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Final Exam: NR509 / NR-509 (Latest 2025 / 2026) Advanced Physical Assessment | Test Questions with Verified Answers | 100% Correct | Grade A - Chamberlain $7.99
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Final Exam: NR509 / NR-509 (Latest 2025 / 2026) Advanced Physical Assessment | Test Questions with Verified Answers | 100% Correct | Grade A - Chamberlain

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Final Exam: NR509 / NR-509 (Latest 2025 / 2026) Advanced Physical Assessment | Test Questions with Verified Answers | 100% Correct | Grade A - Chamberlain Question: s/s of respiratory distress? Answer: - speaking in short sentences - use of accessory muscles - leaning FORWARD to gain me...

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  • January 27, 2025
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Final Exam: NR509 / NR-509 (Latest
) Advanced Physical
Assessment | Test Questions with
Verified Answers | 100% Correct |
Grade A - Chamberlain


Question:
s/s of respiratory distress?
Answer:
- speaking in short sentences
- use of accessory muscles
- leaning FORWARD to gain mechanical advantage for the diaphragm
- pursed lip breathing
- skin between the ribs moves inward on inspiration
- tachypnea 25 bpm or more
- cyanosis in the lips, tongue and oral mucosa

,Question:
describe good percussion technique
Answer:
- strike the pleximeter over the distal interphalangeal joint




Question:
which lung sound possesses the characteristics of being louder and higher in
pitch with a short silence b/w inspiration and expiration?
Answer:
bronchial




Question:
a patient complains of shortness of breath for the past few days. On exam you
hear late inspiratory crackles in the lower third of the chest that were not
present a week ago. What explains this sound?
Answer:
heart failure explains this sound




Question:
what type of sounds do asthma and COPD generally make?
Answer:
COPD and asthma generally produce EARLY inspiratory crackles

,Question:
high pitched inspiratory whistling is also known as
Answer:
high pitched inspiratory whistling is also known as stridor




Question:
adventitious sounds that clear with cough are usually consistent with...
Answer:
adventitious lung sounds that usually clear with a cough are consistent with
bronchitis or atelectasis




Question:
_______ occurs in severe asthma, COPD and upper airway obstruction
Answer:
retraction occurs in severe asthma, COPD and upper airway obstruction




Question:
pneumonia is generally associated with what on auscultation, percussion, s/s?
Answer:
- pneumonia is usually associated with dyspnea, cough and fever
- auscultation = coarse or fine crackles heard over the affected lobe
- percussion = generally dull and increase in fremitus

, Question:
COPD
- percussion sound?
- auscultation sound?
Answer:
percussion sound = hyperresonance over chest
auscultation sound = distant breath sounds, inspiratory crackles, wheezes due
to narrowed airways
**often in past smokers
** causes flattening of the diaphragm




Question:
Silent gap between inspiratory and expiratory sounds
Answer:
a gap suggest bronchial breath sounds




Question:
tracheal lung sounds
Answer:
- Inspiratory and expiratory sounds are about equal
- Very loud
- Relatively high pitched
- Over the trachea in the neck

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