HEALTH ASSESSMENT PRACTICE QUESTIONS

Which is not a skills requisite? A: Inspection B: Palpation C: Vital signs D: Percussion - correct answer C: Vital Signs What are some things you are looking for during palpation? - correct answer Temperature, Moisture, Texture, Lumps Over what tissue would you expect to hear resonance? A: Stomach B: Lungs C: Brain D: Bones - correct answer B: Lungs Over what tissue would you expect to hear tympany? A: Lungs B: Bone C: Brain D: Stomach - correct answer D: Stomach Over what tissue would you expect to hear a dull sound? A: Stomach B: Bone C: Liver D: Lungs - correct answer C: Liver Over what tissue would you expect to hear a flat sound? A: Lung B: Bone C: Muscle D: Stomach E: B&C - correct answer E: Bone & Muscle When is NOT best to use the diaphragm of the stethoscope? A: Heart murmur B: Breathing C: Bowl sounds D: High-pitched - correct answer A: Heart murmer How should you listen to heart and lung sounds? A: Over a gown B: Touching the skin - correct answer B: Touching the skin What position is correct for inserting a rectal suppository? A: Lithotomy B: Sims C: Dorsal Recumbent D: Supine - correct answer B: Sims Taking an axillary temperature on an adult will result in a temperature reading that is: A: One degree lower B: Accurate C: One degree higher D: Same as Oral - correct answer A: One degree lower What is a full & bounding pulse force? A: 3+ B: 2+ C: 1+ D: 0 - correct answer A: 3+ What is inversely related to blood pressure? A: Cardiac output B: Viscosity C: Elasticity D: Peripheral vascular resistance - correct answer C: Elasticity What category of blood pressure is 142/95? A: Normal B: Prehypertension C: Hypertension I D: Hypertension II - correct answer C: Hypertension I Which describes orthostatic blood pressure? A: A rise in systolic pressure by 10 mmHg B: A drop in Diastolic pressure by 10 mmHg C: A drop in systolic pressure by 10 mmHg D: A drop in diastolic pressure by 5 mmHg - correct answer B: A drop in diastolic pressure by 10 mmHg My blood pressure is 116/62. What is my pulse pressure? A: 20 B: 32 C: 63 D: 54 - correct answer D: 54 What is my cardiac output if my heart rate is 60bpm and my blood pressure is 120/72? A: 5.7L B: 6.1L C: 4.8L D: 5.0L - correct answer A: 5.7L At what phase would you hear muffling in Korotkoffs? A: Phase I B: Phase II C: Phase III D: Phase IV - correct answer D: Phase IV Which would not higher blood pressure? A: Anxiety B: Small cuff size C: Large cuff size D: Thigh blood pressure - correct answer C: Large cuff size What causes an auscultatory gap? A: Hypertension B: Arterial wall stiffness C: Both A&B D: Neither - correct answer C: Both A&B How should you take an infants temperature? A: Rectal B: Oral C: Axillary D: Temporal - correct answer C: Axillary What things should you look for during a health history? A: Physical Appearance B: Body Structure C: Mobility D: Behavior E: all of the above - correct answer E: ALl What percent of your diet should carbohydrates be? A: 40% B: 50% C: 60% D: 20% - correct answer B: 50% When does general survey begin? A: When you first look at the patient B: When you are looking through the patients chart C: After the meeting D: None of these - correct answer A: When you first look at the patient Which is not a primary lesion? A: Macule B: Papule C: Pustule D: Keloid - correct answer D: Keloid Which of the following do not go together? A: Macule & Patch B: Vesicle & Bulla C: Wheal & Cyst D: Nodule & Tumor - correct answer C: Wheal & Cyst What is a freckle an example of? A: Macule B: Papule C: Cyst D: Vesicle - correct answer A: Macule Which is related to shingles? A: Macule B: Vesicle C: Nodule D: Plaque - correct answer B: Vesicle Which is related to psoriasis? A: Plaque B: Patch C: Wheal D: Bulla - correct answer A: Plaque A patient comes in a has a crack in on his big toe. He tells you that he spends a lot of time doing yard work outside and is very sweaty. When you look at the crack it appears to travel into the dermis. It is most likely a: A: Scar B: Papule C: Keloid D: Fissure - correct answer D: Fissure A patient comes in with a spider angioma spot. This could indicate the patient has: A: Liver disease B: Diabetes C: Vitamin A Deficiency D: COPD - correct answer A: Liver disease A patient comes in with worry of edema. While assessing, you notice they show deep pitting that indents for a short time. This is: A: 1+ B: 2+ C: 3+ D: 4+ - correct answer C: 3+ A patient with edema would show what kind of turgor? A: Delayed B: Fast - correct answer B: Fast Which of the following is not a benign lesion? A: Freckles B: Cherry angioma C: Mongolian spot D: Malignant melanoma - correct answer D: Malignant melanoma A 56-year-old patient comes in with worry about her skin color change. She has noticed her hands have become a purple color. This would most likely be: A: Senile prupura B: Cherry angioma C: Spider angioma D: Bulla - correct answer A: Senile prupura What disease is associated with clubbing of the nails? A: Diabetes B: Hypothyroidism C: Pulmonary Disease D: Vitamin D deficiency - correct answer C: Pulmonary Disease ** Also cyanotic heart disease & lung cancer What would a capillary refill of more than 3 seconds indicated? A: Edema B: poor circulation C: inflammation D: Anxiety - correct answer B: poor circulation A patient with hyperthyroidism would have what type of hair? A: Dry B: Alopecia C: Blond D: Fine - correct answer D: Fine **Dry is hypo A patient is being assessed for their level of consciousness. When assessing their eyes, the patient only reacts to pain. What rating would this be? A: 4 B: 3 C: 2 D: 1 - correct answer C: 2 A patient is being assessed for their level of consciousness. When testing their motor responses, it is found the patient presents a Add to decerebrate pose. This is: A: Side lying B: Prone with elbows flexed C: Prone with elbows extended D: Supine - correct answer C: Prone with elbows extended What would the mini-mental state exam most likely test for? A: Substance abuse B: Anxiety C: Cognition D: Depression - correct answer C: Cognition What are things you would look for with Behavior & Physical Cues? A: Mood & affect B: Body Language C: Facial Expressions D: Speech patterns E: all of the above - correct answer E: All of the above What would you not look for with speech and language? A: Pace B: Articulation C: Word choice D: Accent - correct answer D: Accent What does ABCT stand for? - correct answer Appearance, Behavior, Cognitive function, Thought process What is ABCT used for? A: Mental Health Assessment B: Glascows Coma Scale C: Substance abuse D: Interpersonal Violence - correct answer A: Mental Heaht Assessment What does AUDIT test for? A: Alcohol problems B: Bullying C: Speech development D: Danger - correct answer A: Alcohol problems What does CAGE test for? A: Bullying B: Lifetime alcohol abuse C: Domestic violence D: Cognitive impairment - correct answer B: Lifetime alcohol abuse How many drinks per day can a male have for it to be considered moderate? A: 2 B: 3 C: 4 D: 5 - correct answer A: 2 Is it safe to consume alcohol while pregnant? A: Yes B: In the first trimester C: In the third trimester D: No - correct answer D: No Where does the apex of the lungs start? A: Clavicle B: C7 C: T1 D: Anterior Scapula - correct answer B: C7 A patient comes in and claims they smoke 3 packs a day. The patients states this started 20 years ago. What is their pack year? A: 30 B: 45 C: 50 D: 60 - correct answer D: 60 There is negative pressure in the pleural space during: A: Expiration B: Wheezing C: Inspiration D: Syncope - correct answer C: Inspiration There is greater lung pressure than atmospheric pressure during: A: Expiration B: Inhalation C: Vertigo D: COPD - correct answer A: Expiration Which is not a sign of difficulty breathing? A: Abdominal breathing B: Nasal Flaring C: Eupneic breaths D: Anxiety E: Retractions - correct answer C: Eupneic Breaths A patient comes in and shows periods of increased depth interspersed with apnea. This is most likely related to: A: Bradypnea B: Biot C: Cheyne-Stokes D: Ataxic - correct answer C: Cheyne-Stokes A patient comes in and shows a breathing pattern that is deep and greate than 20 breaths per