Updated Study Guide_NSG 500
Quiz 2
Exam
(Questions and Answers)
2026
Expert Verified
(With A+ Grades Guarantee)
,it is noncardiac chest pain if: constant achiness, does not radiate, worsens with pressing on chest wall, fleeting/needle
like jab that lasts a few seconds, situated in shoulders or between shoulder blades in the
back
dullness on percussion present in pleural effusion or lobar pneumonia
tactile fremitus decreased or absent if excess air in lungs (emphysema), pelural thickening or effusion,
bronchial obstruction
increased if presence of fluids, solid mass, consolidation
trachea exam eviation: volume loss from fibrosis or atelactasis will pull the trachea that direction. mau
also be anterior mediastinal tumor, inlammation
lung percussion dull=cardiac, luver
tympany--stomach
resonant--lungs
flat--muscles and bones
lung percussion order back (10 areas), right lateral--4 areas, left lateral 4 areas, front8 areas
classification of breath sounds vesicular--low pitched, low intesity (normal healthy tissue)
bronchovesicular--over major bronchi, moderate in pitch and intensity
bronchial breath soudns--highest in pitch and intensity--over trachea
bronchovesicular and bronchial breath sounds over peripheral ABNORMAL
lung tissue
breath sounds like blowing across the mouth of a bottle amphoric=stiff pulmonary caivty or tension pneumothorax
rub sound--lungs cratchy and high pitched
types of crackles fine: high pitched discrete with end of inspiration, doesn't clear with cough
medium: lower more in middle stage of inspiration
coarse: bubbly with inspiration, loud
rhonchi deeper rumbling more pronounced during expiration. d/t thick secretions
vocal resonance with lung ausculatation bronchophony--consolidation in lungs--even a whisper can be heard clearly
egophony--consolidation of lung tissue--ee turns into "a"
bronchial breath sounds harsh, hollow sound - best heard over trachea and larynx
bronchovesicular breath s over bronchi, med pitch and loudness
vesicular sounds heard every where else, softest and lowest pitch
, fine crackles are more often in bases of lungs
coarse crackles more often in trachea and large bronchi
rhonchi are due to airway obstruction from mass, secretions, muscular constriction
wheezes are due to constriction, mass, secretions
stridor strained, high-pitched sound heard on inspiration caused by obstruction in the pharynx or
larynx
S1 heart sound mitral and tricuspid valve closure with ventricular contraction
s2 initiation of diastole aortic and pulmonic valves closing after ventricles have emptied
s3 sometimes occurs when ventricular filling is almost complete. due to RAPID ventricular
filling. low pitch, use bell
s4 occurs with atria contraction to ensure ejection of any remaining blood. Due to forceful
atrial ejection into distended ventricle. low pitch, use bell
chest pain: cardiac substernal provoked by effort, emotion, eating and relieved by rest, nitro, often
accompanied by diaphoresis and sometimes nausea
chest pain: pleural with breathing or coughing: sharp, present with respiration, absend when holding breath
chest pain: esophageal burning, substernal, radiation to shoulder, nocturnal/lying flat, releived with food,
antacids and sometimes nitro
chest pain: peptic: almost always infradiaphragmatic and epigastric. PM and AM attacks relieved by food
chest pain: biliary under right scapula, prolonged, after eating, will trigger angina
chest pain: arthritis/bursitis local tender/pain with movement
chest pain: cervical pain with movement, associated with injury
Quiz 2
Exam
(Questions and Answers)
2026
Expert Verified
(With A+ Grades Guarantee)
,it is noncardiac chest pain if: constant achiness, does not radiate, worsens with pressing on chest wall, fleeting/needle
like jab that lasts a few seconds, situated in shoulders or between shoulder blades in the
back
dullness on percussion present in pleural effusion or lobar pneumonia
tactile fremitus decreased or absent if excess air in lungs (emphysema), pelural thickening or effusion,
bronchial obstruction
increased if presence of fluids, solid mass, consolidation
trachea exam eviation: volume loss from fibrosis or atelactasis will pull the trachea that direction. mau
also be anterior mediastinal tumor, inlammation
lung percussion dull=cardiac, luver
tympany--stomach
resonant--lungs
flat--muscles and bones
lung percussion order back (10 areas), right lateral--4 areas, left lateral 4 areas, front8 areas
classification of breath sounds vesicular--low pitched, low intesity (normal healthy tissue)
bronchovesicular--over major bronchi, moderate in pitch and intensity
bronchial breath soudns--highest in pitch and intensity--over trachea
bronchovesicular and bronchial breath sounds over peripheral ABNORMAL
lung tissue
breath sounds like blowing across the mouth of a bottle amphoric=stiff pulmonary caivty or tension pneumothorax
rub sound--lungs cratchy and high pitched
types of crackles fine: high pitched discrete with end of inspiration, doesn't clear with cough
medium: lower more in middle stage of inspiration
coarse: bubbly with inspiration, loud
rhonchi deeper rumbling more pronounced during expiration. d/t thick secretions
vocal resonance with lung ausculatation bronchophony--consolidation in lungs--even a whisper can be heard clearly
egophony--consolidation of lung tissue--ee turns into "a"
bronchial breath sounds harsh, hollow sound - best heard over trachea and larynx
bronchovesicular breath s over bronchi, med pitch and loudness
vesicular sounds heard every where else, softest and lowest pitch
, fine crackles are more often in bases of lungs
coarse crackles more often in trachea and large bronchi
rhonchi are due to airway obstruction from mass, secretions, muscular constriction
wheezes are due to constriction, mass, secretions
stridor strained, high-pitched sound heard on inspiration caused by obstruction in the pharynx or
larynx
S1 heart sound mitral and tricuspid valve closure with ventricular contraction
s2 initiation of diastole aortic and pulmonic valves closing after ventricles have emptied
s3 sometimes occurs when ventricular filling is almost complete. due to RAPID ventricular
filling. low pitch, use bell
s4 occurs with atria contraction to ensure ejection of any remaining blood. Due to forceful
atrial ejection into distended ventricle. low pitch, use bell
chest pain: cardiac substernal provoked by effort, emotion, eating and relieved by rest, nitro, often
accompanied by diaphoresis and sometimes nausea
chest pain: pleural with breathing or coughing: sharp, present with respiration, absend when holding breath
chest pain: esophageal burning, substernal, radiation to shoulder, nocturnal/lying flat, releived with food,
antacids and sometimes nitro
chest pain: peptic: almost always infradiaphragmatic and epigastric. PM and AM attacks relieved by food
chest pain: biliary under right scapula, prolonged, after eating, will trigger angina
chest pain: arthritis/bursitis local tender/pain with movement
chest pain: cervical pain with movement, associated with injury
