NSG 500 EXAM 2 2026 PRACTICE QUESTION
SET TWO
◉ dullness on percussion. Answer: present in pleural effusion or
lobar pneumonia
◉ tactile fremitus. Answer: 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. Answer: eviation: volume loss from fibrosis or
atelactasis will pull the trachea that direction. mau also be anterior
mediastinal tumor, inlammation
◉ lung percussion. Answer: dull=cardiac, luver
tympany--stomach
resonant--lungs
flat--muscles and bones
◉ lung percussion order. Answer: back (10 areas), right lateral--4
areas, left lateral 4 areas, front8 areas
,◉ classification of breath sounds. Answer: 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
lung tissue. Answer: ABNORMAL
◉ breath sounds like blowing across the mouth of a bottle. Answer:
amphoric=stiff pulmonary caivty or tension pneumothorax
◉ rub sound--lungs. Answer: cratchy and high pitched
◉ types of crackles. Answer: 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. Answer: deeper rumbling more pronounced during
expiration. d/t thick secretions
,◉ vocal resonance with lung ausculatation. Answer: bronchophony--
consolidation in lungs--even a whisper can be heard clearly
egophony--consolidation of lung tissue--ee turns into "a"
◉ bronchial breath sounds. Answer: harsh, hollow sound - best
heard over trachea and larynx
◉ bronchovesicular breath s. Answer: over bronchi, med pitch and
loudness
◉ vesicular sounds. Answer: heard every where else, softest and
lowest pitch
◉ fine crackles are more often in. Answer: bases of lungs
◉ coarse crackles more often in. Answer: trachea and large bronchi
◉ rhonchi are due to. Answer: airway obstruction from mass,
secretions, muscular constriction
◉ wheezes are due to. Answer: constriction, mass, secretions
, ◉ stridor. Answer: strained, high-pitched sound heard on inspiration
caused by obstruction in the pharynx or larynx
◉ S1 heart sound. Answer: mitral and tricuspid valve closure with
ventricular contraction
◉ s2. Answer: initiation of diastole aortic and pulmonic valves
closing after ventricles have emptied
◉ s3. Answer: sometimes occurs when ventricular filling is almost
complete. due to RAPID ventricular filling. low pitch, use bell
◉ s4. Answer: 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. Answer: substernal provoked by effort,
emotion, eating and relieved by rest, nitro, often accompanied by
diaphoresis and sometimes nausea
◉ chest pain: pleural. Answer: with breathing or coughing: sharp,
present with respiration, absend when holding breath
SET TWO
◉ dullness on percussion. Answer: present in pleural effusion or
lobar pneumonia
◉ tactile fremitus. Answer: 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. Answer: eviation: volume loss from fibrosis or
atelactasis will pull the trachea that direction. mau also be anterior
mediastinal tumor, inlammation
◉ lung percussion. Answer: dull=cardiac, luver
tympany--stomach
resonant--lungs
flat--muscles and bones
◉ lung percussion order. Answer: back (10 areas), right lateral--4
areas, left lateral 4 areas, front8 areas
,◉ classification of breath sounds. Answer: 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
lung tissue. Answer: ABNORMAL
◉ breath sounds like blowing across the mouth of a bottle. Answer:
amphoric=stiff pulmonary caivty or tension pneumothorax
◉ rub sound--lungs. Answer: cratchy and high pitched
◉ types of crackles. Answer: 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. Answer: deeper rumbling more pronounced during
expiration. d/t thick secretions
,◉ vocal resonance with lung ausculatation. Answer: bronchophony--
consolidation in lungs--even a whisper can be heard clearly
egophony--consolidation of lung tissue--ee turns into "a"
◉ bronchial breath sounds. Answer: harsh, hollow sound - best
heard over trachea and larynx
◉ bronchovesicular breath s. Answer: over bronchi, med pitch and
loudness
◉ vesicular sounds. Answer: heard every where else, softest and
lowest pitch
◉ fine crackles are more often in. Answer: bases of lungs
◉ coarse crackles more often in. Answer: trachea and large bronchi
◉ rhonchi are due to. Answer: airway obstruction from mass,
secretions, muscular constriction
◉ wheezes are due to. Answer: constriction, mass, secretions
, ◉ stridor. Answer: strained, high-pitched sound heard on inspiration
caused by obstruction in the pharynx or larynx
◉ S1 heart sound. Answer: mitral and tricuspid valve closure with
ventricular contraction
◉ s2. Answer: initiation of diastole aortic and pulmonic valves
closing after ventricles have emptied
◉ s3. Answer: sometimes occurs when ventricular filling is almost
complete. due to RAPID ventricular filling. low pitch, use bell
◉ s4. Answer: 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. Answer: substernal provoked by effort,
emotion, eating and relieved by rest, nitro, often accompanied by
diaphoresis and sometimes nausea
◉ chest pain: pleural. Answer: with breathing or coughing: sharp,
present with respiration, absend when holding breath
