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Health Assessment Exam 3 Practice Questions And Answers
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Health Assessment Exam 3 Practice Questions And Answers
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Health Assessment Exam 3 PracticeQuestions And Answers
The Left Upper Quadrant (LUQ) contains the:
A) Gallbladder
B) Spleen
C) Liver
D) Appendix - -Spleen
The spleen is the largest lymphatic organ. However, instead of lymph, its
chambers are filled with blood.
-Suppose that Tina reported pain when you assessed for costovertebral
angle (CVA) tenderness. Which of the following would be true?
A) CVA tenderness may indicate kidney infection
B) CVA tenderness may indicate liver enlargement
C) CVA tenderness is an expected finding
D) CVA tenderness is a rare finding - -CVA tenderness may indicate kidney
infection
Percussion of the costovertebral angle should evoke no pain. The elicitation
of pain is indicative of inflammation in the underlying kidney or surrounding
tissue.
-Suppose that you suspected ascites because Tina's abdomen is large.
Which of the following assessment findings would confirm ascites?
A) Shifting dullness
B) Murphy's sign
C) Deep organ palpation
D) Peristaltic fluid wave test - -Shifting dullness
Ascites is the accumulation of fluid in the peritoneal space. This fluid can be
detected by abdominal percussion. The distribution of fluid in the abdomen
shifts according to gravity when the person changes body position. To test
for ascites, percuss for dullness in the abdomen when Tina is in several
different body positions.
-The second heart sound is the result of which of the following?
A)Opening of aortic and pulmonic valves
B) Closing of aortic and pulmonic valves
C) Opening of mitral and tricuspid valve
,D) Closing of mitral and tricuspid valve - -Closing of aortic and pulmonic
valves
The five cardiac areas of auscultation are not the anatomical positions of the
heart valves but are the best places to listen due to the direction that sounds
resonate in the thorax.
-Normal capillary refill is:
A) Nails turning from blanched to pink
B) > 2 seconds
C) 1-2 seconds
D) < 1 second - -1-2 seconds
Most capillaries have such small inner diameters that only one red blood cell
can move through at a time.
-Tina's left tibial pulse is graded as 2+. This finding is:
A)Bounding
B) Increased
C) Normal
D) Weak - -Normal
Pulses are graded on a 4 point scale in which 3+ is bounding, 2+ is normal,
1+ is weak, and 0 is absent.
-When listening to the heart of an 18-month-old admitted to Shadow
General Hospital for physical abuse, what is the normal heart rate range?
A) 90-150 beats per minute
B) 80-140 beats per minute
C) 100-160 beats per minute
D) 60-100 beats per minute - -A) 90-150 beats per minute
Children have smaller heart chambers and lower blood volume than adults,
which results in a lower heart stroke volume.
-An 82-year-old is on the cardiac floor of Shadow General Hospital after
being admitted for chest pain. Which of the following findings would be due
to vessel narrowing?
A) Bruits
B) Tachycardia
C) Harsh holosystolic murmur
D) Regurgitation - -A) Bruits
, Bruits are heard when blood flow is obstructed, causing turbulence. They are
murmur-like sounds that originate from the vasculature instead of from the
heart that are heard with the bell of the stethoscope.
-A 2-month-old male child comes into the Shadow General Hospital
Emergency Department with dehydration due to projectile vomiting since
birth. On physical exam you note marked peristalsis (waves visible on
inspection of the abdomen). This is a sign of what pathologic process?
A) Pyloric stenosis
B) Diastasis recti
C) Enlarged kidneys
D) Umbilical hernia - -A) Pyloric Stenosis
Infants with pyloric stenosis present with projectile vomiting as a chief
complaint with marked peristalsis noted on physical exam.
-A 76-year-old is admitted to the Shadow General Hospital ICU with severe
abdominal pain and nausea. On physical exam you find rebound tenderness,
guarding on palpation and abdominal wall rigidity. These are common
findings with what problem?
A) Peritonitis
B) Constipation
C) Hiatal hernia
D) Peptic ulcer - -A) Peritonitis
The physical exam findings above are indicators of peritonitis. This can be
secondary to tumor, ruptured diverticulum, or infections.
-A 3-year-old child with Down's syndrome is in the cardiac ICU of Shadow
General Hospital following open heart surgery. Which of the following
musculoskeletal physical exam findings would you expect to find on this
child?
A) Fixed joints
B) Lordosis
C) Hyperextensible joints
D) Scoliosis - -C) Hyperextensible joints
Children with Down's syndrome often have palmar simian crease,
hyperextensible joints, and short, broad extremities.
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