NURS 612 Exam 2 Questions with Correct Answers 100% Verified By Experts| Latest Update
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Which description is correct about intertriginous surfaces of skin? Areas where skin surfaces
meet
Which skin lesion in the elderly patient requires further observation? Actinic keratosis, a
red, scaly plaque occurring in sun-exposed areas, is precancerous.
What are the risk factors for melanoma? Inability to tan
Familial history
Fair skin and light eye color
Areas of hyperresonance are percussed over the lung fields in which condition? Emphysema
The manubriosternal angle (angle of Louis) is continuous with which anatomical landmark?
Second rib
Which breath sounds, heard in the posterior bases, suggest atelectasis? Diminished breath
sound
In which condition is fluid present in the pleural space? Pleural effusion
During a history, a client tells the nurse he has smoked 2 packs of cigarettes per day for 10
years and 1 pack per day for the past 15 years. The cigarette use is reported as how many pack-
years? Smoking history is reported in pack-years, which is determined by the number of
packs smoked per day multiplied by the number of years smoked. The client smoked 2 packs X
10 years (20) plus 1 pack X 15 years (15) for a total of 35 pack-years.
The nurse auscultates the lungs posteriorly in the bases. Identify the sounds heard. Identify the
breath sounds. Vesicular
,Normal skin conditions Freckles, moles, cherry angiomas, birthmarks, skin tags, striae
Abnormal skin findings Measles, herpes zoster, psoriasis, cellulitis, folliculitis, tinea,
roasacea, herpes simplex, lyme disease
Rocky Mountain Spotted Fever is a tick-borne disease caused by the organism Rickettsia
rickettsii. The hallmark of RMSF is a petechial rash beginning on the palms of the hands and
soles of the feet.
Pectus Excavatum is a congenital disorder which causes the chest to have a sunken or
"caved in" appearance. It is the most common congenital chest wall abnormality in children.
Chest and Lungs
Know abnormal and normal findings • Inspection
• Normal:
• Chest symmetrical
• Even rise and fall
• Abnormal:
• Barrel chest
• Flail chest
• Retraction
• Accessory muscle use
• Tripod position
• Palpation
• Normal:
• Equal thoracic expansion (thumbs at 10th rib)
, • Tactile fremitus (99)
• Resonance with percussion
Diaphragmatic Excursion - the movement of the thoracic diaphragm that occurs with inhalation
and exhalation. Normal: 3-5 cm.
• Abnormal:
• Dullness to percussion - pleural effusion, pneumonia, atelectasis, pneumothorax, asthma
• Dullness to tactile fremitus - pleural effusion
• Tracheal displacement - fibrosis, pleural effusion, adenopathy
• Thyroid enlargement -
• Hyperresonance with percussion - emphysema, pneumothorax, asthma
Diaphragmatic Excursion - the movement of the thoracic diaphragm that occurs with inhalation
and exhalation. Abnormal: less than 3 cm or greater than 5 cm.
• Auscultation
• Normal:
• Intensity
• Pitch
• Quality
• Duration
• Vesicular: low-pitched, low-intensity sounds heard over healthy tissue
• Bronchovesicular: heard over major bronchi, moderate to pitch and intensity
• Bronchial: high in pitch and intensity, heard over trachea
• Vocal resonance: spoken word transmitted through the lung fields; usually muffled and
indistinct
• Abnormal:
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Which description is correct about intertriginous surfaces of skin? Areas where skin surfaces
meet
Which skin lesion in the elderly patient requires further observation? Actinic keratosis, a
red, scaly plaque occurring in sun-exposed areas, is precancerous.
What are the risk factors for melanoma? Inability to tan
Familial history
Fair skin and light eye color
Areas of hyperresonance are percussed over the lung fields in which condition? Emphysema
The manubriosternal angle (angle of Louis) is continuous with which anatomical landmark?
Second rib
Which breath sounds, heard in the posterior bases, suggest atelectasis? Diminished breath
sound
In which condition is fluid present in the pleural space? Pleural effusion
During a history, a client tells the nurse he has smoked 2 packs of cigarettes per day for 10
years and 1 pack per day for the past 15 years. The cigarette use is reported as how many pack-
years? Smoking history is reported in pack-years, which is determined by the number of
packs smoked per day multiplied by the number of years smoked. The client smoked 2 packs X
10 years (20) plus 1 pack X 15 years (15) for a total of 35 pack-years.
The nurse auscultates the lungs posteriorly in the bases. Identify the sounds heard. Identify the
breath sounds. Vesicular
,Normal skin conditions Freckles, moles, cherry angiomas, birthmarks, skin tags, striae
Abnormal skin findings Measles, herpes zoster, psoriasis, cellulitis, folliculitis, tinea,
roasacea, herpes simplex, lyme disease
Rocky Mountain Spotted Fever is a tick-borne disease caused by the organism Rickettsia
rickettsii. The hallmark of RMSF is a petechial rash beginning on the palms of the hands and
soles of the feet.
Pectus Excavatum is a congenital disorder which causes the chest to have a sunken or
"caved in" appearance. It is the most common congenital chest wall abnormality in children.
Chest and Lungs
Know abnormal and normal findings • Inspection
• Normal:
• Chest symmetrical
• Even rise and fall
• Abnormal:
• Barrel chest
• Flail chest
• Retraction
• Accessory muscle use
• Tripod position
• Palpation
• Normal:
• Equal thoracic expansion (thumbs at 10th rib)
, • Tactile fremitus (99)
• Resonance with percussion
Diaphragmatic Excursion - the movement of the thoracic diaphragm that occurs with inhalation
and exhalation. Normal: 3-5 cm.
• Abnormal:
• Dullness to percussion - pleural effusion, pneumonia, atelectasis, pneumothorax, asthma
• Dullness to tactile fremitus - pleural effusion
• Tracheal displacement - fibrosis, pleural effusion, adenopathy
• Thyroid enlargement -
• Hyperresonance with percussion - emphysema, pneumothorax, asthma
Diaphragmatic Excursion - the movement of the thoracic diaphragm that occurs with inhalation
and exhalation. Abnormal: less than 3 cm or greater than 5 cm.
• Auscultation
• Normal:
• Intensity
• Pitch
• Quality
• Duration
• Vesicular: low-pitched, low-intensity sounds heard over healthy tissue
• Bronchovesicular: heard over major bronchi, moderate to pitch and intensity
• Bronchial: high in pitch and intensity, heard over trachea
• Vocal resonance: spoken word transmitted through the lung fields; usually muffled and
indistinct
• Abnormal:
