NR 509 EXAM QUESTIONS WITH COMPLETE
SOLUTION
A flat chest percussion indicates
soft intensity, high pitched
over muscles, large pleural effusions
dull chest percussion
medium intensity, medium pitched
lobar pneumonia, hemothorax, empyema, fibrous tissue tumor
Resonant chest percussion
healthy lung, loud intensity, low pitch
Hyperresonant to percussion
Very loud intensity, lower pitch
COPD, asthma, pneumothorax
Bronchophony lung sound
positive if abnormally loud when saying 99 99 99
Egophony lung sound
"E" to "A" voice sound changes which occur in lobar consolidation from
pneumonia
Have pt say "E" repeatedly
Which intercostal space is for a decompression of a tension
pneumothorax?
2nd intercostal space
Which intercostal space for a chest tube insertion
Intercostal space between 4th and 5th ribs
Which intercostal space for a thoracentesis
intercostal space between the 7th and 8th ribs as a landmark for
thoracentesis with needle insertion immediately superior to the 8th rib
why should needles and tubes be placed just at the superior rib
margins
Neurovascular structures run along the interior margin of each rib
What are the sounds of s1
closure of the mitral valve and tricuspid valve
SOLUTION
A flat chest percussion indicates
soft intensity, high pitched
over muscles, large pleural effusions
dull chest percussion
medium intensity, medium pitched
lobar pneumonia, hemothorax, empyema, fibrous tissue tumor
Resonant chest percussion
healthy lung, loud intensity, low pitch
Hyperresonant to percussion
Very loud intensity, lower pitch
COPD, asthma, pneumothorax
Bronchophony lung sound
positive if abnormally loud when saying 99 99 99
Egophony lung sound
"E" to "A" voice sound changes which occur in lobar consolidation from
pneumonia
Have pt say "E" repeatedly
Which intercostal space is for a decompression of a tension
pneumothorax?
2nd intercostal space
Which intercostal space for a chest tube insertion
Intercostal space between 4th and 5th ribs
Which intercostal space for a thoracentesis
intercostal space between the 7th and 8th ribs as a landmark for
thoracentesis with needle insertion immediately superior to the 8th rib
why should needles and tubes be placed just at the superior rib
margins
Neurovascular structures run along the interior margin of each rib
What are the sounds of s1
closure of the mitral valve and tricuspid valve