NUR 362 Final Exam 1 Questions and
All Correct Answers 2025-2026
Updated.
4 techniques of physical assessment - Answer inspection, palpation, auscultation, percussion
Respiratory ROS - Answer 1- cough
2- SOB
3- chest tightness with breathing
4- smoking history, vaping history
Respiratory personal/social history questions - Answer 1- smoking history, vaping history
2- recent exposures; occupation
3- use of assistive devices (CPAP), orthopnea?
Normal respiratory findings (inspection) - Answer -Anterior-posterior (AP) diameter is 1/2
the size of the transverse/lateral diameter
-Absence or rib, sternum, scapula, or vertebral deformities
-Equal movements during respiration
-no excessive retractions of intercostals
-Regular, smooth, symmetrical, unlabored resp effort, no use of accessory muscles
-No cyanosis or clubbing, mucous membranes are pink
-trachea midline
-Relaxed/calm facial expression, upright posture, A&O x3
Abnormal respiratory findings (inspection) - Answer -AP is not 1/2 size of transverse/lateral
(barrel chest)
-deformities, asymmetry (scoliosis, kyphosis, flail chest)
-excessive retractions of ICS, use of accessory muscles
-irregular RR, labored
-Cyanosis, clubbing, mucous membranes grey/not pink
-trachea not midline (deviated), facial expressions are panicked/stressed, posture poor, not A&O
x3
-dyspnea, anxiety
, How do you perform respiratory inspection? - Answer Observe:
1- shape/configuration
2- symmetry
3- Intercostals
4- respiratory effort/patterns
5- skin, mucous membranes, nail observation
6- trachea
7- resp difficulty
What conditions would you expect to see abnormal findings during resp. inspection? - Answer
COPD (expect cyanosis, clubbed fingers, tripod positioning, pursed lip breathing)
rib or chest injury - Asymmetry
How do you perform respiratory palpation? - Answer Palpate anterior chest and posterior,
place hands at base of scapula to palpate expansion with respiration.
Normal resp palpation findings - Answer -Symmetrical expansion
-Absence of tenderness, lesions, masses
-no crepitus
Abnormal resp palpation findings - Answer -crepitus (subcutaneous air under skin)
-asymmetrical expansion
-tenderness, lesions, masses
Conditions of when you would expect abnormal resp findings during palpation - Answer -
Injury such as broken ribs or collar bone, would not be breathing symmetrically
-pneumothorax potentially because chest tube
-scoliosis
-barrel chest
How to perform resp auscultation - Answer With diaphragm of stethoscope, use later
technique on the resp landmarks starting anteriorly then posteriorly
Where are the resp landmarks for auscultation? - Answer Anterior
1- left and right apices
2- 2nd intercostal spaces
All Correct Answers 2025-2026
Updated.
4 techniques of physical assessment - Answer inspection, palpation, auscultation, percussion
Respiratory ROS - Answer 1- cough
2- SOB
3- chest tightness with breathing
4- smoking history, vaping history
Respiratory personal/social history questions - Answer 1- smoking history, vaping history
2- recent exposures; occupation
3- use of assistive devices (CPAP), orthopnea?
Normal respiratory findings (inspection) - Answer -Anterior-posterior (AP) diameter is 1/2
the size of the transverse/lateral diameter
-Absence or rib, sternum, scapula, or vertebral deformities
-Equal movements during respiration
-no excessive retractions of intercostals
-Regular, smooth, symmetrical, unlabored resp effort, no use of accessory muscles
-No cyanosis or clubbing, mucous membranes are pink
-trachea midline
-Relaxed/calm facial expression, upright posture, A&O x3
Abnormal respiratory findings (inspection) - Answer -AP is not 1/2 size of transverse/lateral
(barrel chest)
-deformities, asymmetry (scoliosis, kyphosis, flail chest)
-excessive retractions of ICS, use of accessory muscles
-irregular RR, labored
-Cyanosis, clubbing, mucous membranes grey/not pink
-trachea not midline (deviated), facial expressions are panicked/stressed, posture poor, not A&O
x3
-dyspnea, anxiety
, How do you perform respiratory inspection? - Answer Observe:
1- shape/configuration
2- symmetry
3- Intercostals
4- respiratory effort/patterns
5- skin, mucous membranes, nail observation
6- trachea
7- resp difficulty
What conditions would you expect to see abnormal findings during resp. inspection? - Answer
COPD (expect cyanosis, clubbed fingers, tripod positioning, pursed lip breathing)
rib or chest injury - Asymmetry
How do you perform respiratory palpation? - Answer Palpate anterior chest and posterior,
place hands at base of scapula to palpate expansion with respiration.
Normal resp palpation findings - Answer -Symmetrical expansion
-Absence of tenderness, lesions, masses
-no crepitus
Abnormal resp palpation findings - Answer -crepitus (subcutaneous air under skin)
-asymmetrical expansion
-tenderness, lesions, masses
Conditions of when you would expect abnormal resp findings during palpation - Answer -
Injury such as broken ribs or collar bone, would not be breathing symmetrically
-pneumothorax potentially because chest tube
-scoliosis
-barrel chest
How to perform resp auscultation - Answer With diaphragm of stethoscope, use later
technique on the resp landmarks starting anteriorly then posteriorly
Where are the resp landmarks for auscultation? - Answer Anterior
1- left and right apices
2- 2nd intercostal spaces
