1
MARYVILLE NURS 612 ACTUAL EXAM 2 NEWSET VERSION -
2025/2026- QUESTIONS AND VERIFIED ANSWERS (100%
SUCCEESS)
vesicular breath sounds
low pitch, low intensity; heard over healthy lung tissue
bronchovesicular breath sounds
heard over major bronchi; medium pitch and moderate intensity
bronchial breath sounds
high pitch and high intensity; heard over trachea
hamman sign
lung sound: mediastinal crunch; greater variety of sounds loud crackles, clicking,
and gurgling sounds over pericardium; they are synchronous with the heart beat
and not particularly with respirations; more pronounced toward end of expiration
and easiest to hear when pt leans on the left of lies on the left side; found with
mediastinal emphysema
, 2
symmetry of chest
thoracic expansion at costal angle, w/o use of accessory muscles
hx questions for cc of resp issue
What is the nature of your cough?; Do you produce any sputum?; Is your cough
related to activity?; What position are you most comfortable in?; How many
pillows do you sleep with at night?; Is your SOB related to activity?
normal respirations
rate between 12 to 20/min; ratio of resp to heart beats= 1:4; pt should breathe
easily, regularly w/o apparent distress; pattern should be even, not too shallow or
too deep
hypopnea
term for abnormally shallow respirations
hyperventilation
term for fast and deep, heavy respirations, can be caused by exercise, anxiety,
and CNS and metabolic diseases
hyperpnea
term for abnormally deep respirations
, 3
kussmaul respirations
deep and mostly rapid respirations, used to describe resp effort of metabolic
acidosis
cheyne stokes respirations
regular breathing with intervals of apnea by crescendo decrescendo breathing;
can be seen in sleeping pts, but mostly pts who are very ill, esp with brain damage
biot respirations
irregular breathing that varies in depth and is interrupted irregularly by intervals
of apnea; associated with severe and persistent increased intracranial pressure,
resp compromise from drug poisoning, or brain damage at the medulla and
generally equals poor prognosis
peripheral areas related to respiratory assessment
observe the lips and nails for cyanosis or pallor; lips for pursing; fingers for
clubbing; and alae nasi for flaring
pleural friction rub
MARYVILLE NURS 612 ACTUAL EXAM 2 NEWSET VERSION -
2025/2026- QUESTIONS AND VERIFIED ANSWERS (100%
SUCCEESS)
vesicular breath sounds
low pitch, low intensity; heard over healthy lung tissue
bronchovesicular breath sounds
heard over major bronchi; medium pitch and moderate intensity
bronchial breath sounds
high pitch and high intensity; heard over trachea
hamman sign
lung sound: mediastinal crunch; greater variety of sounds loud crackles, clicking,
and gurgling sounds over pericardium; they are synchronous with the heart beat
and not particularly with respirations; more pronounced toward end of expiration
and easiest to hear when pt leans on the left of lies on the left side; found with
mediastinal emphysema
, 2
symmetry of chest
thoracic expansion at costal angle, w/o use of accessory muscles
hx questions for cc of resp issue
What is the nature of your cough?; Do you produce any sputum?; Is your cough
related to activity?; What position are you most comfortable in?; How many
pillows do you sleep with at night?; Is your SOB related to activity?
normal respirations
rate between 12 to 20/min; ratio of resp to heart beats= 1:4; pt should breathe
easily, regularly w/o apparent distress; pattern should be even, not too shallow or
too deep
hypopnea
term for abnormally shallow respirations
hyperventilation
term for fast and deep, heavy respirations, can be caused by exercise, anxiety,
and CNS and metabolic diseases
hyperpnea
term for abnormally deep respirations
, 3
kussmaul respirations
deep and mostly rapid respirations, used to describe resp effort of metabolic
acidosis
cheyne stokes respirations
regular breathing with intervals of apnea by crescendo decrescendo breathing;
can be seen in sleeping pts, but mostly pts who are very ill, esp with brain damage
biot respirations
irregular breathing that varies in depth and is interrupted irregularly by intervals
of apnea; associated with severe and persistent increased intracranial pressure,
resp compromise from drug poisoning, or brain damage at the medulla and
generally equals poor prognosis
peripheral areas related to respiratory assessment
observe the lips and nails for cyanosis or pallor; lips for pursing; fingers for
clubbing; and alae nasi for flaring
pleural friction rub
