NUR 502 EXAM 1 STUDY GUIDE
COMPLETE QUESTIONS WITH 100%
CORRECT ANSWERS
\.inacurate bp reading false ELEVATED - ANSWERS-cuff elevated too slow, crossed
legs, pt is angry/anxious, arm below level of heart, cuff too tight
\.inacurate bp reading false DECREASED - ANSWERS-cuff inflated too high, pushing
stethoscope too hard on the brachial artery, failing to palpate the radial artery
before inflation, arm above heart level, cuff too loose
\.Risk factors of HTN - ANSWERS-age, race (black community), sex (post-
menopausal women), stress, obesity, tobacco/alc use, diabetes
\.Bell of Stethoscope - ANSWERS-beLOW: low pitched sounds (heart murmurs,
extra heart sounds)
\.diaphram of stethoscope - ANSWERS-high pitched sounds (breath sounds,
normal heart sounds, abdominal sounds)
\.Bronchial location/heard - ANSWERS-tracheal or tubular
location: trachea and larynx
,heard: high pitch, long amplitude, insp lower than exp, harsh/hallow tubular
quality
\.bronchovesicular location/heard - ANSWERS-location: over major bronchi where
fewer alveoli, between scapulae, around upper sternum in 1st or 2ns intercostal
spaces
heard: moderate pitch, moderate amplitude, insp=exp, mixed quality
\.vesicular location/heard - ANSWERS-location: over peripheral lung fields where
air flows through smaller bronchioles and alveoli
heard: low pitch, soft amplitude, insp higher than exp, rustling (sound of wind in
trees)
\.Wheezing ( what disease) - ANSWERS-COPD (sibilant, sonorous)
big cause is allergies/inflammation
last second of breathing out
\.Strider (what disease) - ANSWERS-Asthma, choking (huge gasp)
upper airway, super closed
\.Crackles (what disease) - ANSWERS-Pneumonia (fine or course, atelectatic
crackles)
too much fluid
bronchi- bacterial/mucous build up -changes with cough
, \.pleural rub (what disease) - ANSWERS-irritation/inflammation between organs
\.Hemoptysis (what disease) - ANSWERS-coughing up blood (frothy blood)
\.Resonance (heard/where) - ANSWERS-air (lungs), medium to loud, clear/hallow
sound moderate in duration
hyperresonance
\.dullness (heard/where) - ANSWERS-fluid or solid organs (liver)
soft, muffled, thud-like ton
\.bruit - ANSWERS-heard over blood vessels, abnormal sounds, indicates turbulent
blood flow
\.wheezes - ANSWERS-obstruction in bronchioles/lower trachea, high pitch sounds
heard on expiration
\.tympanic (heard/where) - ANSWERS-stomach, gastric bubble (air filled space)
high-pitched, drum like sound
\.crackles - ANSWERS-heard when airways open suddenly
discontinuous explosive sounds
\.pneumothorax - ANSWERS-(probs not on exam)
COMPLETE QUESTIONS WITH 100%
CORRECT ANSWERS
\.inacurate bp reading false ELEVATED - ANSWERS-cuff elevated too slow, crossed
legs, pt is angry/anxious, arm below level of heart, cuff too tight
\.inacurate bp reading false DECREASED - ANSWERS-cuff inflated too high, pushing
stethoscope too hard on the brachial artery, failing to palpate the radial artery
before inflation, arm above heart level, cuff too loose
\.Risk factors of HTN - ANSWERS-age, race (black community), sex (post-
menopausal women), stress, obesity, tobacco/alc use, diabetes
\.Bell of Stethoscope - ANSWERS-beLOW: low pitched sounds (heart murmurs,
extra heart sounds)
\.diaphram of stethoscope - ANSWERS-high pitched sounds (breath sounds,
normal heart sounds, abdominal sounds)
\.Bronchial location/heard - ANSWERS-tracheal or tubular
location: trachea and larynx
,heard: high pitch, long amplitude, insp lower than exp, harsh/hallow tubular
quality
\.bronchovesicular location/heard - ANSWERS-location: over major bronchi where
fewer alveoli, between scapulae, around upper sternum in 1st or 2ns intercostal
spaces
heard: moderate pitch, moderate amplitude, insp=exp, mixed quality
\.vesicular location/heard - ANSWERS-location: over peripheral lung fields where
air flows through smaller bronchioles and alveoli
heard: low pitch, soft amplitude, insp higher than exp, rustling (sound of wind in
trees)
\.Wheezing ( what disease) - ANSWERS-COPD (sibilant, sonorous)
big cause is allergies/inflammation
last second of breathing out
\.Strider (what disease) - ANSWERS-Asthma, choking (huge gasp)
upper airway, super closed
\.Crackles (what disease) - ANSWERS-Pneumonia (fine or course, atelectatic
crackles)
too much fluid
bronchi- bacterial/mucous build up -changes with cough
, \.pleural rub (what disease) - ANSWERS-irritation/inflammation between organs
\.Hemoptysis (what disease) - ANSWERS-coughing up blood (frothy blood)
\.Resonance (heard/where) - ANSWERS-air (lungs), medium to loud, clear/hallow
sound moderate in duration
hyperresonance
\.dullness (heard/where) - ANSWERS-fluid or solid organs (liver)
soft, muffled, thud-like ton
\.bruit - ANSWERS-heard over blood vessels, abnormal sounds, indicates turbulent
blood flow
\.wheezes - ANSWERS-obstruction in bronchioles/lower trachea, high pitch sounds
heard on expiration
\.tympanic (heard/where) - ANSWERS-stomach, gastric bubble (air filled space)
high-pitched, drum like sound
\.crackles - ANSWERS-heard when airways open suddenly
discontinuous explosive sounds
\.pneumothorax - ANSWERS-(probs not on exam)
