NSG 300 exam 2
Latest NSG 300 exam 2 guide (Answer Guide)
Study online at https://quizlet.com/_j2i02z
1. Anterior thoracic cage dia-
gram
2. Posterior thoracic cage dia-
gram
3. Reference lines diagram
4. Lobes of the lungs diagram
5. Respiratory system struc-
tures diagram
6. Mechanics of respiration di-
agram
7. Respiratory system 4 major 1. Supplies O2 to body for energy production
functions 2. Removes CO2 as a waste product of energy reactions
3. Maintains homeostasis of arterial blood (respiration maintains
pH)
4. Maintains heat exchange (less important in humans)
[2026] Page 1 of 36
, NSG 300 exam 2
Latest NSG 300 exam 2 guide (Answer Guide)
Study online at https://quizlet.com/_j2i02z
8. Respiratory system at birth Not needed until birth
9. Smoke exposure in in- Increases risk for SIDS, behavioral problems, cognitive issues,
fants/children adolescent smoking
10. Pregnancy respiratory Decreased vertical diameter of thoracic cage, but breaths are
change deeper (greater tidal volume)
11. Aging thorax Thoraces less mobile
12. Aging lungs Lungs are more rigid and difficult to inflate
13. Aging adults vital capaci- Decreased VC, increased RV
ty/residual volume
14. Respiratory risks in older Greater risk for atelectasis/infection from decreased ability to
adults cough, loss of airway reflexes, increased secretions
15. Lung cancer 2nd most diagnosed cancer in both genders, leading cause of
cancer death in the U.S. ’smoking leading to mutational burden
16. Tuberculosis (TB) Affected more than 1/3 of the world's population ’"social and
migratory" disease. Need to identify and actively treat
17. Asthma Most common chronic disease in childhood
18. Asthma risk factors Highest burden seen in those living at/below the federal poverty
level. Ethnic and environmental factors play significant role
19. Respiratory assessment Cough, SOB, chest pain with breathing, history of respiratory in-
subjective data fections, smoking history (5 A's), environmental exposure, patient
centered care
20. Smoking history (5 A's) ASK about tobacco use status at every visit and record response
ADVISE clear, nonjudgmental, and personalized suggestions for
[2026] Page 2 of 36
, NSG 300 exam 2
Latest NSG 300 exam 2 guide (Answer Guide)
Study online at https://quizlet.com/_j2i02z
quitting
ASSESS readiness for/interest in quitting
ASSIST with a specific cessation plan
ARRANGE follow-up visits
21. Respiratory assessment ad- Any frequent or very severe colds? History of allergy in family?
ditional history for infants Cough or congestion? Noisy breathing or wheezing? What mea-
and children sures have you taken to child-proof your home and yard? Is there
any possibility of child inhaling or swallowing toxic substances?
Has anyone taught you emergency care measures in case of
accidental choking or a hard-breathing spell? Any smokers in
home or in car with child?
22. Respiratory assessment ad- Any SOB or fatigue with daily activities? How is your energy level?
ditional history for aging Do you tire more easily? How does your illness affect you at
adult home and at work? Any chest pain with breathing? Any chest pain
after a bout of coughing or after a fall? COPD, lung cancer, or
tuberculosis- use lung function questionnaire
23. Respiratory assessment ob- Inspect thoracic cage (anterior/posterior), palpate posterior
jective data chest, percuss posterior chest, auscultate anterior/posterior/lat-
eral chest, pulse oximetry
24. Inspecting thoracic cage Note shape and configuration of chest wall, ratio of AP to trans-
verse diameter (1:2), position patient takes to breathe, assess
skin color and condition for cyanosis or pallor
25. Palpate posterior chest Symmetric expansion (when patient takes deep breath), tactile fr
fremitus (patient repeats "99," vibration decreases moving down
lung field)
26. Percuss posterior chest 8 locations in zig zag pattern. Sounds are dull over organs, reso-
nant over lungs, flat over bone
[2026] Page 3 of 36
, NSG 300 exam 2
Latest NSG 300 exam 2 guide (Answer Guide)
Study online at https://quizlet.com/_j2i02z
27. Auscultate 5 locations anteriorly, 7 posteriorly, and 2 on each side. Sounds
are bronchial over the trachea, bronchovesicular over major air-
ways, vesicular over lungs
28. Crackles Small airways snapping open on inspiration
29. Rhonchi Coarse loud sounds caused by constricted larger airways
30. Wheeze High-pitched musical sounds caused by constricted smaller air-
ways
31. Stridor High-pitched crowing sound caused by partial obstruction of
larynx or trachea
32. Infant thorax shape Rounded thorax
33. Newborn chest vs head size Chest circumference smaller than head until age 2
34. Infant breathing type Obligate nose breathers until 3 months
35. Infant respiratory rate mea- Count for full 1 minute, breathing pattern may be irregular
surement
36. Periodic breathing Normal in infants, especially premature infants
37. Infant palpation technique Encircle thorax with both hands
38. Pediatric stethoscope place- Use small diaphragm/bell over interspaces, not ribs
ment
39. Normal infant respiratory 30-40 breaths/min
rate
40. Pregnancy thoracic cage Thoracic cage appears wider
change
[2026] Page 4 of 36
Latest NSG 300 exam 2 guide (Answer Guide)
Study online at https://quizlet.com/_j2i02z
1. Anterior thoracic cage dia-
gram
2. Posterior thoracic cage dia-
gram
3. Reference lines diagram
4. Lobes of the lungs diagram
5. Respiratory system struc-
tures diagram
6. Mechanics of respiration di-
agram
7. Respiratory system 4 major 1. Supplies O2 to body for energy production
functions 2. Removes CO2 as a waste product of energy reactions
3. Maintains homeostasis of arterial blood (respiration maintains
pH)
4. Maintains heat exchange (less important in humans)
[2026] Page 1 of 36
, NSG 300 exam 2
Latest NSG 300 exam 2 guide (Answer Guide)
Study online at https://quizlet.com/_j2i02z
8. Respiratory system at birth Not needed until birth
9. Smoke exposure in in- Increases risk for SIDS, behavioral problems, cognitive issues,
fants/children adolescent smoking
10. Pregnancy respiratory Decreased vertical diameter of thoracic cage, but breaths are
change deeper (greater tidal volume)
11. Aging thorax Thoraces less mobile
12. Aging lungs Lungs are more rigid and difficult to inflate
13. Aging adults vital capaci- Decreased VC, increased RV
ty/residual volume
14. Respiratory risks in older Greater risk for atelectasis/infection from decreased ability to
adults cough, loss of airway reflexes, increased secretions
15. Lung cancer 2nd most diagnosed cancer in both genders, leading cause of
cancer death in the U.S. ’smoking leading to mutational burden
16. Tuberculosis (TB) Affected more than 1/3 of the world's population ’"social and
migratory" disease. Need to identify and actively treat
17. Asthma Most common chronic disease in childhood
18. Asthma risk factors Highest burden seen in those living at/below the federal poverty
level. Ethnic and environmental factors play significant role
19. Respiratory assessment Cough, SOB, chest pain with breathing, history of respiratory in-
subjective data fections, smoking history (5 A's), environmental exposure, patient
centered care
20. Smoking history (5 A's) ASK about tobacco use status at every visit and record response
ADVISE clear, nonjudgmental, and personalized suggestions for
[2026] Page 2 of 36
, NSG 300 exam 2
Latest NSG 300 exam 2 guide (Answer Guide)
Study online at https://quizlet.com/_j2i02z
quitting
ASSESS readiness for/interest in quitting
ASSIST with a specific cessation plan
ARRANGE follow-up visits
21. Respiratory assessment ad- Any frequent or very severe colds? History of allergy in family?
ditional history for infants Cough or congestion? Noisy breathing or wheezing? What mea-
and children sures have you taken to child-proof your home and yard? Is there
any possibility of child inhaling or swallowing toxic substances?
Has anyone taught you emergency care measures in case of
accidental choking or a hard-breathing spell? Any smokers in
home or in car with child?
22. Respiratory assessment ad- Any SOB or fatigue with daily activities? How is your energy level?
ditional history for aging Do you tire more easily? How does your illness affect you at
adult home and at work? Any chest pain with breathing? Any chest pain
after a bout of coughing or after a fall? COPD, lung cancer, or
tuberculosis- use lung function questionnaire
23. Respiratory assessment ob- Inspect thoracic cage (anterior/posterior), palpate posterior
jective data chest, percuss posterior chest, auscultate anterior/posterior/lat-
eral chest, pulse oximetry
24. Inspecting thoracic cage Note shape and configuration of chest wall, ratio of AP to trans-
verse diameter (1:2), position patient takes to breathe, assess
skin color and condition for cyanosis or pallor
25. Palpate posterior chest Symmetric expansion (when patient takes deep breath), tactile fr
fremitus (patient repeats "99," vibration decreases moving down
lung field)
26. Percuss posterior chest 8 locations in zig zag pattern. Sounds are dull over organs, reso-
nant over lungs, flat over bone
[2026] Page 3 of 36
, NSG 300 exam 2
Latest NSG 300 exam 2 guide (Answer Guide)
Study online at https://quizlet.com/_j2i02z
27. Auscultate 5 locations anteriorly, 7 posteriorly, and 2 on each side. Sounds
are bronchial over the trachea, bronchovesicular over major air-
ways, vesicular over lungs
28. Crackles Small airways snapping open on inspiration
29. Rhonchi Coarse loud sounds caused by constricted larger airways
30. Wheeze High-pitched musical sounds caused by constricted smaller air-
ways
31. Stridor High-pitched crowing sound caused by partial obstruction of
larynx or trachea
32. Infant thorax shape Rounded thorax
33. Newborn chest vs head size Chest circumference smaller than head until age 2
34. Infant breathing type Obligate nose breathers until 3 months
35. Infant respiratory rate mea- Count for full 1 minute, breathing pattern may be irregular
surement
36. Periodic breathing Normal in infants, especially premature infants
37. Infant palpation technique Encircle thorax with both hands
38. Pediatric stethoscope place- Use small diaphragm/bell over interspaces, not ribs
ment
39. Normal infant respiratory 30-40 breaths/min
rate
40. Pregnancy thoracic cage Thoracic cage appears wider
change
[2026] Page 4 of 36