NR 302 Final Exam Questions with 100% Correct Answers

Actual Dx Correct Answer Actual Diagnosis related to (R/T) ________(Related Factors) as evidenced by (AEB) ________ (Defining Characteristics) Risk Correct Answer Risk for __________as evidenced by _________ (Risk Factors). Readiness Correct Answer Readiness for __________as evidenced by "_________" (Defining characteristics). Asthma Correct Answer chronic hyper-reactive condition. Obstruction. Wheezing. Dyspnea, increased RR, use of accessory muscles, anxiety, prolonged expiration. Palpation- decreased tactile fremitus Percussion- resonance. Hyperresonance with chronic. Auscultation- wheezing, decreased voice sounds. Severe; no breath sounds. Atelectasis Correct Answer obstruction of airflow. Increased RR, dyspnea, cyanosis, trachea shift to affected side in severe cases. 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. Chronic Bronchitis Correct Answer inflammation of tracheobronchial tree. Early morning, congested, chronic productive cough. White or clear sputum. Wheezes or rhonchi. Dyspnea, tachypnea, use of accessory muscles. Emphysema Correct Answer 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. Percussion- Hyper-resonance. Auscultate- diminished but normal breath sounds bilaterally, decreased vesicular sounds, wheezing. COPD Correct Answer 90 costal angle. Barrel chest AP=T. ↓ Tactile fremitus palp. Tripod posture. Use of accessory muscles. Cyanosis. Clubbing of fingers. Pursed lip breathing. SOB on exertion. Lobular Pneumonia Correct Answer 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. Percussion- dullness over affected area.