Finall Exam:l NU650/l NUl 650l (NEWl
2025/l 2026l Update)l Advancedl Healthl
Assessmentl Nursingl Review|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Regis
QUESTION
Whatl arel thel subjectivel andl objectivel findingsl withl pneumonia?
Answer:
Subjective:l cough,l dyspnea,l pleuriticl chestl pain,l chills,l (childrenl -l poorl feedingl andl
irritability)l
Objective:l tachycardia/tachypnea,l crackles,l tactilel fremitus,l dulll percussionl overl
consolidatedl area,l bronchophony/egophony,l consolidationl onl CXR
QUESTION
HPIl forl respiratoryl concerns
Answer:
SOBl -l worsel onl exertion?
Wheezing
Coughing,l hemoptysis
Daytimel sleepiness,l snoring,l orl disorderedl sleep
QUESTION
Healthl maintenancel recommendationsl forl thel respiratoryl system?
Answer:
Lungl cancerl -l screeningl isl recommendedl forl currentl smokers,l orl thosel whol quitl
witrhinl thel lastl 14l years,l ifl theyl smokedl anl averagel ofl onel packl ofl cigarettesl forl 30l
yearsl andl arel agel 55l tol 80.l
,Influenzal vaccine:l personsl 6l monthsl andl older,l appropriatel forl agel andl healthl statusl
annually.l
Pneumococcal:l agel 65l andl olderl -l twol dosesl atl leastl onel yearl apart.
QUESTION
Techniquesl forl inspectingl thel chestl forl thel respiratoryl assessment
Answer:
Assessl forl rate,l rhythm,l depthl ofl breathing
Usel ofl accessoryl muscles,l pursedl lipl breathing,l orl retractionsl
Tripodl positioningl
Assessl forl increasedl AP/laterall diameterl (normallyl 2:1)
Assessl forl skinl color,l naill color,l lipl color
QUESTION
Techniquesl forl palpatingl thel chestl duringl thel respiratoryl assessment
Answer:
Tactilel fremitus:l palmsl onl chestl froml apicesl tol bases,l askl patientl tol repeatl "ninety-
nine".l shouldl bel symmetricall onl eachl side
Palpatel forl tenderl areasl orl deformities,l crepitusl
Assessl chestl expansionl whenl patientl takesl deepl breath
QUESTION
Techniquel forl percussingl thel chestl duringl thel respiratoryl assessment
Answer:
Percussl froml topl tol bottoml inl al ladderl patternl
usel plantiplexorl fingerl tol strikel thel pleximeterl finger
Normall lungl soundl isl resonantl
,hyperresonancel =l tool muchl airl
dullnessl =l density/fluid
QUESTION
Techniquesl forl auscultationl ofl thel lungs
Answer:
Apicesl tol basesl inl al ladderl pattern
Comparel soundsl inl symmetricall areas
listenl forl duration,l pitche,l intensity,l notel anyl adventitiousl sounds.
wheezingl -l highl pitched,l continuous,l musicall
cracklesl -l lowerl pitched,l intermittent,l non-musical
QUESTION
Typesl ofl lungl soundsl andl wherel theyl arel heard
Answer:
Vesicularl -l soft,l low-pitchedl withl inspirationl >l expiration.l Heardl overl mostl ofl lungl
fieldl
Broncho-vesciularl -l hearl inl 1stl andl 2ndl interspacesl /l interscapularl areas.l Inspirationl =l
expiration.l Intermediatel pitchl andl intensity.l
Bonchiall soundsl -l heardl overl trachea/mainl bronchi.l Higherl pitch,l louder,l withl expirationl
>l inspiration.
QUESTION
Howl dol youl assessl bronchophonyl andl whatl doesl itl indicate?
Answer:
Performedl byl auscultatingl whilel patientl repeatsl "ninety-nine"
Healthyl soundsl arel muffled/indistinct,l louderl soundsl reflectl transmissionl throughl airlessl
tissue:l lungl consolidation/l PNA
QUESTION
, Howl dol youl assessl egophonyl andl whatl doesl itl indicate?
Answer:
Auscultatel whilel patientl saysl "EEEE".l Healthl lungsl arel muffledl andl indistinct
hearingl "AAAA"l reflectsl lungl consolidationl i.e.,l PNA
QUESTION
Howl tol assessl whisperedl pectoriloquyl andl whatl doesl itl mean?
Answer:
Auscultatel whilel patientl whispersl (ex.l "one,l two,l three")
healthl lungsl soundsl faint/inaudiblel
Soundsl arel clearerl andl louderl ifl therel isl lungl consolidation
QUESTION
Whatl examl findingsl wouldl indicatel al lungl consolidation?
Answer:
-l cracklesl onl auscultationl
-dullnessl whenl percussingl thel lungsl
-increasedl tactilel fremitusl onl palpationl
-l positivel bronchophony,l egophony,l whisperedl pectoriloquy
QUESTION
Subjectivel andl objectivel findingsl withl appendicitis
Answer:
Subjective:l (agel 10-20l yearsl typically),l suddenl onsetl ofl colickyl painl thatl progressesl tol
constantl pain.l Mayl beginl inl epigastruml orl peri-umbilicusl andl thenl localizel tol RLQ.l
Painl worsel withl movement/coughing.l Vomiting/Nausea.l
Objective:l guarding,l RLQl tendernessl atl Mcburney'sl point,l reboundl tenderness,l positivel
Ruvsing'sl signl (palpationl ofl LLQl elicitsl painl inl RLQ)
2025/l 2026l Update)l Advancedl Healthl
Assessmentl Nursingl Review|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Regis
QUESTION
Whatl arel thel subjectivel andl objectivel findingsl withl pneumonia?
Answer:
Subjective:l cough,l dyspnea,l pleuriticl chestl pain,l chills,l (childrenl -l poorl feedingl andl
irritability)l
Objective:l tachycardia/tachypnea,l crackles,l tactilel fremitus,l dulll percussionl overl
consolidatedl area,l bronchophony/egophony,l consolidationl onl CXR
QUESTION
HPIl forl respiratoryl concerns
Answer:
SOBl -l worsel onl exertion?
Wheezing
Coughing,l hemoptysis
Daytimel sleepiness,l snoring,l orl disorderedl sleep
QUESTION
Healthl maintenancel recommendationsl forl thel respiratoryl system?
Answer:
Lungl cancerl -l screeningl isl recommendedl forl currentl smokers,l orl thosel whol quitl
witrhinl thel lastl 14l years,l ifl theyl smokedl anl averagel ofl onel packl ofl cigarettesl forl 30l
yearsl andl arel agel 55l tol 80.l
,Influenzal vaccine:l personsl 6l monthsl andl older,l appropriatel forl agel andl healthl statusl
annually.l
Pneumococcal:l agel 65l andl olderl -l twol dosesl atl leastl onel yearl apart.
QUESTION
Techniquesl forl inspectingl thel chestl forl thel respiratoryl assessment
Answer:
Assessl forl rate,l rhythm,l depthl ofl breathing
Usel ofl accessoryl muscles,l pursedl lipl breathing,l orl retractionsl
Tripodl positioningl
Assessl forl increasedl AP/laterall diameterl (normallyl 2:1)
Assessl forl skinl color,l naill color,l lipl color
QUESTION
Techniquesl forl palpatingl thel chestl duringl thel respiratoryl assessment
Answer:
Tactilel fremitus:l palmsl onl chestl froml apicesl tol bases,l askl patientl tol repeatl "ninety-
nine".l shouldl bel symmetricall onl eachl side
Palpatel forl tenderl areasl orl deformities,l crepitusl
Assessl chestl expansionl whenl patientl takesl deepl breath
QUESTION
Techniquel forl percussingl thel chestl duringl thel respiratoryl assessment
Answer:
Percussl froml topl tol bottoml inl al ladderl patternl
usel plantiplexorl fingerl tol strikel thel pleximeterl finger
Normall lungl soundl isl resonantl
,hyperresonancel =l tool muchl airl
dullnessl =l density/fluid
QUESTION
Techniquesl forl auscultationl ofl thel lungs
Answer:
Apicesl tol basesl inl al ladderl pattern
Comparel soundsl inl symmetricall areas
listenl forl duration,l pitche,l intensity,l notel anyl adventitiousl sounds.
wheezingl -l highl pitched,l continuous,l musicall
cracklesl -l lowerl pitched,l intermittent,l non-musical
QUESTION
Typesl ofl lungl soundsl andl wherel theyl arel heard
Answer:
Vesicularl -l soft,l low-pitchedl withl inspirationl >l expiration.l Heardl overl mostl ofl lungl
fieldl
Broncho-vesciularl -l hearl inl 1stl andl 2ndl interspacesl /l interscapularl areas.l Inspirationl =l
expiration.l Intermediatel pitchl andl intensity.l
Bonchiall soundsl -l heardl overl trachea/mainl bronchi.l Higherl pitch,l louder,l withl expirationl
>l inspiration.
QUESTION
Howl dol youl assessl bronchophonyl andl whatl doesl itl indicate?
Answer:
Performedl byl auscultatingl whilel patientl repeatsl "ninety-nine"
Healthyl soundsl arel muffled/indistinct,l louderl soundsl reflectl transmissionl throughl airlessl
tissue:l lungl consolidation/l PNA
QUESTION
, Howl dol youl assessl egophonyl andl whatl doesl itl indicate?
Answer:
Auscultatel whilel patientl saysl "EEEE".l Healthl lungsl arel muffledl andl indistinct
hearingl "AAAA"l reflectsl lungl consolidationl i.e.,l PNA
QUESTION
Howl tol assessl whisperedl pectoriloquyl andl whatl doesl itl mean?
Answer:
Auscultatel whilel patientl whispersl (ex.l "one,l two,l three")
healthl lungsl soundsl faint/inaudiblel
Soundsl arel clearerl andl louderl ifl therel isl lungl consolidation
QUESTION
Whatl examl findingsl wouldl indicatel al lungl consolidation?
Answer:
-l cracklesl onl auscultationl
-dullnessl whenl percussingl thel lungsl
-increasedl tactilel fremitusl onl palpationl
-l positivel bronchophony,l egophony,l whisperedl pectoriloquy
QUESTION
Subjectivel andl objectivel findingsl withl appendicitis
Answer:
Subjective:l (agel 10-20l yearsl typically),l suddenl onsetl ofl colickyl painl thatl progressesl tol
constantl pain.l Mayl beginl inl epigastruml orl peri-umbilicusl andl thenl localizel tol RLQ.l
Painl worsel withl movement/coughing.l Vomiting/Nausea.l
Objective:l guarding,l RLQl tendernessl atl Mcburney'sl point,l reboundl tenderness,l positivel
Ruvsing'sl signl (palpationl ofl LLQl elicitsl painl inl RLQ)
