Physical Examination and Health Assessment 8th Edition – Test Bank
| 2024 NCLEX-Style Questions
Bronchovesicular --correct answers--Blowing sounds that are medium pitched and of medium intensity
that are created by air moving through large airways. Normal breath sounds heard over the posterior
thorax.
Bronchial --correct answers--Loud and high pitched with a hollow quality that are related by air moving
through trachea close to chest wall. Normal breath sounds heard over the posterior thorax.
Sound: Crackles
Site Auscultated: ?
Cause: ?
Character: ? --correct answers---Site Auscultated: Are most common in dependent lobes: right and left
lung bases
-Cause: Random, sudden reinflation of groups of alveoli; disruptive passage of air through small airways
-Character: Fine crackles are high-pitched fine, short; interrupted crackling sounds heard during end of
inspiration; usually not cleared with coughing.
-Medium crackles are lower; moister sounds heard during middle of inspiration; not cleared with
coughing.
Coarse crackles are loud, bubbly sounds heard during inspiration; not cleared with coughing.
Sound: Rhonchi (sonorous wheeze)
Site Auscultated: ?
,Cause: ?
Character: ? --correct answers--Site Auscultated: Are primarily heard over trachea and bronchi; if loud
enough, able to be heard over most lung fields
Cause:Muscular spasm, fluid, or mucus in larger airways; new growth or external pressure causing
turbulence
Character: Loud, low-pitched, rumbling coarse sounds are heard either during inspiration or expiration;
sometimes cleared by coughing.
Sound: Wheezes (sibilant wheeze)
Site Auscultated: ?
Cause: ?
Character: ? --correct answers--Site Auscultated: Heard over all lung fields
Cause: High-velocity airflow through severely narrowed or obstructed airway
Character: High-pitched, continuous musical sounds are like a squeak heard continuously during
inspiration or expiration; usually louder on expiration.
Identify the 12 cranial nerves. (12) --correct answers--a. Olfactory
b. Optic
c. Oculomotor
d. Trochlear
e. Trigeminal
f. Abducens
g. Facial
h. Auditory
i. Glossopharyngeal
j. Vagus
k. Spinal accessory
l. Hypoglossal
, Nodule --correct answers--Elevated solid mass, deeper and firmer than papule; 1-2 cm (e.g. wart)
Tumor --correct answers--Solid mass that extends deep through subcutaneous tissue; larger than 1-2
cm (e.g. epithelium)
Wheal --correct answers--Irregularly shaped, elevated are or superficial localized edema; varies in size
(e.g. hive, mosquito bite)
Vesicle --correct answers--Circumscribed elevation of skin filled with serous fluid, smaller tha 1 cm (e.g.
herpes simplex, chickenpox)
Pustule --correct answers--Circumscribed elevation of skin similar to vesicle but filled with pus; varies in
size (e.g. acne, staphylococcal infection)
Ulcer --correct answers--Deep loss of skin surface that extends to dermis and frequently bleeds and
scars; varies in size (e.g. venous stasis ulcer)
Atrophy --correct answers--Thinning of skin with loss of normal skin furrow, with skin appearing shiny
and translucent; varies in size (e.g. arterial insufficiencyBasal cell carcinoma --correct answers--0.5- to
1-cm crusted lesion that is flat or raised and has a rolled, somewhat scaly borderList the five nursing
purposes for performing a physical assessment. (5) <<correct answers>>a. Gather baseline data about
the patient's health status
b. Support or refute subjective data obtained in the nursing history
c. Confirm and identify nursing diagnoses
d. Make clinical judgments about a patient's changing health status and management
e. Evaluate the outcomes of care
| 2024 NCLEX-Style Questions
Bronchovesicular --correct answers--Blowing sounds that are medium pitched and of medium intensity
that are created by air moving through large airways. Normal breath sounds heard over the posterior
thorax.
Bronchial --correct answers--Loud and high pitched with a hollow quality that are related by air moving
through trachea close to chest wall. Normal breath sounds heard over the posterior thorax.
Sound: Crackles
Site Auscultated: ?
Cause: ?
Character: ? --correct answers---Site Auscultated: Are most common in dependent lobes: right and left
lung bases
-Cause: Random, sudden reinflation of groups of alveoli; disruptive passage of air through small airways
-Character: Fine crackles are high-pitched fine, short; interrupted crackling sounds heard during end of
inspiration; usually not cleared with coughing.
-Medium crackles are lower; moister sounds heard during middle of inspiration; not cleared with
coughing.
Coarse crackles are loud, bubbly sounds heard during inspiration; not cleared with coughing.
Sound: Rhonchi (sonorous wheeze)
Site Auscultated: ?
,Cause: ?
Character: ? --correct answers--Site Auscultated: Are primarily heard over trachea and bronchi; if loud
enough, able to be heard over most lung fields
Cause:Muscular spasm, fluid, or mucus in larger airways; new growth or external pressure causing
turbulence
Character: Loud, low-pitched, rumbling coarse sounds are heard either during inspiration or expiration;
sometimes cleared by coughing.
Sound: Wheezes (sibilant wheeze)
Site Auscultated: ?
Cause: ?
Character: ? --correct answers--Site Auscultated: Heard over all lung fields
Cause: High-velocity airflow through severely narrowed or obstructed airway
Character: High-pitched, continuous musical sounds are like a squeak heard continuously during
inspiration or expiration; usually louder on expiration.
Identify the 12 cranial nerves. (12) --correct answers--a. Olfactory
b. Optic
c. Oculomotor
d. Trochlear
e. Trigeminal
f. Abducens
g. Facial
h. Auditory
i. Glossopharyngeal
j. Vagus
k. Spinal accessory
l. Hypoglossal
, Nodule --correct answers--Elevated solid mass, deeper and firmer than papule; 1-2 cm (e.g. wart)
Tumor --correct answers--Solid mass that extends deep through subcutaneous tissue; larger than 1-2
cm (e.g. epithelium)
Wheal --correct answers--Irregularly shaped, elevated are or superficial localized edema; varies in size
(e.g. hive, mosquito bite)
Vesicle --correct answers--Circumscribed elevation of skin filled with serous fluid, smaller tha 1 cm (e.g.
herpes simplex, chickenpox)
Pustule --correct answers--Circumscribed elevation of skin similar to vesicle but filled with pus; varies in
size (e.g. acne, staphylococcal infection)
Ulcer --correct answers--Deep loss of skin surface that extends to dermis and frequently bleeds and
scars; varies in size (e.g. venous stasis ulcer)
Atrophy --correct answers--Thinning of skin with loss of normal skin furrow, with skin appearing shiny
and translucent; varies in size (e.g. arterial insufficiencyBasal cell carcinoma --correct answers--0.5- to
1-cm crusted lesion that is flat or raised and has a rolled, somewhat scaly borderList the five nursing
purposes for performing a physical assessment. (5) <<correct answers>>a. Gather baseline data about
the patient's health status
b. Support or refute subjective data obtained in the nursing history
c. Confirm and identify nursing diagnoses
d. Make clinical judgments about a patient's changing health status and management
e. Evaluate the outcomes of care
