NR302 Final Comprehensive Exam Questions
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Practice questions for this set
Learn 1 /7 Study with Learn
Inspection, Auscultation, Percussion, Palpation.
Choose an answer
1 Techniques order w Respiratory assessment 2 Techniques order w Abdominal assessment
Techniques order w Cardiovascular Techniques order w Neurological
3 4
assessment assessment
Don't know?
Actual Diagnosis related to (R/T) ________(Related Factors) as evidenced by (AEB)
Actual Dx
________ (Defining Characteristics)
Risk Risk for __________as evidenced by _________ (Risk Factors).
Readiness Readiness for __________as evidenced by "_________" (Defining characteristics).
, chronic hyper-reactive condition. Obstruction. Wheezing. Dyspnea, increased RR,
use of accessory muscles, anxiety, prolonged expiration.
Asthma Palpation- decreased tactile fremitus
Percussion- resonance. Hyperresonance with chronic.
Auscultation- wheezing, decreased voice sounds. Severe; no breath sounds.
obstruction of airflow. Increased RR, dyspnea, cyanosis, trachea shift to affected side
in severe cases.
Atelectasis Palpation- lack of tactile fremitus. decreased lung expansion on affected side
Percussion- dullness over affected area
Auscultate- absent or diminished but normal breath sounds bilaterally.
inflammation of tracheobronchial tree. Early morning, congested, chronic productive
Chronic Bronchitis cough. White or clear sputum. Wheezes or rhonchi. Dyspnea, tachypnea, use of
accessory muscles.
COPD. Obstruction of the alveoli. Tripod posture. Use of accessory muscles.
Cyanosis. Clubbing of fingers. Pursed lip breathing. SOB on exertion.
Palpation- Absent or decreased tactile fremitus. Decreased chest expansion.
Emphysema
Percussion- Hyper-resonance.
Auscultate- diminished but normal breath sounds bilaterally, decreased vesicular
sounds, wheezing.
>90 costal angle. Barrel chest AP=T. ↓ Tactile fremitus palp. Tripod posture. Use of
COPD accessory muscles. Cyanosis. Clubbing of fingers. Pursed lip breathing. SOB on
exertion.
infection of the alveoli, Consolidation. Tachypnea, congested, hacking, productive
cough, chills, chest pain with breathing. Mucosal edema. Sputum- rust.
Palpation- increased tactile fremitus. Decreased chest expansion on affected side.
Lobular Pneumonia
Percussion- dullness over affected area.
Auscultation- Egophony changes e to a. Clear Whispered pectoriloguy &
bronchophony. Bronchial breath sounds and crackles.
fluid in the pleural space. Dyspnea. Tracheal shift to unaffected side.
Palpation- Absent or decreased tactile fremitus. decreased chest expansion side
affected.
Pleural effusion
Percussion- Dullness
Auscultation- unilateral lung sounds. Decreased/absent breath/voice sounds. Pleural
rub.
air in pleural space, collapse of the lung. Tachypnea, tracheal shift to unaffected side.
Palpation- Decreased Tactile fremitus. Unilateral decrease or delay in respiratory
expansion.
Pneumothorax
Percussion- Hyper-resonance
Auscultation- unilateral of normal lung sounds. Decreased/absent breath/voice
sounds.
Increased pressure in the pulmonary veins causes interstitial edema around the
alveoli and may cause edema of the bronchial mucosa. Pulmonary congestion.
Increased respiratory rate, shortness of breath (especially on exertion), orthopnea,
peripheral edema, pallor. S3. Hypertrophy. Dry cough.
Congestive heart failure
Palpation- Normal tactile fremitus. Skin cool and clammy.
Percussion- Resonance.
Auscultation-Normal breath sounds and voice sounds. Wheezes or crackles at the
bases of the lungs.
lung symptoms. 1st Fatigue. Pink frothy sputum. Pulmonary edema. Hypoxia. SOB,
◦ Left-sided CHF
crackles/rales, cough, orthopnea, anxiety, confusion, PND. S3
and Answers / NR 302 Final Exam Latest
Chamberlain College of Nursing |100%
Correct Q & A|
Save
Students also studied
ATI PN Mental Health Proctored Ex... ped final ATI Mental Health Online Practice 2... P3
141 terms 73 terms 56 terms 45 terms
itsmekath01 Preview lisaliberti Preview DevaneeL Preview lisa
Practice questions for this set
Learn 1 /7 Study with Learn
Inspection, Auscultation, Percussion, Palpation.
Choose an answer
1 Techniques order w Respiratory assessment 2 Techniques order w Abdominal assessment
Techniques order w Cardiovascular Techniques order w Neurological
3 4
assessment assessment
Don't know?
Actual Diagnosis related to (R/T) ________(Related Factors) as evidenced by (AEB)
Actual Dx
________ (Defining Characteristics)
Risk Risk for __________as evidenced by _________ (Risk Factors).
Readiness Readiness for __________as evidenced by "_________" (Defining characteristics).
, chronic hyper-reactive condition. Obstruction. Wheezing. Dyspnea, increased RR,
use of accessory muscles, anxiety, prolonged expiration.
Asthma Palpation- decreased tactile fremitus
Percussion- resonance. Hyperresonance with chronic.
Auscultation- wheezing, decreased voice sounds. Severe; no breath sounds.
obstruction of airflow. Increased RR, dyspnea, cyanosis, trachea shift to affected side
in severe cases.
Atelectasis Palpation- lack of tactile fremitus. decreased lung expansion on affected side
Percussion- dullness over affected area
Auscultate- absent or diminished but normal breath sounds bilaterally.
inflammation of tracheobronchial tree. Early morning, congested, chronic productive
Chronic Bronchitis cough. White or clear sputum. Wheezes or rhonchi. Dyspnea, tachypnea, use of
accessory muscles.
COPD. Obstruction of the alveoli. Tripod posture. Use of accessory muscles.
Cyanosis. Clubbing of fingers. Pursed lip breathing. SOB on exertion.
Palpation- Absent or decreased tactile fremitus. Decreased chest expansion.
Emphysema
Percussion- Hyper-resonance.
Auscultate- diminished but normal breath sounds bilaterally, decreased vesicular
sounds, wheezing.
>90 costal angle. Barrel chest AP=T. ↓ Tactile fremitus palp. Tripod posture. Use of
COPD accessory muscles. Cyanosis. Clubbing of fingers. Pursed lip breathing. SOB on
exertion.
infection of the alveoli, Consolidation. Tachypnea, congested, hacking, productive
cough, chills, chest pain with breathing. Mucosal edema. Sputum- rust.
Palpation- increased tactile fremitus. Decreased chest expansion on affected side.
Lobular Pneumonia
Percussion- dullness over affected area.
Auscultation- Egophony changes e to a. Clear Whispered pectoriloguy &
bronchophony. Bronchial breath sounds and crackles.
fluid in the pleural space. Dyspnea. Tracheal shift to unaffected side.
Palpation- Absent or decreased tactile fremitus. decreased chest expansion side
affected.
Pleural effusion
Percussion- Dullness
Auscultation- unilateral lung sounds. Decreased/absent breath/voice sounds. Pleural
rub.
air in pleural space, collapse of the lung. Tachypnea, tracheal shift to unaffected side.
Palpation- Decreased Tactile fremitus. Unilateral decrease or delay in respiratory
expansion.
Pneumothorax
Percussion- Hyper-resonance
Auscultation- unilateral of normal lung sounds. Decreased/absent breath/voice
sounds.
Increased pressure in the pulmonary veins causes interstitial edema around the
alveoli and may cause edema of the bronchial mucosa. Pulmonary congestion.
Increased respiratory rate, shortness of breath (especially on exertion), orthopnea,
peripheral edema, pallor. S3. Hypertrophy. Dry cough.
Congestive heart failure
Palpation- Normal tactile fremitus. Skin cool and clammy.
Percussion- Resonance.
Auscultation-Normal breath sounds and voice sounds. Wheezes or crackles at the
bases of the lungs.
lung symptoms. 1st Fatigue. Pink frothy sputum. Pulmonary edema. Hypoxia. SOB,
◦ Left-sided CHF
crackles/rales, cough, orthopnea, anxiety, confusion, PND. S3
