NR 509/ NR509 BATES MIDTERM EXAM |
NEWEST ACTUAL ACCURATE EXAM
COMPLETE QUESTIONS AND DETAILED
VERIFIED ANSWERS GRADED A+ | 100%
VERIFIED | 2024 UPDATE!!!
Trachea - ✔✔✔ Correct Answer > bifurcates into main stem
bronchi at sternal angle anteriorly and T4 spinal process
posteriorly; Breath sounds here have different quality than lung
sounds over the lung parenchyma
tactile fremitus of anterior chest - ✔✔✔ Correct Answer >
sing ball or ulfar surface of the hand ; decreased or absent over
precordium; Percuss anterior chest and lateral chest - heart
produces area of dullness from 3rd to 5th interspaces left to
the sternum; Left lung lateral to the area of dullness ; Percuss in
progressive steps downward in right midclavicular line; Identify
upper board of liver dullness
auscultation of the anterior thorax - ✔✔✔ Correct Answer >
Breath with mouth open; Compare symmetric area of lungs;
Listen to breath sounds
,Louder in upper anterior lung fields; Bronchovesicular breath
sounds can be heard over large airways, esp to the right
Stridor - ✔✔✔ Correct Answer > loud, continuous, high
pitched crowing sound that is caused by upper airway
obstruction. Most serious of adventitious sounds and requires
immediate attention; audible without stethoscope
musculoskeletal system - ✔✔✔ Correct Answer > Involves
evaluating for issues of the bones, joints, skeletal muscles,
ligaments and tendons, and cartilage
examination should be systematic; inspection, palpation of
bony structures and related joint and soft tissue structures,
assessment of range of motion, and special maneuvers to test
specific movements
tips for assessing pain - ✔✔✔ Correct Answer > Always ask
patient to point to it; Clarify when the it started, the
mechanism of injury or how the it began ; Detail related to
trauma, exercise, movement; Identify key features -
localized/diffuse, acute or chronic,
inflammatory/noninflammatory
,Inspection - ✔✔✔ Correct Answer > observe chest for
contour, symmetry and deformities; overlying skin
palpate - ✔✔✔ Correct Answer > do this to the chest wall to
locate any areas of pain, tenderness, bruises, etc.
Chest expansion - ✔✔✔ Correct Answer > place thumbs
close to patients spine at 10th rib - spread fingers lightly across
lateral thorax - ask to deep breath - watch divergence of
thumbs - normally 2cm and feel for range and symmetry of
movement
tactile fremitus - ✔✔✔ Correct Answer > ninety nine while
feeling for vibrations using ball of hand/ulnar surface; Identify
the areas of increased, decreased or absent; Palpate and
compare symmetric areas of the lungs as you identify and
locate any areas of increased, decreased, absent
Percussion - ✔✔✔ Correct Answer > in systemic manner
Moving down thorax and going from side to side in ladder
pattern; Only use distal interphalangeal joint of pleximeter
finger should be in contact with chest pain; Transmit vibrations
, through bones of pleximeter joint to underlying chest wall;
Listen to intensity, pitch and duration. Note sense of vibration
resonance - ✔✔✔ Correct Answer > percussion of normal
lungs
Hyperresonance - ✔✔✔ Correct Answer > COPD from
alveolar air trapping and delayed expiration
percussion dullness - ✔✔✔ Correct Answer > suspicious of
pleural effusion
Descent of the diaphragm - ✔✔✔ Correct Answer > Breath
out and use percussion to identify lower level of diaphragm;
Ask to take deep breath and measure descent of diaphragmatic
excursion; Percuss downward from initial level of diaphragm
until dullness is reached
Usually 3-5 cm
auscultation - ✔✔✔ Correct Answer > Sounds generated by
breathing; Listening to adventitious or added sounds; If
abnormalities, patients spoke or whispered voice
NEWEST ACTUAL ACCURATE EXAM
COMPLETE QUESTIONS AND DETAILED
VERIFIED ANSWERS GRADED A+ | 100%
VERIFIED | 2024 UPDATE!!!
Trachea - ✔✔✔ Correct Answer > bifurcates into main stem
bronchi at sternal angle anteriorly and T4 spinal process
posteriorly; Breath sounds here have different quality than lung
sounds over the lung parenchyma
tactile fremitus of anterior chest - ✔✔✔ Correct Answer >
sing ball or ulfar surface of the hand ; decreased or absent over
precordium; Percuss anterior chest and lateral chest - heart
produces area of dullness from 3rd to 5th interspaces left to
the sternum; Left lung lateral to the area of dullness ; Percuss in
progressive steps downward in right midclavicular line; Identify
upper board of liver dullness
auscultation of the anterior thorax - ✔✔✔ Correct Answer >
Breath with mouth open; Compare symmetric area of lungs;
Listen to breath sounds
,Louder in upper anterior lung fields; Bronchovesicular breath
sounds can be heard over large airways, esp to the right
Stridor - ✔✔✔ Correct Answer > loud, continuous, high
pitched crowing sound that is caused by upper airway
obstruction. Most serious of adventitious sounds and requires
immediate attention; audible without stethoscope
musculoskeletal system - ✔✔✔ Correct Answer > Involves
evaluating for issues of the bones, joints, skeletal muscles,
ligaments and tendons, and cartilage
examination should be systematic; inspection, palpation of
bony structures and related joint and soft tissue structures,
assessment of range of motion, and special maneuvers to test
specific movements
tips for assessing pain - ✔✔✔ Correct Answer > Always ask
patient to point to it; Clarify when the it started, the
mechanism of injury or how the it began ; Detail related to
trauma, exercise, movement; Identify key features -
localized/diffuse, acute or chronic,
inflammatory/noninflammatory
,Inspection - ✔✔✔ Correct Answer > observe chest for
contour, symmetry and deformities; overlying skin
palpate - ✔✔✔ Correct Answer > do this to the chest wall to
locate any areas of pain, tenderness, bruises, etc.
Chest expansion - ✔✔✔ Correct Answer > place thumbs
close to patients spine at 10th rib - spread fingers lightly across
lateral thorax - ask to deep breath - watch divergence of
thumbs - normally 2cm and feel for range and symmetry of
movement
tactile fremitus - ✔✔✔ Correct Answer > ninety nine while
feeling for vibrations using ball of hand/ulnar surface; Identify
the areas of increased, decreased or absent; Palpate and
compare symmetric areas of the lungs as you identify and
locate any areas of increased, decreased, absent
Percussion - ✔✔✔ Correct Answer > in systemic manner
Moving down thorax and going from side to side in ladder
pattern; Only use distal interphalangeal joint of pleximeter
finger should be in contact with chest pain; Transmit vibrations
, through bones of pleximeter joint to underlying chest wall;
Listen to intensity, pitch and duration. Note sense of vibration
resonance - ✔✔✔ Correct Answer > percussion of normal
lungs
Hyperresonance - ✔✔✔ Correct Answer > COPD from
alveolar air trapping and delayed expiration
percussion dullness - ✔✔✔ Correct Answer > suspicious of
pleural effusion
Descent of the diaphragm - ✔✔✔ Correct Answer > Breath
out and use percussion to identify lower level of diaphragm;
Ask to take deep breath and measure descent of diaphragmatic
excursion; Percuss downward from initial level of diaphragm
until dullness is reached
Usually 3-5 cm
auscultation - ✔✔✔ Correct Answer > Sounds generated by
breathing; Listening to adventitious or added sounds; If
abnormalities, patients spoke or whispered voice
