NSG 6020 MIDTERM EXAM 2025 UPDATED ACTUAL EXAM WITH
CORRECT SOLUTIONS
What age does bronchiolitis occur?
(ANSWER) Most common at age 6 months - does not occur after age 2
Main symptom of bronchiolitis
(ANSWER) Wheezing - lasts about 7 days
Most common cause of bronchiolitis
(ANSWER) RSV
Treatment for bronchiolitis
(ANSWER) No specific treatment
Order of lung exam
(ANSWER) Inspect, palpate, percuss, auscultate
Pectus Excavatum
(ANSWER) Congenital posterior displacement of lower aspect of sternum
• Hollowed-out appearance
• Concave appearance of lower sternum
Pectus carinatum
(ANSWER) At birth
• Post CABG
• Mid childhood and 11-14 year old pubertal males undergoing a
growth spurt
• Convex deformity
• 97% have MVP (Mitral Valve Prolapse)
Barrel Chest
(ANSWER) Associated with emphysema and lung hyperinflation
• Accompanying x-ray demonstrates increased ant-post diameter as
well as diaphragmatic flattening
, Tactile fremitus
(ANSWER) Palpable vibrations of the bronchopulmonary tree as the patient
is speaking (99 or 1-2-3)
• Impeded in COPD, pulm effusion or pneumothorax
• Increased in consolidation and PNA (Pneumonia)
Percussion: Flatness
(ANSWER) (Thigh)
• Large Pleural effusion
Percussion: Dullness
(ANSWER) (Liver)
• Lobar PNA
Percussion: Resonance
(ANSWER) (Lung)
• Simple chronic bronchitis
Percussion: Hyperresonance
(ANSWER) None
• Emphysema, pneumothorax
Percussion: Tympany
(ANSWER) (Gastric bubble)
• Large pneumothorax
Auscultation: Vesicular
(ANSWER) Soft and low pitched; usually heard over most of both lungs
Auscultation: Bronchial
(ANSWER) Louder and higher in pitch; usually heard over the manubrium
Auscultation: Bronchovesicular
(ANSWER) Intermediate intensity and pitch; usually heard over the 1st and
2nd interspaces
CORRECT SOLUTIONS
What age does bronchiolitis occur?
(ANSWER) Most common at age 6 months - does not occur after age 2
Main symptom of bronchiolitis
(ANSWER) Wheezing - lasts about 7 days
Most common cause of bronchiolitis
(ANSWER) RSV
Treatment for bronchiolitis
(ANSWER) No specific treatment
Order of lung exam
(ANSWER) Inspect, palpate, percuss, auscultate
Pectus Excavatum
(ANSWER) Congenital posterior displacement of lower aspect of sternum
• Hollowed-out appearance
• Concave appearance of lower sternum
Pectus carinatum
(ANSWER) At birth
• Post CABG
• Mid childhood and 11-14 year old pubertal males undergoing a
growth spurt
• Convex deformity
• 97% have MVP (Mitral Valve Prolapse)
Barrel Chest
(ANSWER) Associated with emphysema and lung hyperinflation
• Accompanying x-ray demonstrates increased ant-post diameter as
well as diaphragmatic flattening
, Tactile fremitus
(ANSWER) Palpable vibrations of the bronchopulmonary tree as the patient
is speaking (99 or 1-2-3)
• Impeded in COPD, pulm effusion or pneumothorax
• Increased in consolidation and PNA (Pneumonia)
Percussion: Flatness
(ANSWER) (Thigh)
• Large Pleural effusion
Percussion: Dullness
(ANSWER) (Liver)
• Lobar PNA
Percussion: Resonance
(ANSWER) (Lung)
• Simple chronic bronchitis
Percussion: Hyperresonance
(ANSWER) None
• Emphysema, pneumothorax
Percussion: Tympany
(ANSWER) (Gastric bubble)
• Large pneumothorax
Auscultation: Vesicular
(ANSWER) Soft and low pitched; usually heard over most of both lungs
Auscultation: Bronchial
(ANSWER) Louder and higher in pitch; usually heard over the manubrium
Auscultation: Bronchovesicular
(ANSWER) Intermediate intensity and pitch; usually heard over the 1st and
2nd interspaces
