NU 650 Final Exam Questions and
Answers 100% Pass
Order of Assessment - CORRECT ANSWER-Inspection, Palpation, Percussion
and Auscultation. EXCEPT with abdomen
Comprehensive Health History - CORRECT ANSWER-chief complaint, reason
for visit, ROS, past medical and surgical history, social history and family history
Pediatric Body measurements - CORRECT ANSWER-length, height, weight, head
circumference fro birth to 36 months
Normal/Hypertension cut off - CORRECT ANSWER-<130 normal 140+
hypertension
Fontanel Closure - CORRECT ANSWER-posterior 1-2 months, anterior 9mo-
2years
otoscope - CORRECT ANSWER-adult-up and back, peds- down and back, using
largest speculum that will fit comforably
tympanic membrane - CORRECT ANSWER-Cone of light R-5 l-7
EOM testing - CORRECT ANSWER-CN III, IV, VI
,AP diameter of chest - CORRECT ANSWER-1:2 (AP less than transverse)
barrel chest - CORRECT ANSWER-COPD
Flat or Dull percussion - CORRECT ANSWER-effusion or pneumonia
normal resonant percussion - CORRECT ANSWER-healthy lung
Hyperressonance (percussion) - CORRECT ANSWER-trapped air
crackles/rales - CORRECT ANSWER-high pitched, discontinuous
Wheezes - CORRECT ANSWER-high-pitched whistling or squeaking sounds
during inspiration or expiration
Rhonchi - CORRECT ANSWER-snoring, rumbling sounds heard upon
auscultation of the chest during respiration-low pitched
tactile fremitus - CORRECT ANSWER-• INCREASED FREMITUS
- Means there is liquid or solid inside the lungs (consolidation such as with
pneumonia)
- Remember Liquid or solid transmits vibrations better than air
• DECREASED FREMITUS
Means air trapping such as with emphysema or bronchial obstruction.
, Bronchophony - CORRECT ANSWER-the spoken voice sound heard through
the stethoscope, which sounds soft, muffled, and indistinct over normal lung
tissue, clearer over disease
Egophony - CORRECT ANSWER-abnormal change in tone of voice that is heard
when auscultating the lungs EE-->AA
UE Arteries - CORRECT ANSWER-radial-thumb side, ulnar pinky side
Pulse grading - CORRECT ANSWER-0 absent
1+ weak
2+ normal
3+ increased
4+ bounding
palpate bilaterally
PMI - CORRECT ANSWER-point of maximal impulse mid-clavicular and 5th
ICS
S1 - CORRECT ANSWER-normal, closure of AV, Start of systole, loudest at
Apex, contraction of ventricles
S2 - CORRECT ANSWER-normal, closure of semilunar, end of systole, loudest at
base, filling of ventricles
Answers 100% Pass
Order of Assessment - CORRECT ANSWER-Inspection, Palpation, Percussion
and Auscultation. EXCEPT with abdomen
Comprehensive Health History - CORRECT ANSWER-chief complaint, reason
for visit, ROS, past medical and surgical history, social history and family history
Pediatric Body measurements - CORRECT ANSWER-length, height, weight, head
circumference fro birth to 36 months
Normal/Hypertension cut off - CORRECT ANSWER-<130 normal 140+
hypertension
Fontanel Closure - CORRECT ANSWER-posterior 1-2 months, anterior 9mo-
2years
otoscope - CORRECT ANSWER-adult-up and back, peds- down and back, using
largest speculum that will fit comforably
tympanic membrane - CORRECT ANSWER-Cone of light R-5 l-7
EOM testing - CORRECT ANSWER-CN III, IV, VI
,AP diameter of chest - CORRECT ANSWER-1:2 (AP less than transverse)
barrel chest - CORRECT ANSWER-COPD
Flat or Dull percussion - CORRECT ANSWER-effusion or pneumonia
normal resonant percussion - CORRECT ANSWER-healthy lung
Hyperressonance (percussion) - CORRECT ANSWER-trapped air
crackles/rales - CORRECT ANSWER-high pitched, discontinuous
Wheezes - CORRECT ANSWER-high-pitched whistling or squeaking sounds
during inspiration or expiration
Rhonchi - CORRECT ANSWER-snoring, rumbling sounds heard upon
auscultation of the chest during respiration-low pitched
tactile fremitus - CORRECT ANSWER-• INCREASED FREMITUS
- Means there is liquid or solid inside the lungs (consolidation such as with
pneumonia)
- Remember Liquid or solid transmits vibrations better than air
• DECREASED FREMITUS
Means air trapping such as with emphysema or bronchial obstruction.
, Bronchophony - CORRECT ANSWER-the spoken voice sound heard through
the stethoscope, which sounds soft, muffled, and indistinct over normal lung
tissue, clearer over disease
Egophony - CORRECT ANSWER-abnormal change in tone of voice that is heard
when auscultating the lungs EE-->AA
UE Arteries - CORRECT ANSWER-radial-thumb side, ulnar pinky side
Pulse grading - CORRECT ANSWER-0 absent
1+ weak
2+ normal
3+ increased
4+ bounding
palpate bilaterally
PMI - CORRECT ANSWER-point of maximal impulse mid-clavicular and 5th
ICS
S1 - CORRECT ANSWER-normal, closure of AV, Start of systole, loudest at
Apex, contraction of ventricles
S2 - CORRECT ANSWER-normal, closure of semilunar, end of systole, loudest at
base, filling of ventricles