NUR -634 ADVANCED PHYSICAL ASSESSMENT
MIDTERM STUDY GUIDE NEWEST EXAM 2025
WITH MULTIPLE CHOICE QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) ALREADY GRADED A+
AND 100% GUARANTEE PASS (BRAND
NEW!!!!!)
-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 - THE CORRECT ANSWER--seven attributes
-OPQRST & Associated manifestations (anything else
accompanying it)
-onset, provocative/palliative, quality, region/radiation,
severity, timing
Talkative Challenging Patient Intervention - THE CORRECT ANSWER--
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
-avoid impatience
Angry Challenging Patient Intervention - THE CORRECT ANSWER--
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 - THE CORRECT ANSWER--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 - THE CORRECT ANSWER-
-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
Hearing Impaired Challenging Patient Intervention - THE CORRECT
ANSWER--determine patients preferred method of
communication
-do they belong to the deaf/hearing culture
-when did the hearing loss occur relative to the development of
speech and language
-kinds of schools patient attended
-use an interpreter
-hand written questions (timely)
-do they use hearing devices
-unilateral hearing loss sit on good side
MIDTERM STUDY GUIDE NEWEST EXAM 2025
WITH MULTIPLE CHOICE QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) ALREADY GRADED A+
AND 100% GUARANTEE PASS (BRAND
NEW!!!!!)
-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 - THE CORRECT ANSWER--seven attributes
-OPQRST & Associated manifestations (anything else
accompanying it)
-onset, provocative/palliative, quality, region/radiation,
severity, timing
Talkative Challenging Patient Intervention - THE CORRECT ANSWER--
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
-avoid impatience
Angry Challenging Patient Intervention - THE CORRECT ANSWER--
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 - THE CORRECT ANSWER--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 - THE CORRECT ANSWER-
-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
Hearing Impaired Challenging Patient Intervention - THE CORRECT
ANSWER--determine patients preferred method of
communication
-do they belong to the deaf/hearing culture
-when did the hearing loss occur relative to the development of
speech and language
-kinds of schools patient attended
-use an interpreter
-hand written questions (timely)
-do they use hearing devices
-unilateral hearing loss sit on good side
