NU 650
NU 650 Final Exam SG with Correct Detailed
Answers UPDATED 2025
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
NU 650
,NU 650
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
NU 650
, NU 650
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
edema scale -Correct 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 -Correct Answer ✔normal=tympanic, dullness
could be enlargement not normally felt on exam
Blumberg Sign: Rebound Test -Correct Answer ✔peritoneal inflammation, hurts
more when release from palpation
NU 650
NU 650 Final Exam SG with Correct Detailed
Answers UPDATED 2025
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
NU 650
,NU 650
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
NU 650
, NU 650
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
edema scale -Correct 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 -Correct Answer ✔normal=tympanic, dullness
could be enlargement not normally felt on exam
Blumberg Sign: Rebound Test -Correct Answer ✔peritoneal inflammation, hurts
more when release from palpation
NU 650
