NUR 634 FINAL EXAM 2023/NUR-634 PHYSICAL ASSESSMENT
FINAL 100 QUESTIONS AND CORRECT ANSWERS|AGRADE
Which lobes of the lung will be heard anteriorly? - ANSWER: -Right Upper Lung
-Right Middle Lung
-Right Lower Lung
-Left Upper Lung
-Left Lower Lung
Which lobes of the lung will be heard posteriorly? - ANSWER: -Right Upper Lung
-Right Lower Lung
-Left Upper Lung
-Left Lower Lung
Which lobes of the lung will be heard laterally - right? - ANSWER: -Right Upper Lung
-Right Middle Lung
-Right Lower Lung
Which lobes of the lung will be heard laterally - left? - ANSWER: -Left Upper Lung
-Left Lower Lung
Possible causes of chest pain? - ANSWER: -Anxiety/panic disorders
-Costochondritis
Cardiovascular:
-Heart attack
-Pericarditis or myocarditis
Respiratory:
-Bronchitis
-Pneumonia
Abdominal:
-GERD
Chest S/S that indicate a cardiovascular problem - ANSWER: -Exertional chest pain
-Orthopnea (SOB when supine) / paroxysmal nocturnal dyspnea (relieved by sitting
up)
-Palpitations
-Edema
,How to assess for dyspnea? - ANSWER: Ask the patient "Have you had difficulty
breathing?"
How to assess for degree of severity of dyspnea? - ANSWER: Determine its effect on
patient's ADLs
Possible causes of shortness of breath? - ANSWER: -Anxiety
-Activity
Possible causes of cough? - ANSWER: -Irritating stimuli (ex. mucus, allergens, dust,
foreign bodies)
-Inflammation
-Compression of bronchioles from tumor, enlarged lymph nodes, or pulmonary
edema
-Left-sided heart failure
Specific possible causes of chronic cough - ANSWER: -GERD
-Postnasal drip
-Bronchiectasis
Bronchiectasis (define) - ANSWER: Reversible dilatation of the bronchi where the
elastic and muscular tissue is destroyed by inflammation and infection. This damage
impairs the natural drainage of bronchial secretions which can become chronically
infected
Possible causes of hemoptysis - ANSWER: -Bronchitis
-Cystic fibrosis
-Bronchiectasis
-Malignancy
How to differentiate if coughed up blood is coming from the stomach or the
respiratory tract? - ANSWER: Blood from the stomach is usually darker than blood
from the respiratory tract
Most common cause of acute cough - ANSWER: **Viral upper respiratory infection**
*Greater than 65 years old:
-First, PCV13
-Then PPSV23 6-12 months later
*If already received PPSV23, give PCV13 one year after most recent PPSV23
vaccination
Special groups who should be immunized with PCV13 & PPSV23 - ANSWER: *Pts >2
years old who are immunocompromised & those with chronic illnesses associated
with increased risk for pneumococcal infection (sickle cell disease, diabetes,
alcoholism, etc.)
*Pts >19 years old who smoke or have asthma
*Residents of nursing homes or long-term care facilities
Order for respiratory assessment - ANSWER: 1) Inspect
2) Palpate
3) Percuss
, 4) Auscultate
Where are you most likely to hear abnormal wheezes or crackles? - ANSWER: The
dependent side
^ventilation is greater in dependent lung
Signs of respiratory distress - ANSWER: -Tachypnea (>25 breaths/min)
-Cyanosis or pallor
-Clubbing of fingers
-Audible signs of breathing
-Contraction of accessory muscles
Stridor (causes) - ANSWER: -Epiglottitis
-Foreign body
-Anaphylaxis
-Tracheal stenosis from intubation
-Airway edema after device removal
AP (anteroposterior) diameter - ANSWER: A measure of the shape and symmetry of
the chest; Normally, the ratio of AP diameter to lateral chest diameter = 0.7-0.9
Asymmetric expansion/unilateral delay in chest expansion occurs in what
conditions? - ANSWER: -Pleural effusions
-Pleural disease (from asbestosis or silicosis)
Fremitus (define) - ANSWER: The palpable vibrations that are transmitted through
the lungs to the chest wall as the patient speaks
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