Physical Assessment Final Exam Practice
Questions Correctly Answered
is a sideways curvature of the spine that occurs most often during the growth spurt just before puberty.
- Answer scoliosis
is an increased inward curving of the lumbar spine (just above the buttocks). - Answer lordosis
is the outward curve of the thoracic spine at rib-level - Answer kyphosis
While auscultating heart sounds, the nurse hears a murmur What should be used to assess it? - Answer
The bell of the stethoscope
The nurse is testing a pt's visual accommodation, which refers to: - Answer Pupillary constriction when
looking at a near object
In using the ophthalmoscope to assess a pt's eyes the nurse notes a red glow in the pupils. What does
the nurse do? - Answer Consider it a normal reflection of the light off the inner retina
Preparing to do an otoscope exam on a 2 yr old. What is correct procedure? - Answer Pull pinna down
When using otoscope to assess the nasal cavity, what does the nurse need to do? - Answer Avoid
touching the nasal septum w/ the speculum
During assessment of a 20 yr old pt w/ 3-day history of N/V, nurse notes dry mucosa, deep fissures on
tongue. Reflective of: - Answer Dehydration
When listening to heart sounds, the nurse knows that the valve closures that can be heard best at the
base of the heart are: - Answer Aortic & pulmonic
Assessment of 70 yr old - swelling in ankles, jugular venous pulsations. This indicates? - Answer
Increased pressure in the right side of his heart
, During assessment of healthy adult, where would you palpate the apical pulse? - Answer Fifth left
intercostal space MCL
While counting apical pulse on 16 yr old, nurse notes irregular rhythm - speeds up on inspiration, slows
on exhalation - What is the nurse's response? - Answer NO response - normal!
If a mother hides a block under her baby's blanket & baby looks for it, the nurse knows that the baby has
begun what concept? - Answer Object permanence
The nurse is checking ROM in pts knee & knows the knee is capable of what movements? - Answer
Flexion and extension
A pt's annual phx exam reveals lateral curvature of thoracic & lumbar segments of spine. Dissapears
when forward bending. This is called: - Answer Functional scoliosis
When examining the face, what 2 prs of salivary glands are accessible to exam? - Answer Parotid &
submandibular
Pts lab data reveal an elevated thyroxine level. What needs examination? - Answer Thyroid
A non cancerous thyroid nodule is a lump that: - Answer Is mobile and not hard
Four areas of the body where lymph nodes are accessible: - Answer Head & neck, arms, inguinal area,
axillae
Severe HA in frontotemporal area, throbbing & somewhat relieved when lying down. Mother also had
these HA's. What type? - Answer Migraine
Hyperthyroidism - thyroxine & T3 levels are elevated, what finding would be likely on examination? -
Answer Tachycardia
Questions Correctly Answered
is a sideways curvature of the spine that occurs most often during the growth spurt just before puberty.
- Answer scoliosis
is an increased inward curving of the lumbar spine (just above the buttocks). - Answer lordosis
is the outward curve of the thoracic spine at rib-level - Answer kyphosis
While auscultating heart sounds, the nurse hears a murmur What should be used to assess it? - Answer
The bell of the stethoscope
The nurse is testing a pt's visual accommodation, which refers to: - Answer Pupillary constriction when
looking at a near object
In using the ophthalmoscope to assess a pt's eyes the nurse notes a red glow in the pupils. What does
the nurse do? - Answer Consider it a normal reflection of the light off the inner retina
Preparing to do an otoscope exam on a 2 yr old. What is correct procedure? - Answer Pull pinna down
When using otoscope to assess the nasal cavity, what does the nurse need to do? - Answer Avoid
touching the nasal septum w/ the speculum
During assessment of a 20 yr old pt w/ 3-day history of N/V, nurse notes dry mucosa, deep fissures on
tongue. Reflective of: - Answer Dehydration
When listening to heart sounds, the nurse knows that the valve closures that can be heard best at the
base of the heart are: - Answer Aortic & pulmonic
Assessment of 70 yr old - swelling in ankles, jugular venous pulsations. This indicates? - Answer
Increased pressure in the right side of his heart
, During assessment of healthy adult, where would you palpate the apical pulse? - Answer Fifth left
intercostal space MCL
While counting apical pulse on 16 yr old, nurse notes irregular rhythm - speeds up on inspiration, slows
on exhalation - What is the nurse's response? - Answer NO response - normal!
If a mother hides a block under her baby's blanket & baby looks for it, the nurse knows that the baby has
begun what concept? - Answer Object permanence
The nurse is checking ROM in pts knee & knows the knee is capable of what movements? - Answer
Flexion and extension
A pt's annual phx exam reveals lateral curvature of thoracic & lumbar segments of spine. Dissapears
when forward bending. This is called: - Answer Functional scoliosis
When examining the face, what 2 prs of salivary glands are accessible to exam? - Answer Parotid &
submandibular
Pts lab data reveal an elevated thyroxine level. What needs examination? - Answer Thyroid
A non cancerous thyroid nodule is a lump that: - Answer Is mobile and not hard
Four areas of the body where lymph nodes are accessible: - Answer Head & neck, arms, inguinal area,
axillae
Severe HA in frontotemporal area, throbbing & somewhat relieved when lying down. Mother also had
these HA's. What type? - Answer Migraine
Hyperthyroidism - thyroxine & T3 levels are elevated, what finding would be likely on examination? -
Answer Tachycardia
