NMNC 1235 EXAM 1 EXAM (UPDATED 2026) QUESTIONS &
ANSWERS | LATEST ALREADY GRADED A+ UPDATE |
2026
Vesicular Low-pitched, soft sounds heard over peripheral
lung fields.
Bronchovesicular Moderate-pitched sounds heard over main
bronchi.
Bronchial (Tracheal) High-pitched, loud sounds heard over the
trachea.
Crackles (Rales) Popping sounds due to fluid in alveoli (e.g.,
pneumonia, heart failure).
Wheezes High-pitched whistling due to narrowed airways
(e.g., asthma, COPD).
Rhonchi Low-pitched snoring sounds due to mucus (e.g.,
bronchitis).
Stridor High-pitched, harsh sound due to airway
obstruction (e.g., croup, epiglottitis).
, Pleural friction rub Grating sound due to pleural inflammation.
Chest Excursion Symmetrical movement of the chest during
breathing.
Fremitus Vibration felt on the chest wall when a patient
speaks ('99').
Increased fremitus Indicates consolidation (e.g., pneumonia).
Decreased fremitus Indicates pleural effusion, pneumothorax, or
obstructed bronchus.
S1 (Lub) Closure of mitral and tricuspid valves. Best
heard at the apex.
S2 (Dub) Closure of aortic and pulmonic valves. Best
heard at the base.
S3 (Ventricular gallop) May indicate heart failure.
S4 (Atrial gallop) Associated with hypertension or stiff ventricles.
Murmurs Turbulent blood flow, graded I-VI.
Pericardial friction rub Scratchy sound due to pericarditis.
Auscultation Sites (APETM) Locations for heart sounds: Aortic, Pulmonic,
Erb's Point, Tricuspid, Mitral.
Jugular Venous Distention Indicates right-sided heart failure.
ANSWERS | LATEST ALREADY GRADED A+ UPDATE |
2026
Vesicular Low-pitched, soft sounds heard over peripheral
lung fields.
Bronchovesicular Moderate-pitched sounds heard over main
bronchi.
Bronchial (Tracheal) High-pitched, loud sounds heard over the
trachea.
Crackles (Rales) Popping sounds due to fluid in alveoli (e.g.,
pneumonia, heart failure).
Wheezes High-pitched whistling due to narrowed airways
(e.g., asthma, COPD).
Rhonchi Low-pitched snoring sounds due to mucus (e.g.,
bronchitis).
Stridor High-pitched, harsh sound due to airway
obstruction (e.g., croup, epiglottitis).
, Pleural friction rub Grating sound due to pleural inflammation.
Chest Excursion Symmetrical movement of the chest during
breathing.
Fremitus Vibration felt on the chest wall when a patient
speaks ('99').
Increased fremitus Indicates consolidation (e.g., pneumonia).
Decreased fremitus Indicates pleural effusion, pneumothorax, or
obstructed bronchus.
S1 (Lub) Closure of mitral and tricuspid valves. Best
heard at the apex.
S2 (Dub) Closure of aortic and pulmonic valves. Best
heard at the base.
S3 (Ventricular gallop) May indicate heart failure.
S4 (Atrial gallop) Associated with hypertension or stiff ventricles.
Murmurs Turbulent blood flow, graded I-VI.
Pericardial friction rub Scratchy sound due to pericarditis.
Auscultation Sites (APETM) Locations for heart sounds: Aortic, Pulmonic,
Erb's Point, Tricuspid, Mitral.
Jugular Venous Distention Indicates right-sided heart failure.
