NURS 5220 ADVANCED PHYSICAL ASSESSMENT EXAM 2
NEWEST EXAM 2025/2026 NEWEST ACTUAL EXAM WITH
COMPLETE QUESTIONS AND VERIFIED ANSWERS
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Mrs. Mills is a 61-year-old patient with chronic respiratory
problems. Her laboratory results demonstrate a metabolic
acidosis. The respiratory pattern typically exhibited by the patient
with metabolic acidosis is called:
platypnea.
paroxysmal nocturnal dyspnea.
Kussmaul breathing.
Biot respiration. - ANSWER-Kussmaul breathing.
Mr. Edwards is a 63-year-old patient with pleuritic pain and
shallow respirations. What term describes abnormally shallow
respirations as seen with limited excursion resulting from pleuritic
pain?
Bradypnea
Hyperpnea
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Hypopnea
Kussmaul breathing - ANSWER-Hypopnea
Which type of apnea is least worrisome?
Primary apnea
Secondary apnea
Apneustic breathing
Periodic apnea of the newborn - ANSWER-Periodic apnea of the
newborn
While observing a patient's respirations, you note that, on
inspiration, the lower thorax is drawn in and the abdomen
protrudes. On expiration, the opposite occurs. This may be
documented as:
paradoxic breathing.
Biot respiration.
Kussmaul breathing.
abdominal respiration. - ANSWER-paradoxic breathing.
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Which is a determinant of the degree of retraction on inspiration?
the respiratory rate.
the extent of obstruction.
the body temperature.
the angle of the head of the bed. - ANSWER-the extent of
obstruction.
The feel of "leather rubbing on leather" describes the sensation
that may be palpable with:
crepitus.
vocal fremitus.
pleural friction rub.
tactile fremitus. - ANSWER-pleural friction rub.
Mrs. Janker is a 58-year-old patient who presents to your office
with recurrent respiratory problems. You best assess the quality of
tactile fremitus by palpating at which location?
Along the costal margin and xiphoid process
In the suprasternal notch along the clavicle
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Parasternally at the second intercostal space
Posterolaterally beneath the scapula - ANSWER-Posterolaterally
beneath the scapula
The usual landmark at which the examiner percusses for the
lower border of diaphragmatic excursion is:
the sternum.
the midvertebral line.
the midaxillary line.
the scapular line. - ANSWER-the scapular line.
Which location would you auscultate at to best assess the middle
lobe of the right lung?
Anterior chest
Posterior chest
Axilla
Midclavicular line - ANSWER-Axilla
Thoracic expansion is assessed by: