2025/2026 Actual Complete Real Exam Questions And Correct
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How do you assess EOM? - ANSWER-Cardinal positions of
gaze, Ask pt to fallow pen light without moving their head.
Move the penlight to the six cardinal positions returning to the
mid point after each movement. This tests CN 3,4,6 and EOM
What is the apical impulse? - ANSWER-pulse felt at point of
maximal impulse
cyanosis - ANSWER-a bluish discoloration of the skin
resulting from poor
circulation or inadequate oxygenation of
the blood.
Where do you hear the tricuspid valve? - ANSWER-4th
intercostal space near
the sternum on the pts left side (your
right side)
Where do you percuss the heart? - ANSWER-@ the anterior
axillary line and continue toward the sternum along the 5th
intercostal space. the sound changes from resonance to
,dullness over the left border of the heart, normally at the
midclavicular line. The right border of the heart is usually
aligned with the sternum and can't be percussed.
How do you assess JVD? - ANSWER--Place pt in
supine positon
-Elevate head
45degrees
-Turn head to one
side
-Look for
pulsations
-If greater than 3cm distention, positive jugular
vein distention
How do you assess grade 4 systolic murmur? - ANSWER-It
would be during the
first heart sound, then determine quality: blowing, musical
harsh or rumbling.
Then the pitch High, Low? Then location, where is the sound the
loudest? grade
on a 6 level grading
scale.
What is the S1 sound? - ANSWER-"lub" and AV valves
closing. tricuspid and
mitral
valves.
, What is nonpitting edema? - ANSWER-skin feels
unusually tight or firm,
pressure leaves no indentation b/c fluid has coagulated
in the tissues
What is considered a low BMI? - ANSWER-anything below 19 is
considered low
BMI
How do you assess mobility? (Muscles) - ANSWER-Functional
assessment for
ADLs
How do you calculate pack year? - ANSWER-# of packs a
day x # of years
smoking= Pack
Year
Older Adult Health History - ANSWER-The interview will likely
take longer, so plan accordingly. Depending on the person's
condition you may need to break the interview into two
sessions. You can gather certain health history and or review
of systems forms from home, as long as the person
handwriting is adequate. Some aging people may need a longer
response time.
Assessing the pulse in older adults - ANSWER-Maybe more
difficult to feel and