FINAL EXAM: NR302 / NR 302 (LATEST 2025/ 2026
UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)
HEALTH ASSESSMENT I | QUESTIONS & ANSWERS |
GRADE A | 100% CORRECT (VERIFIED SOLUTIONS) -
CHAMBERLAIN
evidenced by (AEB) ________ (Defining Characteristics)
Risk .....ANSWER.....Risk for __________as evidenced by
_________ (Risk Factors).
Readiness .....ANSWER.....Readiness for __________as evidenced
by "_________" (Defining characteristics).
Asthma .....ANSWER.....chronic hyper-reactive condition.
Obstruction. Wheezing. Dyspnea, increased RR, use of accessory
muscles, anxiety, prolonged expiration.
Palpation- decreased tactile fremitus
Percussion- resonance. Hyperresonance with chronic.
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Auscultation- wheezing, decreased voice sounds. Severe; no
breath sounds.
Atelectasis .....ANSWER.....obstruction of airflow. Increased RR,
dyspnea, cyanosis, trachea shift to affected side in severe cases.
Palpation- lack of tactile fremitus. decreased lung expansion on
affected side
Percussion- dullness over affected area
Auscultate- absent or diminished but normal breath sounds
bilaterally.
Chronic Bronchitis .....ANSWER.....inflammation of
tracheobronchial tree. Early morning, congested, chronic
productive cough. White or clear sputum. Wheezes or rhonchi.
Dyspnea, tachypnea, use of accessory muscles.
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Emphysema .....ANSWER.....COPD. Obstruction of the alveoli.
Tripod posture. Use of accessory muscles. Cyanosis. Clubbing of
fingers. Pursed lip breathing. SOB on exertion.
Palpation- Absent or decreased tactile fremitus. Decreased chest
expansion.
Percussion- Hyper-resonance.
Auscultate- diminished but normal breath sounds bilaterally,
decreased vesicular sounds, wheezing.
COPD .....ANSWER.....>90 costal angle. Barrel chest AP=T. ↓
Tactile fremitus palp. Tripod posture. Use of accessory muscles.
Cyanosis. Clubbing of fingers. Pursed lip breathing. SOB on
exertion.
Lobular Pneumonia .....ANSWER.....infection of the alveoli,
Consolidation. Tachypnea, congested, hacking, productive cough,
chills, chest pain with breathing. Mucosal edema. Sputum- rust.
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Palpation- increased tactile fremitus. Decreased chest expansion
on affected side.
Percussion- dullness over affected area.
Auscultation- Egophony changes e to a. Clear Whispered
pectoriloguy & bronchophony. Bronchial breath sounds and
crackles.
Pleural effusion .....ANSWER.....fluid in the pleural space.
Dyspnea. Tracheal shift to unaffected side.
Palpation- Absent or decreased tactile fremitus. decreased chest
expansion side affected.
Percussion- Dullness
Auscultation- unilateral lung sounds. Decreased/absent
breath/voice sounds. Pleural rub.
Pneumothorax .....ANSWER.....air in pleural space, collapse of the
lung. Tachypnea, tracheal shift to unaffected side.