HEALTH ASSESSMENT EXAM 3 PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS

HEALTH ASSESSMENT EXAM 3 PRACTICE QUESTIONS
WITH COMPLETE SOLUTIONS


The Left Upper Quadrant (LUQ) contains the:
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A) Gallbladder
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B) Spleen cx cx




C) Liver cx




D) Appendix - ans-Spleen
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The spleen is the largest lymphatic organ. However, instead of lymph, its chambers are fille
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d with blood.
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Suppose that Tina reported pain when you assessed for costovertebral angle (CVA) tender
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ness. Which of the following would be true?
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A) CVA tenderness may indicate kidney infection
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B) CVA tenderness may indicate liver enlargement
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C) CVA tenderness is an expected finding
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D) CVA tenderness is a rare finding - ans-CVA tenderness may indicate kidney infection
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Percussion of the costovertebral angle should evoke no pain. The elicitation of pain is indic
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ative of inflammation in the underlying kidney or surrounding tissue.
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Suppose that you suspected ascites because Tina's abdomen is large. Which of the followi
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ng assessment findings would confirm ascites?
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A) Shifting dullness
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B) Murphy's sign
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C) Deep organ palpation
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D) Peristaltic fluid wave test - ans-Shifting dullness
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Ascites is the accumulation of fluid in the peritoneal space. This fluid can be detected by ab
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dominal percussion. The distribution of fluid in the abdomen shifts according to gravity whe
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n the person changes body position. To test for ascites, percuss for dullness in the abdome
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n when Tina is in several different body positions.
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The second heart sound is the result of which of the following?
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A)Opening of aortic and pulmonic valves cx cx cx cx cx




B) Closing of aortic and pulmonic valves
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C) Opening of mitral and tricuspid valve
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D) Closing of mitral and tricuspid valve - ans-Closing of aortic and pulmonic valves
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,The five cardiac areas of auscultation are not the anatomical positions of the heart valves b
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ut are the best places to listen due to the direction that sounds resonate in the thorax.
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Normal capillary refill is: cx cx cx




A) Nails turning from blanched to pink
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B) > 2 seconds
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C) 1-2 seconds cx cx cx




D) < 1 second - ans-1-2 seconds
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Most capillaries have such small inner diameters that only one red blood cell can move thro
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ugh at a time. cx cx cx




Tina's left tibial pulse is graded as 2+. This finding is:
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A)Bounding
B) Increasedcx




C) Normal cx cx




D) Weak - ans-Normal
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Pulses are graded on a 4 point scale in which 3+ is bounding, 2+ is normal, 1+ is weak, and
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0 is absent.
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When listening to the heart of an 18-month-
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old admitted to Shadow General Hospital for physical abuse, what is the normal heart rate r
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ange?

A) 90-150 beats per minute
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B) 80-140 beats per minute
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C) 100-160 beats per minute
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D) 60-100 beats per minute - ans-A) 90-150 beats per minute
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Children have smaller heart chambers and lower blood volume than adults, which results in
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a lower heart stroke volume.
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An 82-year- cx




old is on the cardiac floor of Shadow General Hospital after being admitted for chest pain. W
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hich of the following findings would be due to vessel narrowing?
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A) Bruits cx cx




B) Tachycardia
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C) Harsh holosystolic murmur
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D) Regurgitation - ans-A) Bruits
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, Bruits are heard when blood flow is obstructed, causing turbulence. They are murmur-
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like sounds that originate from the vasculature instead of from the heart that are heard with t
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he bell of the stethoscope.
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A 2-month-
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old male child comes into the Shadow General Hospital Emergency Department with dehy
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dration due to projectile vomiting since birth. On physical exam you note marked peristalsis
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(waves visible on inspection of the abdomen). This is a sign of what pathologic process?
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A) Pyloric stenosis
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B) Diastasis recti
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C) Enlarged kidneys
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D) Umbilical hernia - ans-A) Pyloric Stenosis
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Infants with pyloric stenosis present with projectile vomiting as a chief complaint with mark
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ed peristalsis noted on physical exam.
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A 76-year-
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old is admitted to the Shadow General Hospital ICU with severe abdominal pain and nause
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a. On physical exam you find rebound tenderness, guarding on palpation and abdominal w
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all rigidity. These are common findings with what problem?
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A) Peritonitis
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B) Constipation
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C) Hiatal hernia
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D) Peptic ulcer - ans-A) Peritonitis
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The physical exam findings above are indicators of peritonitis. This can be secondary to tu
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mor, ruptured diverticulum, or infections.
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A 3-year-
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old child with Down's syndrome is in the cardiac ICU of Shadow General Hospital following
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open heart surgery. Which of the following musculoskeletal physical exam findings would y
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ou expect to find on this child?
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A) Fixed joints
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B) Lordosis
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C) Hyperextensible joints
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D) Scoliosis - ans-C) Hyperextensible joints
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Children with Down's syndrome often have palmar simian crease, hyperextensible joints, a
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nd short, broad extremities.
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An 86-year- cx




old woman has been admitted to the Shadow General surgical floor after a knee replaceme
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