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NU 650 Final Exam SG Questions and Correct Answers 2024/2025
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NU 650 Final Exam SG Questions and Correct Answers 2024/2025
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NU 650 Final Exam SGOrder of Assessment - ANSInspection, Palpation, Percussion and Auscultation. EXCEPT with
stomach
Comprehensive Health History - ANSchief criticism, reason for visit, ROS, past medical and
surgical records, social records and own family records
Pediatric Body measurements - ANSlength, top, weight, head circumference fro birth to 36
months
Normal/Hypertension cut off - ANS<130 normal 140+ hypertension
Fontanel Closure - ANSposterior 1-2 months, anterior 9mo-2years
otoscope - ANSadult-up and back, peds- down and back, using largest speculum that will fit
comforably
tympanic membrane - ANSCone of light R-5 l-7
EOM testing - ANSCN III, IV, VI
AP diameter of chest - ANS1:2 (AP less than transverse)
barrel chest - ANSCOPD
Flat or Dull percussion - ANSeffusion or pneumonia
normal resonant percussion - ANShealthy lung
Hyperressonance (percussion) - ANStrapped air
crackles/rales - ANShigh pitched, discontinuous
Wheezes - ANShigh-pitched whistling or squeaking sounds during inspiration or expiration
Rhonchi - ANSsnoring, rumbling sounds heard upon auscultation of the chest during
respiration-low pitched
tactile fremitus - ANS• INCREASED FREMITUS
- Means there is liquid or solid inside the lungs (consolidation such as with pneumonia)
- Remember Liquid or solid transmits vibrations better than air
, • DECREASED FREMITUS
Means air trapping such as with emphysema or bronchial obstruction.
Bronchophony - ANSthe spoken voice sound heard through the stethoscope, which sounds soft,
muffled, and indistinct over normal lung tissue, clearer over disease
Egophony - ANSabnormal change in tone of voice that is heard when auscultating the lungs
EE-->AA
UE Arteries - ANSradial-thumb facet, ulnar pinky facet
Pulse grading - ANS0 absent
1+ vulnerable
2+ normal
3+ multiplied
four+ bounding
palpate bilaterally
PMI - ANSpoint of maximal impulse mid-clavicular and fifth ICS
S1 - ANSnormal, closure of AV, Start of systole, loudest at Apex, contraction of ventricles
S2 - ANSnormal, closure of semilunar, give up of systole, loudest at base, filling of ventricles
S3 - ANSthird heart sound (normal in pregnant teenagers, and kids), gallop
S4 - ANSextra heart sound, quit of diastole, indicative of sickness-AFIB
murmur grading scale - ANSI-Barely Audible
II-Quiet, Clearly Audible
III-moderately Loud
IV-loud, thrill
V-Very loud, can palpate thrill
VI-Very loud, thrill palpable and visible
clubbing - ANSbulbous expansion of distal phalanges of palms and toes that takes place with
continual cyanotic coronary heart and lung situations
edema scale - ANS1+ = disappears hastily. 2+ = last 10-15 seconds. 3+ = lasts more than one
minute. Four+ = lasts 2-5 mins. These are symptoms used in what scale?
Everyday/extraordinary findings spleen - ANSnormal=tympanic, dullness may be enlargement
now not typically felt on exam
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