NUR 634 ADVANCED PHYSICAL ASSESSMENT MIDTERM
EXAM QUESTION AND ACCURATE ANSWERS LATEST 2025- 10/28/2025
2026
NUR 634 ADVANCED PHYSICAL ASSESSMENT MIDTERM EXAM QUESTION AND
ACCURATE ANSWERS LATEST 2025-2026
Subjective data
-symptoms from the client's point of view and include: feelings, perceptions, and concerns
-what the patient tells you
Objective data
-what the health professional observes by inspecting, palpating, percussing, and auscultating during
the physical examination
-observed signs
Assessment
-the clinical reasoning process that interprets the patient's history and physical examination, singles
out identified problems, and movement from each problems to its action plan
Plan
-incorporates patient education, changes in medications, needed tests, referrals to other clinicians,
and return visits for counseling and support
-requires good interpersonal skills and sensitivity to the patients goals, economic means, competing
responsibilities, and family struggles/dynamics
Percussion
10/28/2025
-a diagnostic procedure designed to determine the density of a body part by the sound produced by
tapping the surface with the fingers
1
, NUR 634 ADVANCED PHYSICAL ASSESSMENT MIDTERM
EXAM QUESTION AND ACCURATE ANSWERS LATEST 2025- 10/28/2025
2026
-use of the striking or plexor finger (usually the 3rd) to deliver a rapid tap or blow against the distal
pleximeter finger (usually the distal 3rd finger of the left hand laid against the surface) to evoke a
sound wave
-the 5 sounds are resonant, flat, dull, hyper resonant, and tympanic
-resonant sounds are low pitched, hollow sounds heard over normal lung tissue.
-flat are normally heard over solid areas such as bones. Thigh
-dull or thudlike sounds are normally heard over dense areas such as the heart or liver. Dullness
replaces resonance when fluid or solid tissue replaces air-containing lung tissues, such as occurs with
pneumonia, pleural effusions, or tumors.
-hyperresonant sounds that are louder and lower pitched than resonant sounds are normally heard
when percussing the chests of children and very thin adults. Hyperresonant sounds may also be heard
when percussing lungs hyperinflated with air, such as may occur in patients with copd, or patients
having an acute asthmatic attack. An area of hyperresonance on one side of the chest may indicate a
pneumothorax.
-tympanic sounds are hollow, high, drumlike sounds. Tympany is normally heard over the stomach,
but is not a normal chest sound. Tympanic sounds heard over the chest indicate excessive air in the
chest, such as may occur with pneumothorax.
Attributes of a symptom
-seven attributes
-opqrst & associated manifestations (anything else accompanying it)
-onset, provocative/palliative, quality, region/radiation, severity, timing
Talkative challenging patient intervention
-give 5-10 minutes uninterrupted
-focus on and ask questions to what seems most important to patient
-summarize concerns and focus on #1 concern today
10/28/2025
-avoid impatience
2
, NUR 634 ADVANCED PHYSICAL ASSESSMENT MIDTERM
EXAM QUESTION AND ACCURATE ANSWERS LATEST 2025- 10/28/2025
2026
Angry challenging patient intervention
-acknowledge any involvement you may have in their anger and make amends
-avoid reinforcing criticism of other clinicians
-validate their feelings without agreeing with their reasons
-ensure a safe environment, alert staff/security
-stay calm and avoid being confrontational
-keep a relaxed and nonthreatening posture
Silent challenging patient intervention
-be attentive and respectful and encourage patient to continue when they are ready
-watch for nonverbal cues such as difficulty controlling emotions
-watch for signs of depression
-ask why they are quiet
Confusing challenging patient intervention
-guide questions, ask for clarification, and summarize
-watch for underlying issue if there is interference with communication
-when there are multiple symptoms focus on context of the symptoms emphasizing the patients
perspective
-consider delirium or intoxication
-conduct a mental status examination focusing on loc. Orientation, memory, and capacity to
understand
-ask for permission to speak with family members to obtain their perspectives
10/28/2025
3
EXAM QUESTION AND ACCURATE ANSWERS LATEST 2025- 10/28/2025
2026
NUR 634 ADVANCED PHYSICAL ASSESSMENT MIDTERM EXAM QUESTION AND
ACCURATE ANSWERS LATEST 2025-2026
Subjective data
-symptoms from the client's point of view and include: feelings, perceptions, and concerns
-what the patient tells you
Objective data
-what the health professional observes by inspecting, palpating, percussing, and auscultating during
the physical examination
-observed signs
Assessment
-the clinical reasoning process that interprets the patient's history and physical examination, singles
out identified problems, and movement from each problems to its action plan
Plan
-incorporates patient education, changes in medications, needed tests, referrals to other clinicians,
and return visits for counseling and support
-requires good interpersonal skills and sensitivity to the patients goals, economic means, competing
responsibilities, and family struggles/dynamics
Percussion
10/28/2025
-a diagnostic procedure designed to determine the density of a body part by the sound produced by
tapping the surface with the fingers
1
, NUR 634 ADVANCED PHYSICAL ASSESSMENT MIDTERM
EXAM QUESTION AND ACCURATE ANSWERS LATEST 2025- 10/28/2025
2026
-use of the striking or plexor finger (usually the 3rd) to deliver a rapid tap or blow against the distal
pleximeter finger (usually the distal 3rd finger of the left hand laid against the surface) to evoke a
sound wave
-the 5 sounds are resonant, flat, dull, hyper resonant, and tympanic
-resonant sounds are low pitched, hollow sounds heard over normal lung tissue.
-flat are normally heard over solid areas such as bones. Thigh
-dull or thudlike sounds are normally heard over dense areas such as the heart or liver. Dullness
replaces resonance when fluid or solid tissue replaces air-containing lung tissues, such as occurs with
pneumonia, pleural effusions, or tumors.
-hyperresonant sounds that are louder and lower pitched than resonant sounds are normally heard
when percussing the chests of children and very thin adults. Hyperresonant sounds may also be heard
when percussing lungs hyperinflated with air, such as may occur in patients with copd, or patients
having an acute asthmatic attack. An area of hyperresonance on one side of the chest may indicate a
pneumothorax.
-tympanic sounds are hollow, high, drumlike sounds. Tympany is normally heard over the stomach,
but is not a normal chest sound. Tympanic sounds heard over the chest indicate excessive air in the
chest, such as may occur with pneumothorax.
Attributes of a symptom
-seven attributes
-opqrst & associated manifestations (anything else accompanying it)
-onset, provocative/palliative, quality, region/radiation, severity, timing
Talkative challenging patient intervention
-give 5-10 minutes uninterrupted
-focus on and ask questions to what seems most important to patient
-summarize concerns and focus on #1 concern today
10/28/2025
-avoid impatience
2
, NUR 634 ADVANCED PHYSICAL ASSESSMENT MIDTERM
EXAM QUESTION AND ACCURATE ANSWERS LATEST 2025- 10/28/2025
2026
Angry challenging patient intervention
-acknowledge any involvement you may have in their anger and make amends
-avoid reinforcing criticism of other clinicians
-validate their feelings without agreeing with their reasons
-ensure a safe environment, alert staff/security
-stay calm and avoid being confrontational
-keep a relaxed and nonthreatening posture
Silent challenging patient intervention
-be attentive and respectful and encourage patient to continue when they are ready
-watch for nonverbal cues such as difficulty controlling emotions
-watch for signs of depression
-ask why they are quiet
Confusing challenging patient intervention
-guide questions, ask for clarification, and summarize
-watch for underlying issue if there is interference with communication
-when there are multiple symptoms focus on context of the symptoms emphasizing the patients
perspective
-consider delirium or intoxication
-conduct a mental status examination focusing on loc. Orientation, memory, and capacity to
understand
-ask for permission to speak with family members to obtain their perspectives
10/28/2025
3
