ATI HEALTH ASSESSMENT FINAL EXAM 3 EXAM
REVIEW 2026 SOLVED QUESTIONS WITH FULL
SOLUTION
◉ 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.
Answer: 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.
Answer: 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.
Answer: 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.
Answer: 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.
Answer: 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.
Answer: 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.
Answer: A) Bruits
REVIEW 2026 SOLVED QUESTIONS WITH FULL
SOLUTION
◉ 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.
Answer: 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.
Answer: 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.
Answer: 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.
Answer: 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.
Answer: 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.
Answer: 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.
Answer: A) Bruits
