NU 650 Final Exam UPDATED ACTUAL
Questions and CORRECT Answers
Order of Assessment - CORRECT ANSWER - Inspection, Palpation, Percussion and
Auscultation. EXCEPT with abdomen
Comprehensive Health History - CORRECT ANSWER - chief complaint, reason for visit,
ROS, past medical and surgical history, social history and family history
Pediatric Body measurements - CORRECT ANSWER - length, height, weight, head
circumference fro birth to 36 months
Normal/Hypertension cut off - CORRECT ANSWER - <130 normal 140+ hypertension
Fontanel Closure - CORRECT ANSWER - posterior 1-2 months, anterior 9mo-2years
otoscope - CORRECT ANSWER - adult-up and back, peds- down and back, using largest
speculum that will fit comforably
tympanic membrane - CORRECT ANSWER - Cone of light R-5 l-7
EOM testing - CORRECT ANSWER - CN III, IV, VI
AP diameter of chest - CORRECT ANSWER - 1:2 (AP less than transverse)
barrel chest - CORRECT ANSWER - COPD
Flat or Dull percussion - CORRECT ANSWER - effusion or pneumonia
,normal resonant percussion - CORRECT ANSWER - healthy lung
Hyperressonance (percussion) - CORRECT ANSWER - trapped air
crackles/rales - CORRECT ANSWER - high pitched, discontinuous
Wheezes - CORRECT ANSWER - high-pitched whistling or squeaking sounds during
inspiration or expiration
Rhonchi - CORRECT ANSWER - snoring, rumbling sounds heard upon auscultation of
the chest during respiration-low pitched
tactile fremitus - CORRECT 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 - CORRECT ANSWER - the spoken voice sound heard through the
stethoscope, which sounds soft, muffled, and indistinct over normal lung tissue, clearer over
disease
Egophony - CORRECT ANSWER - abnormal change in tone of voice that is heard when
auscultating the lungs EE-->AA
UE Arteries - CORRECT ANSWER - radial-thumb side, ulnar pinky side
Pulse grading - CORRECT ANSWER - 0 absent
, 1+ weak
2+ normal
3+ increased
4+ bounding
palpate bilaterally
PMI - CORRECT ANSWER - point of maximal impulse mid-clavicular and 5th ICS
S1 - CORRECT ANSWER - normal, closure of AV, Start of systole, loudest at Apex,
contraction of ventricles
S2 - CORRECT ANSWER - normal, closure of semilunar, end of systole, loudest at base,
filling of ventricles
S3 - CORRECT ANSWER - third heart sound (normal in pregnant young adults, and
children), gallop
S4 - CORRECT ANSWER - extra heart sound, end of diastole, indicative of disease-AFIB
murmur grading scale - CORRECT 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 - CORRECT ANSWER - bulbous enlargement of distal phalanges of fingers and
toes that occurs with chronic cyanotic heart and lung conditions
Questions and CORRECT Answers
Order of Assessment - CORRECT ANSWER - Inspection, Palpation, Percussion and
Auscultation. EXCEPT with abdomen
Comprehensive Health History - CORRECT ANSWER - chief complaint, reason for visit,
ROS, past medical and surgical history, social history and family history
Pediatric Body measurements - CORRECT ANSWER - length, height, weight, head
circumference fro birth to 36 months
Normal/Hypertension cut off - CORRECT ANSWER - <130 normal 140+ hypertension
Fontanel Closure - CORRECT ANSWER - posterior 1-2 months, anterior 9mo-2years
otoscope - CORRECT ANSWER - adult-up and back, peds- down and back, using largest
speculum that will fit comforably
tympanic membrane - CORRECT ANSWER - Cone of light R-5 l-7
EOM testing - CORRECT ANSWER - CN III, IV, VI
AP diameter of chest - CORRECT ANSWER - 1:2 (AP less than transverse)
barrel chest - CORRECT ANSWER - COPD
Flat or Dull percussion - CORRECT ANSWER - effusion or pneumonia
,normal resonant percussion - CORRECT ANSWER - healthy lung
Hyperressonance (percussion) - CORRECT ANSWER - trapped air
crackles/rales - CORRECT ANSWER - high pitched, discontinuous
Wheezes - CORRECT ANSWER - high-pitched whistling or squeaking sounds during
inspiration or expiration
Rhonchi - CORRECT ANSWER - snoring, rumbling sounds heard upon auscultation of
the chest during respiration-low pitched
tactile fremitus - CORRECT 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 - CORRECT ANSWER - the spoken voice sound heard through the
stethoscope, which sounds soft, muffled, and indistinct over normal lung tissue, clearer over
disease
Egophony - CORRECT ANSWER - abnormal change in tone of voice that is heard when
auscultating the lungs EE-->AA
UE Arteries - CORRECT ANSWER - radial-thumb side, ulnar pinky side
Pulse grading - CORRECT ANSWER - 0 absent
, 1+ weak
2+ normal
3+ increased
4+ bounding
palpate bilaterally
PMI - CORRECT ANSWER - point of maximal impulse mid-clavicular and 5th ICS
S1 - CORRECT ANSWER - normal, closure of AV, Start of systole, loudest at Apex,
contraction of ventricles
S2 - CORRECT ANSWER - normal, closure of semilunar, end of systole, loudest at base,
filling of ventricles
S3 - CORRECT ANSWER - third heart sound (normal in pregnant young adults, and
children), gallop
S4 - CORRECT ANSWER - extra heart sound, end of diastole, indicative of disease-AFIB
murmur grading scale - CORRECT 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 - CORRECT ANSWER - bulbous enlargement of distal phalanges of fingers and
toes that occurs with chronic cyanotic heart and lung conditions
