NU 650 Final Exam SG Questions and Answers 2023/2024

Order of Assessment - Correct Answer Inspection, Palpation, Percussion and Auscultation. EXCEPT with abdomen Comprehensive Health History - Correct Answer chief complaint, reason for visit, ROS, past medical and surgical history, social history and family history Pediatric Body measurements - Correct Answer length, height, weight, head circumference fro birth to 36 months Normal/Hypertension cut off - Correct Answer 130 normal 140+ hypertension Fontanel Closure - Correct Answer posterior 1-2 months, anterior 9mo-2years otoscope - Correct Answer adult-up and back, peds- down and back, using largest speculum that will fit comforably tympanic membrane - Correct Answer Cone of light R-5 l-7 EOM testing - Correct Answer CN III, IV, VI AP diameter of chest - Correct Answer 1:2 (AP less than transverse) barrel chest - Correct Answer COPD Flat or Dull percussion - Correct Answer effusion or pneumonia normal resonant percussion - Correct Answer healthy lung Hyperressonance (percussion) - Correct Answer trapped air crackles/rales - Correct Answer high pitched, discontinuous Wheezes - Correct Answer high-pitched whistling or squeaking sounds during inspiration or expiration Rhonchi - Correct Answer snoring, rumbling sounds heard upon auscultation of the chest during respiration-low pitched tactile fremitus - Correct Answer • 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