NUR 504 Final Study Guide with Questions and Correct Answers
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Course
NUR 504
Institution
NUR 504
Retractions are observed in all the following areas except the: Supraventricular area hilar area. intercostal area costal marginal area. hilar area.
A 3 year-old presents with a history of fever and cough over the past 24 hours. Findings on exam reveal: temperature of 102°F, apical heart rate of ...
NUR 504 Final Study Guide with
Questions and Correct Answers
Retractions are observed in all the following areas except the:
Supraventricular area
hilar area.
intercostal area
costal marginal area. ✅hilar area.
A 3 year-old presents with a history of fever and cough over the past 24 hours. Findings
on exam reveal: temperature of 102°F, apical heart rate of 157 beats/minute, and
respiratory rate of 40 breaths/minute. Tachypnea in this child is most likely related to
Paradoxical respirations.
the child's febrile state.
the child's age.
an airway obstruction. ✅the child's febrile state.
When percussing the lower posterior chest, begin by:
standing on the side rather than directly behind the patient.
having the patient lie supine on the examining table.
carefully palpating any area the patient has reported pain.
using the ball or the ulnar surface of the hand ✅standing on the side rather than
directly behind the patient.
The palpation technique used to assess respiratory expansion of the chest is placing
the hands on the eight or tenth ribs posteriorly with the thumbs close to the vertebrae,
sliding the hand medially and grasping a small fold of skin between the thumbs. Then
ask the patient to cough and note chest expansion.
ask the patient to take a deep breathe and note any delay in expansion during
inhalation.
have the patient hold his breath for 15 seconds then note chest expansion.
have the patient exhale forcefully noting expansion on expiration. ✅ask the patient to
take a deep breathe and note any delay in expansion during inhalation.
When trying to differentiate between hemoptysis or blood streaked material, which one
of the following observations is correct?
Hemoptysis is seen frequently in infants, children, and adolescents with allergic rhinitis.
Blood originating in the stomach is usually brighter than blood originating from the
respiratory tract.
Hemoptysis is common in children with cystic fibrosis.
Blood streaked material often originates from the gastrointestinal tract. ✅Blood
streaked material often originates from the gastrointestinal tract.
, When percussing the chest in a patient who has left sided heart failure, the sound
emanated would be:
Resonant.
dull tympany.
Diffusely
hyper resonant ✅Resonant.
The line that extends through the inferior angle of the scapula when the arms are at the
sides of the body is the:
mid vertebral line
Scapular line.
midclavicular line
mid-spinal line ✅Scapular line.
condition associated with a chronic cough that produces copious amounts of purulent
sputum is most likely:
tracheobronchitis.
chronic bronchitis.
Bronchiectasis.
laryngitis. ✅Bronchiectasis.
A patient who walked into the examination room, may be observed to be sitting and
leaning forward in his chair. Lips were pursed during exhalation and arms are supported
on the table. This position could be consistent with patients who have:
pneumonia.
chronic obstructive pulmonary disease (COPD)
asthma
croup. ✅chronic obstructive pulmonary disease (COPD)
Breath sounds heard over the periphery of the lung fields are:
bronchial.
abnormal.
bronchovesicular.
vesicular ✅vesicular
When percussing the posterior chest, which one of the following techniques would be
omitted?
-When comparing two areas on the chest, use the same percussion technique in both
areas.
-Percuss one side of the chest then the other at each level.
-Percuss the areas over the scapulae.
-If a louder note is needed, apply more pressure with the pleximeter finger. ✅Percuss
the areas over the scapulae.
When auscultating breath sounds in a patient who has left sided heart failure, the breath
sounds are:
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