HEALTH ASSESSMENT EXAM 3 PRACTICE QUESTIONS
WITH COMPLETE SOLUTIONS
The Left Upper Quadrant (LUQ) contains the:
cx cx cx cx cx cx cx
A) Gallbladder
cx
B) Spleen cx cx
C) Liver cx
D) Appendix - ans-Spleen
cx cx cxcx
The spleen is the largest lymphatic organ. However, instead of lymph, its chambers are fille
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
d with blood.
cx cx
Suppose that Tina reported pain when you assessed for costovertebral angle (CVA) tender
cx cx cx cx cx cx cx cx cx cx cx cx
ness. Which of the following would be true?
cx cx cx cx cx cx cx
A) CVA tenderness may indicate kidney infection
cx cx cx cx cx cx cx
B) CVA tenderness may indicate liver enlargement
cx cx cx cx cx cx
C) CVA tenderness is an expected finding
cx cx cx cx cx cx
D) CVA tenderness is a rare finding - ans-CVA tenderness may indicate kidney infection
cx cx cx cx cx cx cx cxcx cx cx cx cx cx cx
Percussion of the costovertebral angle should evoke no pain. The elicitation of pain is indic
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ative of inflammation in the underlying kidney or surrounding tissue.
cx cx cx cx cx cx cx cx cx
Suppose that you suspected ascites because Tina's abdomen is large. Which of the followi
cx cx cx cx cx cx cx cx cx cx cx cx cx
ng assessment findings would confirm ascites?
cx cx cx cx cx
A) Shifting dullness
cx cx cx
B) Murphy's sign
cx cx
C) Deep organ palpation
cx cx cx
D) Peristaltic fluid wave test - ans-Shifting dullness
cx cx cx cx cx cxcx cx cx
Ascites is the accumulation of fluid in the peritoneal space. This fluid can be detected by ab
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
dominal percussion. The distribution of fluid in the abdomen shifts according to gravity whe
cx cx cx cx cx cx cx cx cx cx cx cx cx
n the person changes body position. To test for ascites, percuss for dullness in the abdome
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
n when Tina is in several different body positions.
cx cx cx cx cx cx cx cx
The second heart sound is the result of which of the following?
cx cx cx cx cx cx cx cx cx cx cx
A)Opening of aortic and pulmonic valves cx cx cx cx cx
B) Closing of aortic and pulmonic valves
cx cx cx cx cx cx cx
C) Opening of mitral and tricuspid valve
cx cx cx cx cx cx
D) Closing of mitral and tricuspid valve - ans-Closing of aortic and pulmonic valves
cx cx cx cx cx cx cx cxcx cx cx cx cx cx cx
,The five cardiac areas of auscultation are not the anatomical positions of the heart valves b
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ut are the best places to listen due to the direction that sounds resonate in the thorax.
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
Normal capillary refill is: cx cx cx
A) Nails turning from blanched to pink
cx cx cx cx cx cx
B) > 2 seconds
cx cx cx
C) 1-2 seconds cx cx cx
D) < 1 second - ans-1-2 seconds
cx cx cx cx cxcx cx cx
Most capillaries have such small inner diameters that only one red blood cell can move thro
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ugh at a time. cx cx cx
Tina's left tibial pulse is graded as 2+. This finding is:
cx cx cx cx cx cx cx cx cx cx
A)Bounding
B) Increasedcx
C) Normal cx cx
D) Weak - ans-Normal
cx cx cxcx
Pulses are graded on a 4 point scale in which 3+ is bounding, 2+ is normal, 1+ is weak, and
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
0 is absent.
cx cx
When listening to the heart of an 18-month-
cx cx cx cx cx cx cx
old admitted to Shadow General Hospital for physical abuse, what is the normal heart rate r
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ange?
A) 90-150 beats per minute
cx cx cx cx cx
B) 80-140 beats per minute
cx cx cx cx cx
C) 100-160 beats per minute
cx cx cx cx
D) 60-100 beats per minute - ans-A) 90-150 beats per minute
cx cx cx cx cx cxcx cx cx cx cx
Children have smaller heart chambers and lower blood volume than adults, which results in
cx cx cx cx cx cx cx cx cx cx cx cx cx c
a lower heart stroke volume.
x cx cx cx cx
An 82-year- cx
old is on the cardiac floor of Shadow General Hospital after being admitted for chest pain. W
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
hich of the following findings would be due to vessel narrowing?
cx cx cx cx cx cx cx cx cx cx
A) Bruits cx cx
B) Tachycardia
cx
C) Harsh holosystolic murmur
cx cx cx
D) Regurgitation - ans-A) Bruits
cx cx cxcx cx cx
, Bruits are heard when blood flow is obstructed, causing turbulence. They are murmur-
cx cx cx cx cx cx cx cx cx cx cx cx
like sounds that originate from the vasculature instead of from the heart that are heard with t
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
he bell of the stethoscope.
cx cx cx cx
A 2-month-
cx
old male child comes into the Shadow General Hospital Emergency Department with dehy
cx cx cx cx cx cx cx cx cx cx cx cx
dration due to projectile vomiting since birth. On physical exam you note marked peristalsis
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
(waves visible on inspection of the abdomen). This is a sign of what pathologic process?
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
A) Pyloric stenosis
cx cx cx
B) Diastasis recti
cx cx
C) Enlarged kidneys
cx cx
D) Umbilical hernia - ans-A) Pyloric Stenosis
cx cx cx cxcx cx cx cx
Infants with pyloric stenosis present with projectile vomiting as a chief complaint with mark
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ed peristalsis noted on physical exam.
cx cx cx cx cx
A 76-year-
cx
old is admitted to the Shadow General Hospital ICU with severe abdominal pain and nause
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
a. On physical exam you find rebound tenderness, guarding on palpation and abdominal w
cx cx cx cx cx cx cx cx cx cx cx cx cx
all rigidity. These are common findings with what problem?
cx cx cx cx cx cx cx cx
A) Peritonitis
cx cx
B) Constipation
cx
C) Hiatal hernia
cx cx
D) Peptic ulcer - ans-A) Peritonitis
cx cx cx cxcx cx cx
The physical exam findings above are indicators of peritonitis. This can be secondary to tu
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
mor, ruptured diverticulum, or infections.
cx cx cx cx
A 3-year-
cx
old child with Down's syndrome is in the cardiac ICU of Shadow General Hospital following
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
open heart surgery. Which of the following musculoskeletal physical exam findings would y
cx cx cx cx cx cx cx cx cx cx cx cx
ou expect to find on this child?
cx cx cx cx cx cx
A) Fixed joints
cx cx
B) Lordosis
cx
C) Hyperextensible joints
cx cx cx
D) Scoliosis - ans-C) Hyperextensible joints
cx cx cxcx cx cx
Children with Down's syndrome often have palmar simian crease, hyperextensible joints, a
cx cx cx cx cx cx cx cx cx cx cx
nd short, broad extremities.
cx cx cx
An 86-year- cx
old woman has been admitted to the Shadow General surgical floor after a knee replaceme
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
WITH COMPLETE SOLUTIONS
The Left Upper Quadrant (LUQ) contains the:
cx cx cx cx cx cx cx
A) Gallbladder
cx
B) Spleen cx cx
C) Liver cx
D) Appendix - ans-Spleen
cx cx cxcx
The spleen is the largest lymphatic organ. However, instead of lymph, its chambers are fille
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
d with blood.
cx cx
Suppose that Tina reported pain when you assessed for costovertebral angle (CVA) tender
cx cx cx cx cx cx cx cx cx cx cx cx
ness. Which of the following would be true?
cx cx cx cx cx cx cx
A) CVA tenderness may indicate kidney infection
cx cx cx cx cx cx cx
B) CVA tenderness may indicate liver enlargement
cx cx cx cx cx cx
C) CVA tenderness is an expected finding
cx cx cx cx cx cx
D) CVA tenderness is a rare finding - ans-CVA tenderness may indicate kidney infection
cx cx cx cx cx cx cx cxcx cx cx cx cx cx cx
Percussion of the costovertebral angle should evoke no pain. The elicitation of pain is indic
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ative of inflammation in the underlying kidney or surrounding tissue.
cx cx cx cx cx cx cx cx cx
Suppose that you suspected ascites because Tina's abdomen is large. Which of the followi
cx cx cx cx cx cx cx cx cx cx cx cx cx
ng assessment findings would confirm ascites?
cx cx cx cx cx
A) Shifting dullness
cx cx cx
B) Murphy's sign
cx cx
C) Deep organ palpation
cx cx cx
D) Peristaltic fluid wave test - ans-Shifting dullness
cx cx cx cx cx cxcx cx cx
Ascites is the accumulation of fluid in the peritoneal space. This fluid can be detected by ab
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
dominal percussion. The distribution of fluid in the abdomen shifts according to gravity whe
cx cx cx cx cx cx cx cx cx cx cx cx cx
n the person changes body position. To test for ascites, percuss for dullness in the abdome
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
n when Tina is in several different body positions.
cx cx cx cx cx cx cx cx
The second heart sound is the result of which of the following?
cx cx cx cx cx cx cx cx cx cx cx
A)Opening of aortic and pulmonic valves cx cx cx cx cx
B) Closing of aortic and pulmonic valves
cx cx cx cx cx cx cx
C) Opening of mitral and tricuspid valve
cx cx cx cx cx cx
D) Closing of mitral and tricuspid valve - ans-Closing of aortic and pulmonic valves
cx cx cx cx cx cx cx cxcx cx cx cx cx cx cx
,The five cardiac areas of auscultation are not the anatomical positions of the heart valves b
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ut are the best places to listen due to the direction that sounds resonate in the thorax.
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
Normal capillary refill is: cx cx cx
A) Nails turning from blanched to pink
cx cx cx cx cx cx
B) > 2 seconds
cx cx cx
C) 1-2 seconds cx cx cx
D) < 1 second - ans-1-2 seconds
cx cx cx cx cxcx cx cx
Most capillaries have such small inner diameters that only one red blood cell can move thro
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ugh at a time. cx cx cx
Tina's left tibial pulse is graded as 2+. This finding is:
cx cx cx cx cx cx cx cx cx cx
A)Bounding
B) Increasedcx
C) Normal cx cx
D) Weak - ans-Normal
cx cx cxcx
Pulses are graded on a 4 point scale in which 3+ is bounding, 2+ is normal, 1+ is weak, and
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
0 is absent.
cx cx
When listening to the heart of an 18-month-
cx cx cx cx cx cx cx
old admitted to Shadow General Hospital for physical abuse, what is the normal heart rate r
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ange?
A) 90-150 beats per minute
cx cx cx cx cx
B) 80-140 beats per minute
cx cx cx cx cx
C) 100-160 beats per minute
cx cx cx cx
D) 60-100 beats per minute - ans-A) 90-150 beats per minute
cx cx cx cx cx cxcx cx cx cx cx
Children have smaller heart chambers and lower blood volume than adults, which results in
cx cx cx cx cx cx cx cx cx cx cx cx cx c
a lower heart stroke volume.
x cx cx cx cx
An 82-year- cx
old is on the cardiac floor of Shadow General Hospital after being admitted for chest pain. W
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
hich of the following findings would be due to vessel narrowing?
cx cx cx cx cx cx cx cx cx cx
A) Bruits cx cx
B) Tachycardia
cx
C) Harsh holosystolic murmur
cx cx cx
D) Regurgitation - ans-A) Bruits
cx cx cxcx cx cx
, Bruits are heard when blood flow is obstructed, causing turbulence. They are murmur-
cx cx cx cx cx cx cx cx cx cx cx cx
like sounds that originate from the vasculature instead of from the heart that are heard with t
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
he bell of the stethoscope.
cx cx cx cx
A 2-month-
cx
old male child comes into the Shadow General Hospital Emergency Department with dehy
cx cx cx cx cx cx cx cx cx cx cx cx
dration due to projectile vomiting since birth. On physical exam you note marked peristalsis
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
(waves visible on inspection of the abdomen). This is a sign of what pathologic process?
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
A) Pyloric stenosis
cx cx cx
B) Diastasis recti
cx cx
C) Enlarged kidneys
cx cx
D) Umbilical hernia - ans-A) Pyloric Stenosis
cx cx cx cxcx cx cx cx
Infants with pyloric stenosis present with projectile vomiting as a chief complaint with mark
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ed peristalsis noted on physical exam.
cx cx cx cx cx
A 76-year-
cx
old is admitted to the Shadow General Hospital ICU with severe abdominal pain and nause
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
a. On physical exam you find rebound tenderness, guarding on palpation and abdominal w
cx cx cx cx cx cx cx cx cx cx cx cx cx
all rigidity. These are common findings with what problem?
cx cx cx cx cx cx cx cx
A) Peritonitis
cx cx
B) Constipation
cx
C) Hiatal hernia
cx cx
D) Peptic ulcer - ans-A) Peritonitis
cx cx cx cxcx cx cx
The physical exam findings above are indicators of peritonitis. This can be secondary to tu
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
mor, ruptured diverticulum, or infections.
cx cx cx cx
A 3-year-
cx
old child with Down's syndrome is in the cardiac ICU of Shadow General Hospital following
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
open heart surgery. Which of the following musculoskeletal physical exam findings would y
cx cx cx cx cx cx cx cx cx cx cx cx
ou expect to find on this child?
cx cx cx cx cx cx
A) Fixed joints
cx cx
B) Lordosis
cx
C) Hyperextensible joints
cx cx cx
D) Scoliosis - ans-C) Hyperextensible joints
cx cx cxcx cx cx
Children with Down's syndrome often have palmar simian crease, hyperextensible joints, a
cx cx cx cx cx cx cx cx cx cx cx
nd short, broad extremities.
cx cx cx
An 86-year- cx
old woman has been admitted to the Shadow General surgical floor after a knee replaceme
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
