Final Exam: NR509 / NR-509 (Latest
2025 / 2026) Advanced Physical Assessment | Test Questions with Verified Answers | 100% Correct | Grade A - Chamberlain
Question:
s/s of respiratory distress?
Answer:
- speaking in short sentences
- use of accessory muscles
- leaning FORWARD to gain mechanical advantage for the diaphragm
- pursed lip breathing
- skin between the ribs moves inward on inspiration
- tachypnea 25 bpm or more
- cyanosis in the lips, tongue and oral mucosa
- / 4
Question:
describe good percussion technique
Answer:
- strike the pleximeter over the distal interphalangeal joint
Question:
which lung sound possesses the characteristics of being louder and higher in pitch with a short silence b/w inspiration and expiration?
Answer:
bronchial
Question:
a patient complains of shortness of breath for the past few days. On exam you hear late inspiratory crackles in the lower third of the chest that were not present a week ago. What explains this sound?
Answer:
heart failure explains this sound
Question:
what type of sounds do asthma and COPD generally make?
Answer:
COPD and asthma generally produce EARLY inspiratory crackles 2 / 4
Question:
high pitched inspiratory whistling is also known as
Answer:
high pitched inspiratory whistling is also known as stridor
Question:
adventitious sounds that clear with cough are usually consistent with...
Answer:
adventitious lung sounds that usually clear with a cough are consistent with bronchitis or atelectasis
Question:
_______ occurs in severe asthma, COPD and upper airway obstruction
Answer:
retraction occurs in severe asthma, COPD and upper airway obstruction
Question:
pneumonia is generally associated with what on auscultation, percussion, s/s?
Answer:
- pneumonia is usually associated with dyspnea, cough and fever
- auscultation = coarse or fine crackles heard over the affected lobe
- percussion = generally dull and increase in fremitus 3 / 4
Question:
COPD
- percussion sound?
- auscultation sound?
Answer:
percussion sound = hyperresonance over chest auscultation sound = distant breath sounds, inspiratory crackles, wheezes due to narrowed airways **often in past smokers ** causes flattening of the diaphragm
Question:
Silent gap between inspiratory and expiratory sounds
Answer:
a gap suggest bronchial breath sounds
Question:
tracheal lung sounds
Answer:
- Inspiratory and expiratory sounds are about equal
- Very loud
- Relatively high pitched
- Over the trachea in the neck
- / 4