HEALTH ASSESSMENT EXAM 3
PRACTICE QUESTIONS WITH
CORRECT ANSWERS
The Left Upper Quadrant (LUQ) contains the:
A) Gallbladder
B) Spleen
C) Liver
D) Appendix - Ans--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 - Ans--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 - Ans--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 - Ans--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 - Ans--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 - Ans--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 - Ans--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 - Ans--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 - Ans--A) Pyloric Stenosis
Infants with pyloric stenosis present with projectile vomiting as a chief
complaint with marked peristalsis noted on physical exam.
PRACTICE QUESTIONS WITH
CORRECT ANSWERS
The Left Upper Quadrant (LUQ) contains the:
A) Gallbladder
B) Spleen
C) Liver
D) Appendix - Ans--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 - Ans--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 - Ans--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 - Ans--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 - Ans--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 - Ans--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 - Ans--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 - Ans--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 - Ans--A) Pyloric Stenosis
Infants with pyloric stenosis present with projectile vomiting as a chief
complaint with marked peristalsis noted on physical exam.
