NUR 5354 HEALTH ASSESSMENT EXAM 1 NEWEST
2026 OFFICIAL QUESTIONS AND ANSWER KEY
(GUARANTEED PASS)
Asthma - VERIFIED ANSWER - Wheezing, resonance or diffuse
hyperresonance on percussion, and decreased tactile fremitus
COPD - VERIFIED ANSWER - Decreased or absent breath sounds with
delayed expiration, hyperresonance on percussion, crackles, wheezes, or
rhonchi may be present in chronic bronchitis, and tactile fremitus is
decreased
Pneumothorax - VERIFIED ANSWER - unilateral chest expansion,
hyperresonance on percussion, diminished or absent breath sounds,
decreased or absent tactile fremitus, marked tachycardia, mediastinal or
tracheal shift, hypotension is present, and crepitus over the chest wall
and nearby structures
General survey - VERIFIED ANSWER - apparent stat of health, loc, apparent
state of distress, skin color or obvious lesions, dress, grooming, hygiene,
facial expressions, body or breath odors, posture, gait, motor activity
,Acute pain - VERIFIED ANSWER - normal, predicted physiological response
to an adverse chemical, thermal, or mechanical stimulus lasting less than
3-6 months
Chronic pain - VERIFIED ANSWER - -no associated with cancer or other
medical conditions, persist more than 3-6 months
-pain lasting more than 1 month after course of acute illness or injury
-pain occurring at intervals of months or years
Nociceptive Pain: Somatic - VERIFIED ANSWER - -linked to tissue damage
but sensory nervous system still intact
-dull, pressing, pulling, throbbing, boring, spasmodic, or colicky
Neuropathic pain - VERIFIED ANSWER - -pain that results as a direct
consequence of a lesion or disease affecting abnormal functioning of the
peripheral nervous system (PNS) or central nervous system (CNS)
-electric shock-like, stabbing, burning, or pins and needles
Consideration of elderly - VERIFIED ANSWER - -loose skin
-solar lentigo or liver spots are more common
,-seborrheic keratoses or actinic keratoses is more common
-ectropion or entropion more common
-fissure tongue more common
Signs of Resp Distress - VERIFIED ANSWER - -tachypnea
-cyanosis or pallor
-audible sounds of breathing
-accessory muscle use or trachea deviation
-chest shape (normally wider than deep)
Vesicular breath sounds - VERIFIED ANSWER - Normal breath sounds made
by air moving in and out of the alveoli.
-soft and low pitched. heard throughout inspiration, continue without
pause through expiration, and then fade away about one third of the way
through expiration
Bronchovesicular breath sounds - VERIFIED ANSWER - medium-pitched
and quieter sounds normally heard over the mainstem bronchi.
-with inspiratory and expiratory sounds about equal in length, at times
separated by silent interval. Detecting differences in pitch and intensity is
often easier during expiration
, Bronchial breath sounds - VERIFIED ANSWER - loud, high-pitched, hollow
sounds normally heard over the trachea and the large bronchi.
-louder, harsher, and higher in pitch, with short silence between
inspiratory and expiratory sounds. Expiratory last longer than inspiratory
sounds
Tracheal breath sounds - VERIFIED ANSWER - very loud, harsh sounds that
are heard by listening over the trachea in the neck
Fine crackles - VERIFIED ANSWER - soft, high pitched, very brief
Coarse crackles (rales) - VERIFIED ANSWER - somewhat louder, lower in
pitch, brief
Wheezes - VERIFIED ANSWER - continuous musical sounds associated with
airway narrowing or partial obstruction
-relatively high pitched with hissing or shrill quality
Rhonchi - VERIFIED ANSWER - relatively low pitched with snoring quality
2026 OFFICIAL QUESTIONS AND ANSWER KEY
(GUARANTEED PASS)
Asthma - VERIFIED ANSWER - Wheezing, resonance or diffuse
hyperresonance on percussion, and decreased tactile fremitus
COPD - VERIFIED ANSWER - Decreased or absent breath sounds with
delayed expiration, hyperresonance on percussion, crackles, wheezes, or
rhonchi may be present in chronic bronchitis, and tactile fremitus is
decreased
Pneumothorax - VERIFIED ANSWER - unilateral chest expansion,
hyperresonance on percussion, diminished or absent breath sounds,
decreased or absent tactile fremitus, marked tachycardia, mediastinal or
tracheal shift, hypotension is present, and crepitus over the chest wall
and nearby structures
General survey - VERIFIED ANSWER - apparent stat of health, loc, apparent
state of distress, skin color or obvious lesions, dress, grooming, hygiene,
facial expressions, body or breath odors, posture, gait, motor activity
,Acute pain - VERIFIED ANSWER - normal, predicted physiological response
to an adverse chemical, thermal, or mechanical stimulus lasting less than
3-6 months
Chronic pain - VERIFIED ANSWER - -no associated with cancer or other
medical conditions, persist more than 3-6 months
-pain lasting more than 1 month after course of acute illness or injury
-pain occurring at intervals of months or years
Nociceptive Pain: Somatic - VERIFIED ANSWER - -linked to tissue damage
but sensory nervous system still intact
-dull, pressing, pulling, throbbing, boring, spasmodic, or colicky
Neuropathic pain - VERIFIED ANSWER - -pain that results as a direct
consequence of a lesion or disease affecting abnormal functioning of the
peripheral nervous system (PNS) or central nervous system (CNS)
-electric shock-like, stabbing, burning, or pins and needles
Consideration of elderly - VERIFIED ANSWER - -loose skin
-solar lentigo or liver spots are more common
,-seborrheic keratoses or actinic keratoses is more common
-ectropion or entropion more common
-fissure tongue more common
Signs of Resp Distress - VERIFIED ANSWER - -tachypnea
-cyanosis or pallor
-audible sounds of breathing
-accessory muscle use or trachea deviation
-chest shape (normally wider than deep)
Vesicular breath sounds - VERIFIED ANSWER - Normal breath sounds made
by air moving in and out of the alveoli.
-soft and low pitched. heard throughout inspiration, continue without
pause through expiration, and then fade away about one third of the way
through expiration
Bronchovesicular breath sounds - VERIFIED ANSWER - medium-pitched
and quieter sounds normally heard over the mainstem bronchi.
-with inspiratory and expiratory sounds about equal in length, at times
separated by silent interval. Detecting differences in pitch and intensity is
often easier during expiration
, Bronchial breath sounds - VERIFIED ANSWER - loud, high-pitched, hollow
sounds normally heard over the trachea and the large bronchi.
-louder, harsher, and higher in pitch, with short silence between
inspiratory and expiratory sounds. Expiratory last longer than inspiratory
sounds
Tracheal breath sounds - VERIFIED ANSWER - very loud, harsh sounds that
are heard by listening over the trachea in the neck
Fine crackles - VERIFIED ANSWER - soft, high pitched, very brief
Coarse crackles (rales) - VERIFIED ANSWER - somewhat louder, lower in
pitch, brief
Wheezes - VERIFIED ANSWER - continuous musical sounds associated with
airway narrowing or partial obstruction
-relatively high pitched with hissing or shrill quality
Rhonchi - VERIFIED ANSWER - relatively low pitched with snoring quality
