NUR 355 Final Exam study guide Questions and Answers| New Update with
100% Correct Answers
the ability to think in a systematic and logical manner with openness to question and reflect on
the reasoning process Critical thinking
what would the nurse assess during the general survey? gender and race
age
signs of distress
body type
posture
gait
body movements
hygiene and grooming
dress
body odor
affect and mood
speech
signs of abuse
substance abuse
Rhonchi (sonorous wheeze) Coarse, rumbling, loud, low-pitched breath sounds heard during
inspiration or expiration
Is Rhonchi cleared with coughing? sometimes
Rhonchi (sonorous wheeze) is auscultated where? auscultated over trachea (and bronchi if
loud enough)
,Wheeze (sibilant wheeze) whistling, high pitched bronchus, continusous squeak heard
during inspiration or expiration (usually louder on expiration)
Wheeze (sibilant wheeze) is auscultated where? auscultated over all lung fields
bronchial (tracheal) breath sounds Coarse, loud; heard with consolidation
inspiration < expiration
loud and high pitched with harsh/hollow quality.
Heard over the trachea & larynx.
Pleural friction Rub breath sound scratchy, high-pitched, dry or grating is heard during
inspiration or expiration
Does pleural friction rub clear with coughing? does not clear with coughing
Pleural friction Rub is auscultated where? auscultated over the anterior lateral lung (if
paitent is sitting upright)
fine crackles fine crackling, high-pitched fine, short interrupted crackling sounds heard
during end of inspiration
auscultated in the base of lungs (dependent lobes)
does fine crackles clear with coughing? not cleared with coughing
,medium crackles Lower, moister sounds heard during middle of inspiration
auscultated in the base of lungs (dependent lobes)
does medium crackles clear with coughing? not cleared with coughing
coarse crackles loud, bubby sounds heard during inspiration
auscultated in the base of lungs (dependent lobes)
does coarse crackles clear with coughing? not cleared with coughing
bronchovesicular breath sounds normal breathe sounds; blowing sounds that are medium
pitched and of medium intensity.
inspiration = expiration
Best heard posteriorly between the scapulae and anteriorly over bronchioles lateral to the
sternum (at 1st & 2nd intercostal spaces)
vesicular breath sounds Normal breath sounds; soft, breezy, and low picthed.
inspiration > expiration
best heard over the periphery of lung (except over scapula)
vocal or tactile fremitus sound waves create vibrations that you palpate externally
, what is a Weber's test a screening test for hearing performed with a tuning fork
Weber's test (lateralization of sound) results Conduction deafness: sound is heard best in
impaired ear
Sensorineural hearing loss: sound is heard better in normal ear
Rinne test used primarily to evaluate loss of hearing in one ear. It compares perception of
sounds transmitted by air conduction to those transmitted by bone conduction through the
mastoid.
testicular cancer cancer of the testicle, usually occurring in men 15 to 35 years of age
What to look for during testicular self-examination look for any bumps, sores, or blisters on
the head of the penis
look for genital warts
look for discharge at the opening of the penis
look and feel for swelling, lumps, soreness, or hard consistency in the scrotum
Edema skin becomes swollen from buildup of fluid in the tissues
how to assess degee of pitting edema? press the area with edema with the tip of finger for
several seconds and release
100% Correct Answers
the ability to think in a systematic and logical manner with openness to question and reflect on
the reasoning process Critical thinking
what would the nurse assess during the general survey? gender and race
age
signs of distress
body type
posture
gait
body movements
hygiene and grooming
dress
body odor
affect and mood
speech
signs of abuse
substance abuse
Rhonchi (sonorous wheeze) Coarse, rumbling, loud, low-pitched breath sounds heard during
inspiration or expiration
Is Rhonchi cleared with coughing? sometimes
Rhonchi (sonorous wheeze) is auscultated where? auscultated over trachea (and bronchi if
loud enough)
,Wheeze (sibilant wheeze) whistling, high pitched bronchus, continusous squeak heard
during inspiration or expiration (usually louder on expiration)
Wheeze (sibilant wheeze) is auscultated where? auscultated over all lung fields
bronchial (tracheal) breath sounds Coarse, loud; heard with consolidation
inspiration < expiration
loud and high pitched with harsh/hollow quality.
Heard over the trachea & larynx.
Pleural friction Rub breath sound scratchy, high-pitched, dry or grating is heard during
inspiration or expiration
Does pleural friction rub clear with coughing? does not clear with coughing
Pleural friction Rub is auscultated where? auscultated over the anterior lateral lung (if
paitent is sitting upright)
fine crackles fine crackling, high-pitched fine, short interrupted crackling sounds heard
during end of inspiration
auscultated in the base of lungs (dependent lobes)
does fine crackles clear with coughing? not cleared with coughing
,medium crackles Lower, moister sounds heard during middle of inspiration
auscultated in the base of lungs (dependent lobes)
does medium crackles clear with coughing? not cleared with coughing
coarse crackles loud, bubby sounds heard during inspiration
auscultated in the base of lungs (dependent lobes)
does coarse crackles clear with coughing? not cleared with coughing
bronchovesicular breath sounds normal breathe sounds; blowing sounds that are medium
pitched and of medium intensity.
inspiration = expiration
Best heard posteriorly between the scapulae and anteriorly over bronchioles lateral to the
sternum (at 1st & 2nd intercostal spaces)
vesicular breath sounds Normal breath sounds; soft, breezy, and low picthed.
inspiration > expiration
best heard over the periphery of lung (except over scapula)
vocal or tactile fremitus sound waves create vibrations that you palpate externally
, what is a Weber's test a screening test for hearing performed with a tuning fork
Weber's test (lateralization of sound) results Conduction deafness: sound is heard best in
impaired ear
Sensorineural hearing loss: sound is heard better in normal ear
Rinne test used primarily to evaluate loss of hearing in one ear. It compares perception of
sounds transmitted by air conduction to those transmitted by bone conduction through the
mastoid.
testicular cancer cancer of the testicle, usually occurring in men 15 to 35 years of age
What to look for during testicular self-examination look for any bumps, sores, or blisters on
the head of the penis
look for genital warts
look for discharge at the opening of the penis
look and feel for swelling, lumps, soreness, or hard consistency in the scrotum
Edema skin becomes swollen from buildup of fluid in the tissues
how to assess degee of pitting edema? press the area with edema with the tip of finger for
several seconds and release
