2025/2026 QUESTIONS WITH CORRECT
ANSWERS REAL EXAM 100% RATED (SCORE A)
CSU FULLERTON
what is the diaphragm used to listen for
high pitched sounds
what is the bell used for
soft pitch sounds; murmurs
what is the rule about auscultation?
never listen through a patients gown or clothing
What are questions to ask in a focused respiratory assessment (subjective data)
any recent cough or sputum?
any shortness of breath?
an recent respiratory infections?
any history of respiratory disease?
any smoking or environmental exposure?
What should you observe in a respiratory focused assessment (objective)
1. use of assessory muscles
2. position of breathing
3. effort of breathing
4. chest shape
5. ratio of chest
6. fremitus
7. crepitus
what is also important to check in a respiratory assessment
skin appearance (W/P/D) and edema in legs
What are you primarily listening to with anterior auscultation
upper lobes
What are you primarily listening to with posterior auscultation
lower lobes
, What is a normal anterioposterior to transverse ration
2:1
What is fremitus
using our hands to assess for palpable vibrations ("say 99")
crepitus
palpable or audible popping associated with subcutaneous air (feel around shoulders and neck)
what direction should we always auscultate
side to side
vesicular breath sounds
soft, low-pitched heard over posterior lower lobes
bronchial breath sounds
tubular, loud, high pitched sounds heard over the trachea or anterior manubrium
consolidation
when alveolar and airway passages fill with pus/fluid or other secretions
pleural effusion
fluid buildup in the lung spaces
empyema
pus filled pockets developed in the pleural spaces
where are bronchial breath sounds heard best
over the trachea on the anterior chest and below the nape of the neck on poster chest
where are bronco vesicular breath sounds heard best
heard best over the first and second intercostal space next to the sternum on the anterior chest, and
between the scapular on the posterior chest
where are vesicular breath sounds heard best
heard best over the lung fields
What does crackles best indicate
CHF
What does wheezes best indicate
asthma or inflammatory disease