Final Exam: NR509 NR-509 Latest Advanced Physical

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