PN 111 Respiratory And Neuro Systems Exam Questions And
Accurate Answers
Know the cranial nerves--name and roman numeral and the function and test(s) for each
nerve
Refer to cranial nerve handout
Where is the nerve center of the ear located?
The inner ear
When the nurse utilizing the Snellen chart. What 3 areas are being assessed?
1. Visual acuity (distance vision)
2. Color perception
3. depth perception
When assessing peripheral vision, the nurse is assessing for the presence of
blind spots which would indicate optic nerve damage CN II or glauoma
Name three breath sounds and their location
1. Bronchial breath sounds are auscultated over trachea
2. Broncho vesicular breath sounds-anteriorly these sounds are ausculated at ICS 1-2
and posteriorly these sounds are ausculated at T4-T5
3. Vesicular breath sounds are auscultated over peripheral lung lobes including axillary
area
What are adventitious breath sounds?
abnormal breath sounds
What is wheeze and what causes this to occur?
Wheeze caused by: Narrowing of the bronchioles/small airways
Most commonly heard in patients diagnosed with:
, •Astma
COPD
What is rhonchi and what causes this to occur?
Rhonchi caused by: Narrowing of the larger airway
It is a course, low, loud sounds with a snoring quality caused by constricted larger
airways, including the tracheobronchial passages
Occur during expiration, or both inspiration and expiration, but they do not occur in
inspiration alone
Generally clears with coughing.
Most commonly heard in patients diagnosed with:
•Bronchitis
COPD
What are crackles and what causes this to occur?
Crackles are heard during inspiration, and may be classified as fine or coarse crackles
•Fine crackles sound like the rubbing of strands of hair together next to your ear, and
are easily cleared upon coughing. Check that the sound is not coming from clothing or
hair on the chest. Caused by thin fluid (mucus) moving over the alveoli
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