Final PN111 Herzing University
wheezes or rhonchi - Correct answer-high-pitched, musical sounds heard on
auscultation of the lung as air flows through a narrowed airway; occurs in disorders
such as asthma or emphysema
stridor - Correct answer-A high pitched sound generated from partially obstructed air
flow in the upper airway.
Plueral Friction Rub - Correct answer-Coarse grating or crunching sound.
Inflamed surface or visceral & parietal pleura rubbing together.
Associated w/ TB, pneumonia, cancer, pulmonary infarction.
Pt needs steroids and antibiotics.
lifts/heaves - Correct answer-occurs with right ventricular hypertrophy; feel a diffuse
lifting impulse during systole @ left lower sternal border
What tells you a patient is having difficulty breathing? - Correct answer-Using accessory
muscles, nasal flaring, cyanosis, tripod position
Barrell Chest - Correct answer-1:1, related to lung overinflated and increase in A/P
diameter
Normal is 1:2
Angle of Louis (sternal angle) - Correct answer-What is a good marker for the 2nd
intercostal space?
tracheal bifurcation carina - Correct answer-T4 & T5 vertebral junction also why the
Angle of Louis is important
costovertebral angle - Correct answer-angle formed by the 12th rib and the vertebral
column on the posterior thorax, overlying the kidney
Eupnea means: - Correct answer-normal breathing
Tachypnea - Correct answer-rapid breathing
bradypnea - Correct answer-slow breathing
orthopnea - Correct answer-difficulty breathing when lying down
Dyspnea - Correct answer-difficulty breathing
, apnea - Correct answer-absence of breathing
Fremitus (tactile or vocal) - Correct answer-palpable vibration
vesicular breath sounds - Correct answer-Normal breath sounds made by air moving in
and out of the alveoli.
bronchovesicular breath sounds - Correct answer-medium-pitched and quieter sounds
normally heard over the mainstem bronchi
bronchial breath sounds - Correct answer-loud, high-pitched, hollow sounds normally
heard over the trachea and the large bronchi
Egophony - Correct answer-A change in vocal resonance in the presence of a lung
consolidation condition in which the transmission of the "eee" sound becomes a nasal
"ay" sound.
pulsations of the heart that can be felt by the client as a thumping in the heart - Correct
answer-pulsations
Heaves - Correct answer-sustained lifts of the chest wall in the precordial area that can
be seen or palpated.
bell - Correct answer-use to lightly placed to listen to sounds not easily heard with
diaphragm
Apical pulse location - Correct answer-Mid-clavicular
Fifth intercostal space and it is called PMI- point of maximum impulse
Pulse locations - Correct answer-temporal, carotid, apical, brachial, radial, femoral,
popliteal, posterior tibial, dorsalis pedis
JVD (jugular vein distention) - Correct answer-this is bulging of the external jugular vein
which indicates increased blood volume and usually congestive heart failure (CHF)
venous stasis ulcer - Correct answer-ulcer caused by venous insufficiency and stasis of
venous blood; usually forms near the ankle-elevation helps
Homan's sign for DVT - Correct answer-• Test to detect DVT
• Passively DF foot at ankle w/ knee straight
• (+) Test if maneuver produces pain in calf and popliteal space
• Clinical findings alone are insensitive and nonspecific and can't be relied on to confirm
or exclude diagnosis
wheezes or rhonchi - Correct answer-high-pitched, musical sounds heard on
auscultation of the lung as air flows through a narrowed airway; occurs in disorders
such as asthma or emphysema
stridor - Correct answer-A high pitched sound generated from partially obstructed air
flow in the upper airway.
Plueral Friction Rub - Correct answer-Coarse grating or crunching sound.
Inflamed surface or visceral & parietal pleura rubbing together.
Associated w/ TB, pneumonia, cancer, pulmonary infarction.
Pt needs steroids and antibiotics.
lifts/heaves - Correct answer-occurs with right ventricular hypertrophy; feel a diffuse
lifting impulse during systole @ left lower sternal border
What tells you a patient is having difficulty breathing? - Correct answer-Using accessory
muscles, nasal flaring, cyanosis, tripod position
Barrell Chest - Correct answer-1:1, related to lung overinflated and increase in A/P
diameter
Normal is 1:2
Angle of Louis (sternal angle) - Correct answer-What is a good marker for the 2nd
intercostal space?
tracheal bifurcation carina - Correct answer-T4 & T5 vertebral junction also why the
Angle of Louis is important
costovertebral angle - Correct answer-angle formed by the 12th rib and the vertebral
column on the posterior thorax, overlying the kidney
Eupnea means: - Correct answer-normal breathing
Tachypnea - Correct answer-rapid breathing
bradypnea - Correct answer-slow breathing
orthopnea - Correct answer-difficulty breathing when lying down
Dyspnea - Correct answer-difficulty breathing
, apnea - Correct answer-absence of breathing
Fremitus (tactile or vocal) - Correct answer-palpable vibration
vesicular breath sounds - Correct answer-Normal breath sounds made by air moving in
and out of the alveoli.
bronchovesicular breath sounds - Correct answer-medium-pitched and quieter sounds
normally heard over the mainstem bronchi
bronchial breath sounds - Correct answer-loud, high-pitched, hollow sounds normally
heard over the trachea and the large bronchi
Egophony - Correct answer-A change in vocal resonance in the presence of a lung
consolidation condition in which the transmission of the "eee" sound becomes a nasal
"ay" sound.
pulsations of the heart that can be felt by the client as a thumping in the heart - Correct
answer-pulsations
Heaves - Correct answer-sustained lifts of the chest wall in the precordial area that can
be seen or palpated.
bell - Correct answer-use to lightly placed to listen to sounds not easily heard with
diaphragm
Apical pulse location - Correct answer-Mid-clavicular
Fifth intercostal space and it is called PMI- point of maximum impulse
Pulse locations - Correct answer-temporal, carotid, apical, brachial, radial, femoral,
popliteal, posterior tibial, dorsalis pedis
JVD (jugular vein distention) - Correct answer-this is bulging of the external jugular vein
which indicates increased blood volume and usually congestive heart failure (CHF)
venous stasis ulcer - Correct answer-ulcer caused by venous insufficiency and stasis of
venous blood; usually forms near the ankle-elevation helps
Homan's sign for DVT - Correct answer-• Test to detect DVT
• Passively DF foot at ankle w/ knee straight
• (+) Test if maneuver produces pain in calf and popliteal space
• Clinical findings alone are insensitive and nonspecific and can't be relied on to confirm
or exclude diagnosis
