TEST BANK
ADVANCED HEALTH ASSESSMENT &
CLINICAL DIAGNOSIS IN PRIMARY CARE
(7TH) Dains, Baumann & Scheibel
🔹 History Taking & Interviewing
1. The most important first step in a patient interview is:
A. Physical exam
B. Establishing rapport
C. Lab tests
✅
D. Diagnosis
Answer: B
2. Open-ended questions are best used to:
A. Confirm diagnosis
B. Encourage patient storytelling
C. Limit answers
✅
D. Speed up interview
Answer: B
3. Closed-ended questions are used to:
A. Explore emotions
B. Get specific facts
C. Build rapport
,✅
D. Avoid answers
Answer: B
4. The OLDCARTS method is used for:
A. Lab testing
B. Pain assessment
C. Medication dosing
✅
D. Imaging
Answer: B
🔹 General Survey & Vital Signs
5. A general survey includes:
A. MRI
B. Overall appearance and behavior
C. Surgery
✅
D. Lab values
Answer: B
6. Normal adult respiratory rate is:
A. 5–10
B. 12–20
C. 25–35
✅
D. 40–50
Answer: B
7. Normal adult heart rate is:
A. 40–60
B. 60–100
C. 100–140
✅
D. 140–160
Answer: B
8. Hypertension is defined as:
A. Low BP
B. High BP
C. Normal BP
✅
D. Irregular BP
Answer: B
,🔹 Head-to-Toe Assessment
9. Inspection involves:
A. Touching
B. Looking
C. Percussion
✅
D. Palpation
Answer: B
10. Palpation involves:
A. Listening
B. Touching
C. Smelling
✅
D. Writing
Answer: B
11. Auscultation means:
A. Listening with stethoscope
B. Touching
C. Looking
✅
D. Measuring
Answer: A
12. Percussion is used to assess:
A. Vision
B. Sound over body tissues
C. Smell
✅
D. Reflexes only
Answer: B
🔹 Pain Assessment
13. Pain is considered:
A. Objective only
B. Subjective
C. Laboratory finding
✅
D. Imaging result
Answer: B
14. The PQRST method includes:
A. Pulse, quiet, rest
B. Provocation, quality, radiation, severity, time
, C. Pressure, quickness, rhythm
✅
D. None
Answer: B
15. The most reliable indicator of pain is:
A. Nurse observation
B. Patient report
C. Blood test
✅
D. X-ray
Answer: B
🔹 Neurological Assessment
16. Level of consciousness is assessed using:
A. BMI
B. AVPU or Glasgow Coma Scale
C. ECG
✅
D. MRI
Answer: B
17. Pupils are assessed for:
A. Size and reaction
B. Weight
C. Hearing
✅
D. Movement
Answer: A
18. A normal pupil reaction is:
A. Fixed
B. Reactive to light
C. Dilated always
✅
D. Unequal always
Answer: B
🔹 Respiratory System
19. Normal breath sounds are called:
A. Crackles
B. Vesicular
C. Wheezes
ADVANCED HEALTH ASSESSMENT &
CLINICAL DIAGNOSIS IN PRIMARY CARE
(7TH) Dains, Baumann & Scheibel
🔹 History Taking & Interviewing
1. The most important first step in a patient interview is:
A. Physical exam
B. Establishing rapport
C. Lab tests
✅
D. Diagnosis
Answer: B
2. Open-ended questions are best used to:
A. Confirm diagnosis
B. Encourage patient storytelling
C. Limit answers
✅
D. Speed up interview
Answer: B
3. Closed-ended questions are used to:
A. Explore emotions
B. Get specific facts
C. Build rapport
,✅
D. Avoid answers
Answer: B
4. The OLDCARTS method is used for:
A. Lab testing
B. Pain assessment
C. Medication dosing
✅
D. Imaging
Answer: B
🔹 General Survey & Vital Signs
5. A general survey includes:
A. MRI
B. Overall appearance and behavior
C. Surgery
✅
D. Lab values
Answer: B
6. Normal adult respiratory rate is:
A. 5–10
B. 12–20
C. 25–35
✅
D. 40–50
Answer: B
7. Normal adult heart rate is:
A. 40–60
B. 60–100
C. 100–140
✅
D. 140–160
Answer: B
8. Hypertension is defined as:
A. Low BP
B. High BP
C. Normal BP
✅
D. Irregular BP
Answer: B
,🔹 Head-to-Toe Assessment
9. Inspection involves:
A. Touching
B. Looking
C. Percussion
✅
D. Palpation
Answer: B
10. Palpation involves:
A. Listening
B. Touching
C. Smelling
✅
D. Writing
Answer: B
11. Auscultation means:
A. Listening with stethoscope
B. Touching
C. Looking
✅
D. Measuring
Answer: A
12. Percussion is used to assess:
A. Vision
B. Sound over body tissues
C. Smell
✅
D. Reflexes only
Answer: B
🔹 Pain Assessment
13. Pain is considered:
A. Objective only
B. Subjective
C. Laboratory finding
✅
D. Imaging result
Answer: B
14. The PQRST method includes:
A. Pulse, quiet, rest
B. Provocation, quality, radiation, severity, time
, C. Pressure, quickness, rhythm
✅
D. None
Answer: B
15. The most reliable indicator of pain is:
A. Nurse observation
B. Patient report
C. Blood test
✅
D. X-ray
Answer: B
🔹 Neurological Assessment
16. Level of consciousness is assessed using:
A. BMI
B. AVPU or Glasgow Coma Scale
C. ECG
✅
D. MRI
Answer: B
17. Pupils are assessed for:
A. Size and reaction
B. Weight
C. Hearing
✅
D. Movement
Answer: A
18. A normal pupil reaction is:
A. Fixed
B. Reactive to light
C. Dilated always
✅
D. Unequal always
Answer: B
🔹 Respiratory System
19. Normal breath sounds are called:
A. Crackles
B. Vesicular
C. Wheezes
