- | Page
NP ASSESMENT CHAMBER LAIN COLLEGE
NURSING - QUESTION AND ANSWERS
VERIFIED TO PASS
Question : Crackles / rales
Correct answer: Fine to coarse bubbly sounds (not cleared
through coughing) as air passes through fluid re-expands collapsed small airways
Question : Wheezes
Correct answer: High-pitched whistling, musical sounds as air
passes through narrowed or obstructed airways, usually louder on expiration
Question : Rhonchi
Correct answer: Coarse, loud, low-pitched rumbling sounds
during either inspiration or expiration resulting from fluid or mucus (can clear with coughing)
Question : Pleural friction rub
Correct answer: Dry, grating or rubbing sound as the inflamed
visceral and parietal pleura rub against each other during inspiration or expiration
- | Page
Question : Stridor
Correct answer: High-pitched, turbulent that can happen when a
child inhales or exhales. Usually indicates an obstruction or narrowing in the upper airway outside chest cavity.
Question : Absence of lung sounds
Correct answer: Collapsed or surgically removed lobes
Question : Cheif complaint
Correct answer: Main reason the patient is seeking attention
Question : Tactics to use when treating children
Correct answer: Explain before you touch them, touch
extremities before abdomen. Make a kid- friendly environment (toys), get down to their level, don't use medical terms, ask simple questions.
Question : Homan's sign
Correct answer: Tests for pain behind the knee upon forced
dosiflexion; tests for deep vein thrombosis.
- | Page
Question : Assessment findings for COPD
Correct answer: Cough, worsening dyspnea, exercise
intolerance, sputum production, alteration of mental status.
Question : How to document pulse strength
Correct answer: 0 not detectable
1+ faint, but detectable 2+ expected; normal 3+ full; increased 4+ pounding pulse
Question : how to document edema
Correct answer: Apply pressure on area: 1+ rebounding immediately at 2mm depression 2+ rebound in 15secs or less at 3-4mm depression 3+ rebound in 60secs or less at 5-6mm depression 4+ rebound in 2-3mins at 8mm depression
Question : How do you assess abnormal curvature of spine?
- | Page
Correct answer: Have them bend over and touch toes
Question : How often should women self examine for breast
cancer?
Correct answer: Every month
Question : ROM
Correct answer: Flexion (ex: arm to shoulder) Inversion (foot towards midline) Eversion (foot rotates away from midline) Extension (hip and knee joints as you stand up) Circumduction (arm circles)
Question : S3 heart sound
Correct answer: Ventricular gallop; typical in children,
"Kentucky" sounding
Question : S4 heart sound
Correct answer: Atrail gallop; right before S1 sound,
"Tennessee" sounding. This is a sign of a cardiac problem
