Download NURS 190 Questions With Complete Solutions Latest Update 2025 Graded A+ and more Exams Nursing in PDF only on Docsity!
- NURS 190 Questions With Complete Solutions Latest
Update 2025 Graded A+
What is the functional unit of the lungs? - ANSWERS--alveoli What techniques are used to assess the resonant sound of the lungs? - ANSWERS--indirect percussion with pleximeter or middle finger. -non dominant finger in the ICS tapping with the dominant hand What is the normal sound when percussing the lungs? - ANSWERS-- resonant sounds What will you hear when air is trapped in the lungs on percussion? - ANSWERS--hyper-resonant sound What is the other name for thorax? - ANSWERS--chest: a closed cavity containing structures for respiration What are three sections of the respiratory system? - ANSWERS-1. mediastinum
- left pleural cavity
- right pleural cavity How many lobes in the lungs? - ANSWERS--right lung: 3 lobes -left lung: 2 lobes What is external respiration? - ANSWERS--the exchange of O2 and carbon dioxide at the alveoli level
What is internal respiration? - ANSWERS--the exchange of O2 and carbon dioxide at the cellular level What is the congenital defect in newborns where there is a membrane that obstructs the nasal passages? - ANSWERS--choanal atresia: this needs to be checked right away because it could cause respiratory failure What is the respiratory range of a newborn? - ANSWERS--40-80 rpm and it is irregular, at age 5 it becomes 35 rpm What is the normal adult respiratory rate? - ANSWERS--12-20 rpm at rest What is the respiratory cycle? - ANSWERS--breathing and respiration are used interchangeably What are the 2 phases of respiration? - ANSWERS--inspiration: active phase -expiration: passive phase Upon lung auscultation, the nurse listens close to the sternal border and hears medium pitched sound with equal inspiration and expiration, what do you call this normal breath sound? - ANSWERS-- bronchovesicular What is the chest configuration of an adult known as? - ANSWERS-- elliptical: lateral diameter is 2:1 with the anteroposterior diameter of the chest What is the normal chest configuration of newborns and toddlers? - ANSWERS--barrel chest (abnormal in adults with COPD, common in
Patient with lobar pneumonia (one or two lobes are involved) what type of adventitious sound will you hear upon auscultation? - ANSWERS-- crackles When alveoli are filled with fluid, which adventitious sound will you hear upon auscultation? - ANSWERS--low-pitched sound that has moist bubbling quality What is the configuration of the chest where there is forward displacement of the sternum with depression of adjacent cartilage? - ANSWERS--congenital deformity of the chest: pectus carinatum (aka pigeon chest) What is pectus excavatum? - ANSWERS--known as funnel chest A client with COPD is expected to have which type of chest configuration? - ANSWERS--barrel chest What is the lateral deviation of the spinal process? - ANSWERS--scoliosis What is the exaggerated curvature of the thoracic vertebra common with elderly patients and those with osteoporosis? - ANSWERS-- kyphosis What is the exaggeration of the lumbar vertebrae common with pregnant women? - ANSWERS--lordosis What structure of the breast is responsible for milk production? - ANSWERS--acini cells When do you advise an elderly patient to perform a self-breast exam (SBE)? - ANSWERS--same day/time every month When do you advise a female patient that is still menstruating to
perform an SBE? - ANSWERS--3-5 days after menstruation What are the normal breath sounds upon auscultation? - ANSWERS-- tracheal -bronchial -broncho-vesicular -vesicular Orange peel appearance on skin of the breast is a sign of what? - ANSWERS--cancer or malignancy What is tactile fremitus on palpation? - ANSWERS--technique used to assess the patient's lung sounds when patient is talking and coughing What are intraductal papillomas? - ANSWERS--most common cause of benign nipple discharge in post-menopausal clients. -this discharge can be serous (clear), serous-sanguineous (clear/bloody), or sanguineous (bloody) What is atelectasis? - ANSWERS--decreased breath sounds on auscultation of lobes of lungs, most common cause is prolonged bed rest amongst post-operative patients or elderly. What is the difference between cheyne-strokes and ataxic (biot's) breathing? - ANSWERS--cheyene-stokes: apnea, regular pattern, heard in elderly dying patients -ataxic (biot's): apnea, irregular pattern, common in patients with brain injury What is the most common breathing for COPD? - ANSWERS--asthma or
-respiratory depression What causes asymmetric diaphragmatic excursion? - ANSWERS-- paralysis -pleural effusion of effected side How do you assess for bronchophony, egophony, and whispered pectoriloguy? - ANSWERS--auscultation with a stethoscope When you are assessing for configuration of the chest, what technique is used? - ANSWERS--inspection What is fibroadenoma? - ANSWERS--tumor of the breast, common with females under 30 years old, not usually related to malignancy
