts
Observe for tenderness, abnormalities, elicit vocal and tactile fremitus
Percussion - ✔✔tapping on a surface to determine the difference in the
density of the underlying structure
Observe for dullness, flatness, resonance, hyper resonance, tympany
Auscultation - ✔✔Listening with a stethoscope
1
100% Pass Guarantee Katelyn Whitman, All Rights
,Listen to both sides and compare tracheal, bronchial, bronchovesicular,
vesicular
Tracheal Breath Sounds - ✔✔very loud, harsh sounds that are heard by
listening over the trachea in the neck
Bronchial breath sounds - ✔✔normal breath sounds made by air moving
through the bronchi, harsh, tubular quality
Bronchovesicular breath sounds - ✔✔inspiration is unchanged from that of
vesicular breathing, but expiration is as loud, equal in length and similar in
pitch
fine crackles breath sounds - ✔✔rales, sounds similar to rubbing hair
together, can be found in CHF, emphysema, or pneumonia; probably
produced by reopening of small airways or alveoli that are collapsed
during previous expiration or fluid in the alveoli
course breath sounds - ✔✔gurgles or rhonchi, continuous sound produced
when air passes through narrowed bronchus; found in COPD and CHF;
gurgles heard on both inspiration and expiration; can change with cough
2
100% Pass Guarantee Katelyn Whitman, All Rights
,wheeze breath sounds - ✔✔whistling or sighing that results from
narrowing of the lumen of the respiratory passageway; Usually on
expiration;
Asthma, COPD, foreign body aspiration
pleural friction rub - ✔✔continuous, dry grating sound caused by
inflammation of pleural surfaces and loss of lubricating pleural fluid;
produced when two inflamed surfaces rub together during respiration
cycle; found in pleurisy, TB, pulmonary infarction, pneumonia, or lung
cancer
Front View Ausculatation - ✔✔RUL, LUL, LLL, RLL, RML
Back view ausculatation - ✔✔LUL, RUL, LLL, RLL
How many points to check anteriorly during auscultation? - ✔✔10 at
minimum
fremitus - ✔✔a palpable vibration from the spoken voice felt over the chest
wall
Normal percussion sound in lung - ✔✔Resonance
3
100% Pass Guarantee Katelyn Whitman, All Rights
, Egophany - ✔✔"ee" to "ay" change
suggests lobar consolidation. (most common in patients with pneumonia)
The sound of the ee heard through the stethescope; muffled is normal; clear
ay is abnormal
Bronchophony - ✔✔the spoken voice sound heard through the stethoscope,
which sounds soft, muffled, and indistinct over normal lung tissue; "99"
whispered pectoriloquy - ✔✔a whispered phrase heard through the
stethoscope that sounds faint and inaudible over normal lung tissue
reasons to suction trach - ✔✔wheezes crackles gurgling on inspiration or
expiration audible without auscultation, unexplained increase in work of
breathing; vomiting, cyanosis, increased pulse and respirations
Nursing diagnosis for trach care - ✔✔ineffective airway clearance;
ineffective breathing pattern; altered O2/CO2
Yankauer Suction - ✔✔a large filter-tipped rigid plastic suction catheter
used mainly in the mouth or other large body cavity; least invasive trach
suction available; clean technique with gloves and goggles
4
100% Pass Guarantee Katelyn Whitman, All Rights
