NSG2317/ NSG 2317 Health Assessment Final exam
solution guide_2022
Functions of the respiratory system - answer - changing chest size during respiration
- inspiration
- expiration
- control of respiration
anterior-posterior & transverse diameter - answer - anterior-posterior: space between
front of chest and back
- transverse diameter: space from side to side
Ratio should be 1:2
Symmetric Expansion - answer hands with thumbs at T9-10, slide hand medially to
pinch, have pt. breathe, hands should go out and back in
vocal fremitus - answer vibration caused by speaking that is palpable
bronchial breath sounds - answer - heard over trachea
- quality is harsh, hallow and tubular
- inspiration<expiration
bronchovesicular breath sounds - answer - heard posteriorly between the scapulae
- quality is mixed
- inspiration = expiration
vesicular breath sounds - answer - heard over peripheral lung fields
- rustling like wind in trees
- inspiration>expiration
adventitious sounds - answer -crackles (rales)
-wheeze (rhonchi)
-atelectatic crackles
bronchophony - answer get patient to repeat 99 while auscultating; should hear solf,
muffled sounds
egophony - answer patient says "eeeeee."; should hear muffled sounds
whispered pectoriloquy - answer patient whispers a phrase; should be quiet muffled
sounds
barrel chest - answer increased anterior-posterior chest diameter
pectus excavatum - answer a chest that is hollowed out
pectus carinatum - answer forward protrusion of the sternum; pigeon chest
, NSG2317/ NSG 2317 Health Assessment Final exam
solution guide_2022
scoliosis - answer lateral curvature of the spine
kyphosis - answer humpback
axillary tail of spence - answer superior lateral corner of breast tissue, projects up and
laterally into axilla, most common place for breast cancer
the quadrants of the breast tissue - answer upper inner, upper outer, lower inner, lower
outer
Glandular breast tissue - answer - lobes, lobules, alveoli
- lactiferous ducts and sinuses
Fibrous breast tissue - answer - suspensory ligaments or Cooper's ligaments
gynecomastia - answer Abnormal development of breast tissue in males; deficiency in
testosterone
Tanner Scale Breast Stage 1 - answer - preadolescent
- only small, elevated nipple is present
Tanner Scale Breast Stage 2 - answer - breast bud stage
- a small mound of breast and nipple develops
- areola widens
Tanner Scale Breast Stage 3 - answer - the breast and areola enlarge
- the nipple is flush with the breast surface
Tanner Scale Breast Stage 4 - answer - the areola and nipple form a secondary
mound over the breast
Tanner Scale Breast Stage 5 - answer - mature breast
- only the nipple protrudes
- the areola is flush with the breast contour (areola may continue into a secondary
mound in some women)
When is the best time to do a breast self-examination? - answer between day 4-7 of
menstrual period; less inflammation (less false positives)
manoeuvres to screen for retraction - answer - raising arms
- hands on hips
- pushing palms together
- learning forwards
solution guide_2022
Functions of the respiratory system - answer - changing chest size during respiration
- inspiration
- expiration
- control of respiration
anterior-posterior & transverse diameter - answer - anterior-posterior: space between
front of chest and back
- transverse diameter: space from side to side
Ratio should be 1:2
Symmetric Expansion - answer hands with thumbs at T9-10, slide hand medially to
pinch, have pt. breathe, hands should go out and back in
vocal fremitus - answer vibration caused by speaking that is palpable
bronchial breath sounds - answer - heard over trachea
- quality is harsh, hallow and tubular
- inspiration<expiration
bronchovesicular breath sounds - answer - heard posteriorly between the scapulae
- quality is mixed
- inspiration = expiration
vesicular breath sounds - answer - heard over peripheral lung fields
- rustling like wind in trees
- inspiration>expiration
adventitious sounds - answer -crackles (rales)
-wheeze (rhonchi)
-atelectatic crackles
bronchophony - answer get patient to repeat 99 while auscultating; should hear solf,
muffled sounds
egophony - answer patient says "eeeeee."; should hear muffled sounds
whispered pectoriloquy - answer patient whispers a phrase; should be quiet muffled
sounds
barrel chest - answer increased anterior-posterior chest diameter
pectus excavatum - answer a chest that is hollowed out
pectus carinatum - answer forward protrusion of the sternum; pigeon chest
, NSG2317/ NSG 2317 Health Assessment Final exam
solution guide_2022
scoliosis - answer lateral curvature of the spine
kyphosis - answer humpback
axillary tail of spence - answer superior lateral corner of breast tissue, projects up and
laterally into axilla, most common place for breast cancer
the quadrants of the breast tissue - answer upper inner, upper outer, lower inner, lower
outer
Glandular breast tissue - answer - lobes, lobules, alveoli
- lactiferous ducts and sinuses
Fibrous breast tissue - answer - suspensory ligaments or Cooper's ligaments
gynecomastia - answer Abnormal development of breast tissue in males; deficiency in
testosterone
Tanner Scale Breast Stage 1 - answer - preadolescent
- only small, elevated nipple is present
Tanner Scale Breast Stage 2 - answer - breast bud stage
- a small mound of breast and nipple develops
- areola widens
Tanner Scale Breast Stage 3 - answer - the breast and areola enlarge
- the nipple is flush with the breast surface
Tanner Scale Breast Stage 4 - answer - the areola and nipple form a secondary
mound over the breast
Tanner Scale Breast Stage 5 - answer - mature breast
- only the nipple protrudes
- the areola is flush with the breast contour (areola may continue into a secondary
mound in some women)
When is the best time to do a breast self-examination? - answer between day 4-7 of
menstrual period; less inflammation (less false positives)
manoeuvres to screen for retraction - answer - raising arms
- hands on hips
- pushing palms together
- learning forwards
