NR302 Final Comprehensive
Exam with verified questions
and answers
Actual Dx - correct answer.💖💖💖💖✔<<<<<Actual Diagnosis related to (R/T) ________(Related
Factors) as evidenced by (AEB) ________ (Defining Characteristics)
Risk - correct answer.💖💖💖💖✔<<<<<Risk for __________as evidenced by _________ (Risk
Factors).
Readiness - correct answer.💖💖💖💖✔<<<<<Readiness for __________as evidenced by
"_________" (Defining characteristics).
Asthma - correct answer.💖💖💖💖✔<<<<<chronic hyper-reactive condition. Obstruction.
Wheezing. Dyspnea, increased RR, use of accessory muscles, anxiety, prolonged expiration.
Palpation- decreased tactile fremitus
Percussion- resonance. Hyperresonance with chronic.
Auscultation- wheezing, decreased voice sounds. Severe; no breath sounds.
Atelectasis - correct answer.💖💖💖💖✔<<<<<obstruction of airflow. Increased RR, dyspnea,
cyanosis, trachea shift to affected side in severe cases.
Palpation- lack of tactile fremitus. decreased lung expansion on affected side
Percussion- dullness over affected area
Auscultate- absent or diminished but normal breath sounds bilaterally.
,Chronic Bronchitis - correct answer.💖💖💖💖✔<<<<<inflammation of tracheobronchial tree. Early
morning, congested, chronic productive cough. White or clear sputum. Wheezes or rhonchi. Dyspnea,
tachypnea, use of accessory muscles.
Emphysema - correct answer.💖💖💖💖✔<<<<<COPD. Obstruction of the alveoli. Tripod posture.
Use of accessory muscles. Cyanosis. Clubbing of fingers. Pursed lip breathing. SOB on exertion.
Palpation- Absent or decreased tactile fremitus. Decreased chest expansion.
Percussion- Hyper-resonance.
Auscultate- diminished but normal breath sounds bilaterally, decreased vesicular sounds, wheezing.
COPD - correct answer.💖💖💖💖✔<<<<<>90 costal angle. Barrel chest AP=T. ↓ Tactile fremitus
palp. Tripod posture. Use of accessory muscles. Cyanosis. Clubbing of fingers. Pursed lip breathing. SOB
on exertion.
Lobular Pneumonia - correct answer.💖💖💖💖✔<<<<<infection of the alveoli, Consolidation.
Tachypnea, congested, hacking, productive cough, chills, chest pain with breathing. Mucosal edema.
Sputum- rust.
Palpation- increased tactile fremitus. Decreased chest expansion on affected side.
Percussion- dullness over affected area.
Auscultation- Egophony changes e to a. Clear Whispered pectoriloguy & bronchophony. Bronchial
breath sounds and crackles.
Pleural effusion - correct answer.💖💖💖💖✔<<<<<fluid in the pleural space. Dyspnea. Tracheal
shift to unaffected side.
Palpation- Absent or decreased tactile fremitus. decreased chest expansion side affected.
Percussion- Dullness
Auscultation- unilateral lung sounds. Decreased/absent breath/voice sounds. Pleural rub.
Pneumothorax - correct answer.💖💖💖💖✔<<<<<air in pleural space, collapse of the lung.
Tachypnea, tracheal shift to unaffected side.
Palpation- Decreased Tactile fremitus. Unilateral decrease or delay in respiratory expansion.
Percussion- Hyper-resonance
, Auscultation- unilateral of normal lung sounds. Decreased/absent breath/voice sounds.
Congestive heart failure - correct answer.💖💖💖💖✔<<<<<Increased pressure in the pulmonary
veins causes interstitial edema around the alveoli and may cause edema of the bronchial mucosa.
Pulmonary congestion.
Increased respiratory rate, shortness of breath (especially on exertion), orthopnea, peripheral edema,
pallor. S3. Hypertrophy. Dry cough.
Palpation- Normal tactile fremitus. Skin cool and clammy.
Percussion- Resonance.
Auscultation-Normal breath sounds and voice sounds. Wheezes or crackles at the bases of the lungs.
◦ Left-sided CHF - correct answer.💖💖💖💖✔<<<<<lung symptoms. 1st Fatigue. Pink frothy
sputum. Pulmonary edema. Hypoxia. SOB, crackles/rales, cough, orthopnea, anxiety, confusion, PND. S3
Rt CHF - correct answer.💖💖💖💖✔<<<<<peripheral symptoms. Skin pale, gray, or cyanotic;
nausea, vomiting; pitting edema, peripheral/bilateral edema, ascites, JVD, HJR, weak pulse, cool moist
skin, decreased urine output, increased B.P., weight gain, liver congestion. Cor Pulmonale
Crackles/Rales - correct answer.💖💖💖💖✔<<<<<discontinuous, intermittent, non-musical, and
brief. C-collapsed or fluid-filled alveoli open. end inspiration, do not clear w cough.
Fine rales - correct answer.💖💖💖💖✔<<<<<soft, high pitched, and very brief.
Coarse rales/crackles - correct answer.💖💖💖💖✔<<<<<louder, moist, lower in pitch, longer,
bubbling.
Wheezes (sibilant) - correct answer.💖💖💖💖✔<<<<<inspiration/expiration when severe.
continuous high pitched with a shrill quality. C- blocked air flow; asthma, infection, foreign body
obstruction.
Rhonchi (sonorous) - correct answer.💖💖💖💖✔<<<<<Expiration/ inspiration. Change/disappear w
cough. Continuous low pitched with a snoring, rattling. Fluid-blocked airways.
Exam with verified questions
and answers
Actual Dx - correct answer.💖💖💖💖✔<<<<<Actual Diagnosis related to (R/T) ________(Related
Factors) as evidenced by (AEB) ________ (Defining Characteristics)
Risk - correct answer.💖💖💖💖✔<<<<<Risk for __________as evidenced by _________ (Risk
Factors).
Readiness - correct answer.💖💖💖💖✔<<<<<Readiness for __________as evidenced by
"_________" (Defining characteristics).
Asthma - correct answer.💖💖💖💖✔<<<<<chronic hyper-reactive condition. Obstruction.
Wheezing. Dyspnea, increased RR, use of accessory muscles, anxiety, prolonged expiration.
Palpation- decreased tactile fremitus
Percussion- resonance. Hyperresonance with chronic.
Auscultation- wheezing, decreased voice sounds. Severe; no breath sounds.
Atelectasis - correct answer.💖💖💖💖✔<<<<<obstruction of airflow. Increased RR, dyspnea,
cyanosis, trachea shift to affected side in severe cases.
Palpation- lack of tactile fremitus. decreased lung expansion on affected side
Percussion- dullness over affected area
Auscultate- absent or diminished but normal breath sounds bilaterally.
,Chronic Bronchitis - correct answer.💖💖💖💖✔<<<<<inflammation of tracheobronchial tree. Early
morning, congested, chronic productive cough. White or clear sputum. Wheezes or rhonchi. Dyspnea,
tachypnea, use of accessory muscles.
Emphysema - correct answer.💖💖💖💖✔<<<<<COPD. Obstruction of the alveoli. Tripod posture.
Use of accessory muscles. Cyanosis. Clubbing of fingers. Pursed lip breathing. SOB on exertion.
Palpation- Absent or decreased tactile fremitus. Decreased chest expansion.
Percussion- Hyper-resonance.
Auscultate- diminished but normal breath sounds bilaterally, decreased vesicular sounds, wheezing.
COPD - correct answer.💖💖💖💖✔<<<<<>90 costal angle. Barrel chest AP=T. ↓ Tactile fremitus
palp. Tripod posture. Use of accessory muscles. Cyanosis. Clubbing of fingers. Pursed lip breathing. SOB
on exertion.
Lobular Pneumonia - correct answer.💖💖💖💖✔<<<<<infection of the alveoli, Consolidation.
Tachypnea, congested, hacking, productive cough, chills, chest pain with breathing. Mucosal edema.
Sputum- rust.
Palpation- increased tactile fremitus. Decreased chest expansion on affected side.
Percussion- dullness over affected area.
Auscultation- Egophony changes e to a. Clear Whispered pectoriloguy & bronchophony. Bronchial
breath sounds and crackles.
Pleural effusion - correct answer.💖💖💖💖✔<<<<<fluid in the pleural space. Dyspnea. Tracheal
shift to unaffected side.
Palpation- Absent or decreased tactile fremitus. decreased chest expansion side affected.
Percussion- Dullness
Auscultation- unilateral lung sounds. Decreased/absent breath/voice sounds. Pleural rub.
Pneumothorax - correct answer.💖💖💖💖✔<<<<<air in pleural space, collapse of the lung.
Tachypnea, tracheal shift to unaffected side.
Palpation- Decreased Tactile fremitus. Unilateral decrease or delay in respiratory expansion.
Percussion- Hyper-resonance
, Auscultation- unilateral of normal lung sounds. Decreased/absent breath/voice sounds.
Congestive heart failure - correct answer.💖💖💖💖✔<<<<<Increased pressure in the pulmonary
veins causes interstitial edema around the alveoli and may cause edema of the bronchial mucosa.
Pulmonary congestion.
Increased respiratory rate, shortness of breath (especially on exertion), orthopnea, peripheral edema,
pallor. S3. Hypertrophy. Dry cough.
Palpation- Normal tactile fremitus. Skin cool and clammy.
Percussion- Resonance.
Auscultation-Normal breath sounds and voice sounds. Wheezes or crackles at the bases of the lungs.
◦ Left-sided CHF - correct answer.💖💖💖💖✔<<<<<lung symptoms. 1st Fatigue. Pink frothy
sputum. Pulmonary edema. Hypoxia. SOB, crackles/rales, cough, orthopnea, anxiety, confusion, PND. S3
Rt CHF - correct answer.💖💖💖💖✔<<<<<peripheral symptoms. Skin pale, gray, or cyanotic;
nausea, vomiting; pitting edema, peripheral/bilateral edema, ascites, JVD, HJR, weak pulse, cool moist
skin, decreased urine output, increased B.P., weight gain, liver congestion. Cor Pulmonale
Crackles/Rales - correct answer.💖💖💖💖✔<<<<<discontinuous, intermittent, non-musical, and
brief. C-collapsed or fluid-filled alveoli open. end inspiration, do not clear w cough.
Fine rales - correct answer.💖💖💖💖✔<<<<<soft, high pitched, and very brief.
Coarse rales/crackles - correct answer.💖💖💖💖✔<<<<<louder, moist, lower in pitch, longer,
bubbling.
Wheezes (sibilant) - correct answer.💖💖💖💖✔<<<<<inspiration/expiration when severe.
continuous high pitched with a shrill quality. C- blocked air flow; asthma, infection, foreign body
obstruction.
Rhonchi (sonorous) - correct answer.💖💖💖💖✔<<<<<Expiration/ inspiration. Change/disappear w
cough. Continuous low pitched with a snoring, rattling. Fluid-blocked airways.
