NU 650 Final Exam SG with Correct Solutions 2024/2025

NU 650 Final Exam SG with Correct Solutions 2024 Order of Assessment - Answer -Inspection, Palpation, Percussion and Auscultation. EXCEPT with abdomen Comprehensive Health History - Answer -chief complaint, reason for visit, ROS, past medical and surgical history, social history and family history Pediatric Body measurements - Answer -length, height, weight, head circumference fro birth to 36 months Normal/Hypertension cut off - Answer -<130 normal 140+ hypertension Fontanel Closure - Answer -posterior 1-2 months, anterior 9mo-2years otoscope - Answer -adult-up and back, peds- down and back, using largest speculum that will fit comforably tympanic membrane - Answer -Cone of light R-5 l-7 EOM testing - Answer -CN III, IV, VI AP diameter of chest - Answer -1:2 (AP less than transverse) barrel chest - Answer -COPD Flat or Dull percussion - Answer -effusion or pneumonia normal resonant percussion - Answer -healthy lung Hyperressonance (percussion) - Answer -trapped air crackles/rales - Answer -high pitched, discontinuous Wheezes - Answer -high-pitched whistling or squeaking sounds during inspiration or expiration Rhonchi - Answer -snoring, rumbling sounds heard upon auscultation of the chest during respiration-low pitched tactile fremitus - Answer -• INCREASED FREMITUS - Means there is liquid or solid inside the lungs (consolidation such as with pneumonia) - Remember Liquid or solid transmits vibrations better than air• DECREASED FREMITUS Means air trapping such as with emphysema or bronchial obstruction. Bronchophony - Answer -the spoken voice sound heard through the stethoscope, which sounds soft, muffled, and indistinct over normal lung tissue, clearer over disease Egophony - Answer -abnormal change in tone of voice that is heard when auscultating the lungs EE-->AA UE Arteries - Answer -radial-thumb side, ulnar pinky side Pulse grading - Answer -0 absent 1+ weak 2+ normal 3+ increased 4+ bounding palpate bilaterally PMI - Answer -point of maximal impulse mid-clavicular and 5th ICS S1 - Answer -normal, closure of AV, Start of systole, loudest at Apex, contraction of ventricles S2 - Answer -normal, closure of semilunar, end of systole, loudest at base, filling of ventricles S3 - Answer -third heart sound (normal in pregnant young adults, and children), gallop S4 - Answer -extra heart sound, end of diastole, indicative of disease-AFIB murmur grading scale - Answer -I-Barely Audible II-Quiet, Clearly Audible III-moderately Loud IV-loud, thrill V-Very loud, can palpate thrill VI-Very loud, thrill palpable and visible clubbing - Answer -bulbous enlargement of distal phalanges of fingers and toes that occurs with chronic cyanotic heart and lung conditionsedema scale - Answer -1+ = disappears rapidly. 2+ = last 10-15 seconds. 3+ = lasts more than one minute. 4+ = lasts 2-5 minutes. These are signs used in what scale? normal/abnormal findings spleen - Answer -normal=tympanic, dullness could be enlargement not