NRNP 6550 FINAL COMPREHENSIVE
EXAM PREP QUESTIONS AND SOLUTIONS
VERIFIED STUDY RESOURCE
●● Comprehensive Health History
Answer: chief complaint, reason for visit, ROS, past medical and
surgical history, social history and family history
●● Pediatric Body measurements
Answer: length, height, weight, head circumference fro birth to 36
months
●● Normal/Hypertension cut off
Answer: <130 normal 140+ hypertension
●● Fontanel Closure
Answer: posterior 1-2 months, anterior 9mo-2years
●● otoscope
Answer: adult-up and back, peds- down and back, using largest
speculum that will fit comforably
,●● tympanic membrane
Answer: Cone of light R-5 l-7
●● EOM testing
Answer: CN III, IV, VI
●● AP diameter of chest
Answer: 1:2 (AP less than transverse)
●● barrel chest
Answer: COPD
●● Flat or Dull percussion
Answer: effusion or pneumonia
●● normal resonant percussion
Answer: healthy lung
●● Hyperressonance (percussion)
Answer: trapped air
●● crackles/rales
, Answer: high pitched, discontinuous
●● Wheezes
Answer: high-pitched whistling or squeaking sounds during inspiration
or expiration
●● Rhonchi
Answer: snoring, rumbling sounds heard upon auscultation of the chest
during respiration-low pitched
●● tactile fremitus
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
Answer: the spoken voice sound heard through the stethoscope, which
sounds soft, muffled, and indistinct over normal lung tissue, clearer over
disease
EXAM PREP QUESTIONS AND SOLUTIONS
VERIFIED STUDY RESOURCE
●● Comprehensive Health History
Answer: chief complaint, reason for visit, ROS, past medical and
surgical history, social history and family history
●● Pediatric Body measurements
Answer: length, height, weight, head circumference fro birth to 36
months
●● Normal/Hypertension cut off
Answer: <130 normal 140+ hypertension
●● Fontanel Closure
Answer: posterior 1-2 months, anterior 9mo-2years
●● otoscope
Answer: adult-up and back, peds- down and back, using largest
speculum that will fit comforably
,●● tympanic membrane
Answer: Cone of light R-5 l-7
●● EOM testing
Answer: CN III, IV, VI
●● AP diameter of chest
Answer: 1:2 (AP less than transverse)
●● barrel chest
Answer: COPD
●● Flat or Dull percussion
Answer: effusion or pneumonia
●● normal resonant percussion
Answer: healthy lung
●● Hyperressonance (percussion)
Answer: trapped air
●● crackles/rales
, Answer: high pitched, discontinuous
●● Wheezes
Answer: high-pitched whistling or squeaking sounds during inspiration
or expiration
●● Rhonchi
Answer: snoring, rumbling sounds heard upon auscultation of the chest
during respiration-low pitched
●● tactile fremitus
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
Answer: the spoken voice sound heard through the stethoscope, which
sounds soft, muffled, and indistinct over normal lung tissue, clearer over
disease
