MEDSURG 2 NUR 265 ATI OXYGENATION PRACTICE-9 PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION

MEDSURG 2 NUR 265 ATI OXYGENATION PRACTICE-9 PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION 1) Venous or Arterial? wound is initially superficial and irregular in shape - ANSWER Venous 2) What does S4 indicate? - ANSWER Stiff ventricles --- lay patient lateral to hear better 3) Where do you hear S4 in the cardiac cycle? - ANSWER Immediately before S1 4) Which side of the stethoscope is used to listen to extra heart sounds? - ANSWER Bell 5) S3 is also called what? - ANSWER A ventricular gallop 6) Where do you hear a murmur and where do you hear a bruit? What do they sound like? - ANSWER Blowing swooshing sound Murmur - heart Bruit - neck 7) What is a lift/heave? - ANSWER - seen on inspection - see chest/heart move - d/t enlarged heart 8) What is a thrill? - ANSWER Vibration 9) Define precordium - ANSWER Chest area in front of heart 10) S1 is the closing sound of what valves? - ANSWER Mitral and tricuspid (AV) 11) S2 is the closing sound of what valves? - ANSWER Pulmonic and aortic (SL) (dub) 12) Where is S1 best heard at? - ANSWER Apex 13) What abnormal breathing can you see in newborns that is considered normal for them? - ANSWER Cheyne-stokes breathing 14) Define kussmaul breathing - ANSWER Deep breathing that is inconsistent - trying to compensate acid base balance 15) Where do you hear bronchial (tracheal) sounds? - ANSWER Anterior neck 16) Where do you hear bronchovesicular sounds? - ANSWER Sides of sternum and middle upper back - louder, higher pitched 17) Where do you hear vesicular sounds? - ANSWER Outside sternum - softer, lower pitch 18) List the discontinuous lung sounds - ANSWER - crackles (fine) - crackles (coarse) 19) List the continuous lung sounds - ANSWER - wheeze - stridor - rhonchi - pleural friction rub 20) Define what crackles sounds like - ANSWER Intermittent rattling, crackling, popping, or bubbling sound - can be high pitched (fine) or low pitched (coarse) 21) When a patient has orthopenia, what should we do? - ANSWER 2+ pillows/raise HOB 22) When is a pulse ox reading unreliable? - ANSWER - hypothermia - cardiac arrest - shock - PAD 23) In hyperventilation, is more CO2 being inhaled or exhaled? - ANSWER Exhaled 24) What are the manifestations of hyperventilation? - ANSWER - numbness/tingling extremities - heart palpitations - chest pain - lightheaded - unconsciousness 25) Are crackles cleared with coughing? - ANSWER No 26) What causes crackles? - ANSWER Increased fluid, inflammation, or consolidations can take up space around not fully inflated alveoli and cause crackles 27) What are fine crackles the result of? - ANSWER heard on end of inspiration when air causes partly deflated alveoli to pop open 28) What are coarse crackles the result of? - ANSWER Re-inflating alveoli or air passing through mucus filled airways 29) What do wheezes sound like? - ANSWER Whistling, high pitched sound made when air flows through narrowed airway passages - there's edema in bronchioles 30) What does rhonchi sound like? - ANSWER A continuous low pitched snoring sound 31) Can rhonchi be cleared with coughing? - ANSWER Sometimes 32) What are some causes of rhonchi? - ANSWER Caused by fluid, mucus, or growth in larger airways 33) What does a pleural friction rub sound like? - ANSWER Low pitched, coarse, grating tone 34) What causes a pleural friction rub? - ANSWER Inflammation of pleura, very painful 35) What does a stridor sound like? - ANSWER High pitched crowing sound that is heard without a stethoscope 36) What is an adventitious sound? - ANSWER Extra lung sounds 37) What do you do if you hear adventitious sounds? - ANSWER Ask patient to take a deep breath and cough to clear airway 38) What do respiratory retractions look like? - ANSWER The rising of clavicles and sinking of skin above or below clavicles during inspiration