NUR 355 Final Exam study guide UPDATED
ACTUAL Exam Questions and CORRECT
Answers
the ability to think in a systematic and logical manner with openness to question and reflect on
the reasoning process - CORRECT ANSWER - Critical thinking
what would the nurse assess during the general survey? - CORRECT ANSWER - gender and
race
age
signs of distress
body type
posture
gait
body movements
hygiene and grooming
dress
body odor
affect and mood
speech
signs of abuse
substance abuse
Rhonchi (sonorous wheeze) - CORRECT ANSWER - Coarse, rumbling, loud, low-pitched
breath sounds heard during inspiration or expiration
Is Rhonchi cleared with coughing? - CORRECT ANSWER - sometimes
,Rhonchi (sonorous wheeze) is auscultated where? - CORRECT ANSWER - auscultated over
trachea (and bronchi if loud enough)
Wheeze (sibilant wheeze) - CORRECT ANSWER - whistling, high pitched bronchus,
continusous squeak heard during inspiration or expiration (usually louder on expiration)
Wheeze (sibilant wheeze) is auscultated where? - CORRECT ANSWER - auscultated over all
lung fields
bronchial (tracheal) breath sounds - CORRECT ANSWER - Coarse, loud; heard with
consolidation
inspiration < expiration
loud and high pitched with harsh/hollow quality.
Heard over the trachea & larynx.
Pleural friction Rub breath sound - CORRECT ANSWER - scratchy, high-pitched, dry or
grating is heard during inspiration or expiration
Does pleural friction rub clear with coughing? - CORRECT ANSWER - does not clear with
coughing
Pleural friction Rub is auscultated where? - CORRECT ANSWER - auscultated over the
anterior lateral lung (if paitent is sitting upright)
fine crackles - CORRECT ANSWER - fine crackling, high-pitched fine, short interrupted
crackling sounds heard during end of inspiration
,auscultated in the base of lungs (dependent lobes)
does fine crackles clear with coughing? - CORRECT ANSWER - not cleared with coughing
medium crackles - CORRECT ANSWER - Lower, moister sounds heard during middle of
inspiration
auscultated in the base of lungs (dependent lobes)
does medium crackles clear with coughing? - CORRECT ANSWER - not cleared with
coughing
coarse crackles - CORRECT ANSWER - loud, bubby sounds heard during inspiration
auscultated in the base of lungs (dependent lobes)
does coarse crackles clear with coughing? - CORRECT ANSWER - not cleared with
coughing
bronchovesicular breath sounds - CORRECT ANSWER - normal breathe sounds; blowing
sounds that are medium pitched and of medium intensity.
inspiration = expiration
Best heard posteriorly between the scapulae and anteriorly over bronchioles lateral to the
sternum (at 1st & 2nd intercostal spaces)
vesicular breath sounds - CORRECT ANSWER - Normal breath sounds; soft, breezy, and low
picthed.
, inspiration > expiration
best heard over the periphery of lung (except over scapula)
vocal or tactile fremitus - CORRECT ANSWER - sound waves create vibrations that you
palpate externally
what is a Weber's test - CORRECT ANSWER - a screening test for hearing performed with a
tuning fork
Weber's test (lateralization of sound) results - CORRECT ANSWER - Conduction deafness:
sound is heard best in impaired ear
Sensorineural hearing loss: sound is heard better in normal ear
Rinne test - CORRECT ANSWER - used primarily to evaluate loss of hearing in one ear. It
compares perception of sounds transmitted by air conduction to those transmitted by bone
conduction through the mastoid.
testicular cancer - CORRECT ANSWER - cancer of the testicle, usually occurring in men 15
to 35 years of age
What to look for during testicular self-examination - CORRECT ANSWER - look for any
bumps, sores, or blisters on the head of the penis
look for genital warts
look for discharge at the opening of the penis
look and feel for swelling, lumps, soreness, or hard consistency in the scrotum
ACTUAL Exam Questions and CORRECT
Answers
the ability to think in a systematic and logical manner with openness to question and reflect on
the reasoning process - CORRECT ANSWER - Critical thinking
what would the nurse assess during the general survey? - CORRECT ANSWER - gender and
race
age
signs of distress
body type
posture
gait
body movements
hygiene and grooming
dress
body odor
affect and mood
speech
signs of abuse
substance abuse
Rhonchi (sonorous wheeze) - CORRECT ANSWER - Coarse, rumbling, loud, low-pitched
breath sounds heard during inspiration or expiration
Is Rhonchi cleared with coughing? - CORRECT ANSWER - sometimes
,Rhonchi (sonorous wheeze) is auscultated where? - CORRECT ANSWER - auscultated over
trachea (and bronchi if loud enough)
Wheeze (sibilant wheeze) - CORRECT ANSWER - whistling, high pitched bronchus,
continusous squeak heard during inspiration or expiration (usually louder on expiration)
Wheeze (sibilant wheeze) is auscultated where? - CORRECT ANSWER - auscultated over all
lung fields
bronchial (tracheal) breath sounds - CORRECT ANSWER - Coarse, loud; heard with
consolidation
inspiration < expiration
loud and high pitched with harsh/hollow quality.
Heard over the trachea & larynx.
Pleural friction Rub breath sound - CORRECT ANSWER - scratchy, high-pitched, dry or
grating is heard during inspiration or expiration
Does pleural friction rub clear with coughing? - CORRECT ANSWER - does not clear with
coughing
Pleural friction Rub is auscultated where? - CORRECT ANSWER - auscultated over the
anterior lateral lung (if paitent is sitting upright)
fine crackles - CORRECT ANSWER - fine crackling, high-pitched fine, short interrupted
crackling sounds heard during end of inspiration
,auscultated in the base of lungs (dependent lobes)
does fine crackles clear with coughing? - CORRECT ANSWER - not cleared with coughing
medium crackles - CORRECT ANSWER - Lower, moister sounds heard during middle of
inspiration
auscultated in the base of lungs (dependent lobes)
does medium crackles clear with coughing? - CORRECT ANSWER - not cleared with
coughing
coarse crackles - CORRECT ANSWER - loud, bubby sounds heard during inspiration
auscultated in the base of lungs (dependent lobes)
does coarse crackles clear with coughing? - CORRECT ANSWER - not cleared with
coughing
bronchovesicular breath sounds - CORRECT ANSWER - normal breathe sounds; blowing
sounds that are medium pitched and of medium intensity.
inspiration = expiration
Best heard posteriorly between the scapulae and anteriorly over bronchioles lateral to the
sternum (at 1st & 2nd intercostal spaces)
vesicular breath sounds - CORRECT ANSWER - Normal breath sounds; soft, breezy, and low
picthed.
, inspiration > expiration
best heard over the periphery of lung (except over scapula)
vocal or tactile fremitus - CORRECT ANSWER - sound waves create vibrations that you
palpate externally
what is a Weber's test - CORRECT ANSWER - a screening test for hearing performed with a
tuning fork
Weber's test (lateralization of sound) results - CORRECT ANSWER - Conduction deafness:
sound is heard best in impaired ear
Sensorineural hearing loss: sound is heard better in normal ear
Rinne test - CORRECT ANSWER - used primarily to evaluate loss of hearing in one ear. It
compares perception of sounds transmitted by air conduction to those transmitted by bone
conduction through the mastoid.
testicular cancer - CORRECT ANSWER - cancer of the testicle, usually occurring in men 15
to 35 years of age
What to look for during testicular self-examination - CORRECT ANSWER - look for any
bumps, sores, or blisters on the head of the penis
look for genital warts
look for discharge at the opening of the penis
look and feel for swelling, lumps, soreness, or hard consistency in the scrotum
