NUR 265 Practicum UPDATED ACTUAL Questions and CORRECT Answers

NUR 265 Practicum UPDATED ACTUAL Questions and CORRECT Answers
Inspection of Precordium should see no pulsation of precordium except at PMI

, 5th intercostal space, midclavicular line

Where is PMI?



What is another name for PMI? apical impulse

Aortic Valve (Auscultation) 2nd intercostal space, right sternal border

Pulmonic Valve (Auscultation) second left intercostal space at the left sternal border

Erb's Point (Auscultation) 3rd intercostal space, left sternal border, not a particular valve

Tricuspid Valve (Auscultation) 4th intercostal space, LT sternal border

PMI (Auscultation) 5th intercostal space, midclavicular line

S1 is louder at ___ apex

S2 is louder at ___ base

- rate
- rhythm
Respiratory Rate (inspection) - depth/effort
- use of accessory muscles (retractions)
- position of person



Pattern for Auscultation of Lungs (anterior)




Pattern for Auscultation of Lungs
(posterior)



those heard over the trachea; high in pitch and
intensity, with expiration being longer than
Bronchial Sounds
inspiration




Brochiovesicular Sounds



sound resulting from air passing through small
bronchi and alveoli
Vesicular Sounds



Egophony the voice sound of "eeeeee" heard through the stethoscope

the spoken voice sound heard through the stethoscope, which sounds soft, muffled,
Bronchophony
and indistinct over normal lung tissue

"123" or "99" should sound muffled. Abnormal finding you'd hear it clearly. Caused by
Whispered Pectoriloquy
consolidation of lung tissue (cancer, tumor, pneumonia, fluid/mass)

Abdomen Inspection contour, symmetry, skin lesions, masses, pulsations or movement