NSG-316 Exam 3 STUDY GUIDE WITH CORRECT QUESTIONS WITH ANSWERS (GRADED A +) LATEST UPDATED VERSION 2026

NSG-316 Exam 3 STUDY GUIDE WITH CORRECT QUESTIONS WITH ANSWERS (GRADED A +) LATEST UPDATED VERSION 2026 pathology that inc lung density enhances - Answer inspection of anterior chest normal findings - Answer transmission of voice sounds -ribs slope down -costal angle within 90 deg, development of abdom muscles, weight and athletic cond. -breathing is effortless -chest expands symmetrically with inspiration -no retraction/bulging of interspaces w inspiration -accessory musc. not used to augment resp effort -normal RR use of accessory muscles and retraction shows - Answer effort and obstruction of resp tract inspection of anterior chest - Answer increased inhaling -note shape/configuration -note facial expression -assess LOC -note skin color/cond -palpate symmetric chest palpation of anterior chest (how to) - Answer expansion -place hands on anterolateral wall w thumbs along costal margins, pt toward xiphoid process -take deep breath, watch thumbs move apart symmetrically assess tactile fremitus (ant. chest) - Answer supraclavicular areas -begin palpating over lung apices in -compare vibrations from each side as pt says "99" -avoid palpating over breast tissue (dampens sound) palpation of anterior chest - Answer -detect lumps/masses -note tenderness -note skin mobility, turgor, temp, and moisture -note crepitus crepitus - Answer crackling, crinkling, grating feeling. occurs in SQ layer with emphysema. palpable around fx clavicle auscultating breath sounds - Answer supraclavicular areas down to 6th rib -go from side-side, moving down -listen directly over chest wall -assess voice sounds if needed -over ant. chest from apices in measurement of pulmonary function status - Answer -pulse ox assesses SpO2 -healthy person usually has SpO2 of 97%-98% -SpO2 should be evaluated by Hgb level, acid-base balance, and vent status -6 min walk test 6 minute walk test (6MWT) - Answer safer, simple, inexpensive, clinical measure of functional status in aging adults chest changes in older adult - Answer shape and kyphosis) -dec chest expansion (still symmetric) -inc anteropost. diameter (round barrel -tire easily during auscultation (deep breathing) acutely ill pt considerations (resp assessment) - Answer for pos. changes -use of 2nd examiner -examiner may roll pt from side-side if no one else available for pos change -rolling technique may interfere w bilateral assessments of inspection/percussion thorax/lungs exam (inspection) - Answer color/cond -facial expression and LOC thorax/lungs exam (palpation) - Answer tactile fremitus -detect lumps, masses, tenderness -thoracic cage, respirations, skin -confirm symmetric expansion and thorax/lungs exam (auscultation) - Answer breath sounds -assess breath sounds, note abnormal Abnormal Configurations of the Thorax - Answer Pectus excavatum Pectus carinatum Scoliosis Kyphosis abnormal respiration patterns - Answer -Tachypnea -Bradypnea -Hyperventilation -Hypoventilation -Cheyne-Stokes respiration -Biot's respiration -Chronic obstructive breathing Cheyne-Stokes respiration - Answer -Sigh Barrel chest repeated breathing pattern characterized by fluctuation in the depth of respiration: first deeply, then shallow, then not at all Biot's respirations - Answer seconds of apnea Rapid and deep respirations followed by 10 to 30 edema pitting scale - Answer 0+ No pitting 1+ Mild pitting. no swelling 2+ Moderate. goes away quickly 3+ deep pitting for short time 4+ very deep pitting, lasts long time obstructive lymph drainage - Answer