Advanced Physical Assessment Exam 1 Questions With Correct Answers

Advanced Physical Assessment Exam 1
Questions With Correct Answers

For |which |of |the |following |patients |would |a |comprehensive |health |history |be |appropriate? |- |
CORRECT |ANSWER✔✔-A |new |patient |with |the |chief |complaint |of |"I |am |here |to |establish |care"



Patient |is |new



The |components |of |health |history |include |of |the |following |except |which? |- |CORRECT |
ANSWER✔✔-Thorax |and |lungs



This |is |part |of |physical |examination



Is |the |following |information |subjective |or |objective? |Mrs. |M |has |SOB |that |has |persisted |for |
the |past |10 |days, |it |is |worse |with |activity |& |relieved |by |rest. |- |CORRECT |ANSWER✔✔-
Subjective



Information |given |by |pt |about |circumstances |of |chief |complaint, |does |not |represent |objective |
observation



Is |the |following |information |subjective |or |objective? |Mrs. |M |has |a |RR |of |32 |and |PR |120 |- |
CORRECT |ANSWER✔✔-Objective



The |following |information |is |recorded |in |the |healthy |history, |pt |has |had |abdominal |pain |for |1 |
week, |pain |lasts |for |30 |mins |at |a |time, |comes |& |goes, |7-9/10 |pain, |accompanied |by |NV, |
located |mid-epigastric. |Which |of |these |categories |does |it |belong |to? |- |CORRECT |ANSWER✔✔-
Present |Illness

,The |following |information |is |recorded |in |the |health |history, |"the |patient |completed |8th |grade, |
currently |lives |with |his |wife |& |2 |children, |works |on |old |cars |on |weekend, |works |in |glass |
factory |during |the |week." |Which |category? |- |CORRECT |ANSWER✔✔-Personal |and |social |
history



The |following |information |is |recorded |in |the |health |history, |"I |feel |really |tired", |what |category?
|- |CORRECT |ANSWER✔✔-Chief |complaint




The |following |information |is |recorded |in |health |history, |"patient |denies |CP, |palpitations, |
orthopnea, |paroxysmal |nocturnal |dyspnea", |which |category? |- |CORRECT |ANSWER✔✔-Review |
of |systems



The |following |information |is |best |placed |in |which |category? |"The |pt |has |had |3 |c-sections" |- |
CORRECT |ANSWER✔✔-Surgeries



the |following |information |is |best |placed |in |which |category? |"the |pt |had |stent |placed |in |left |
anterior |descending |artery |in |1999" |- |CORRECT |ANSWER✔✔-adult |illnesses



the |following |information |is |best |placed |in |which |category? |"the |patient |was |treated |for |an |
asthma |exacerbation |in |the |hospital |last |year, |the |pt |has |never |been |intubated" |- |CORRECT |
ANSWER✔✔-adult |illnesses



You |are |running |late |after |your |quarterly |quality |improvement |meeting |at |the |hospital |and

have |just |gotten |paged |from |the |nurses' |station |because |a |family |member |of |one |of |your |
patients

wants |to |talk |with |you |about |that |patient's |care. |You |have |clinic |this |afternoon |and |are

double-booked |for |the |first |appointment |time; |three |other |patients |also |have |arrived |and |are

sitting |in |the |waiting |room. |Which |of |the |following |demeanors |is |a |behavior |consistent |with

skilled |interviewing |when |you |walk |into |the |examination |room |to |speak |with |your |first |clinic

,patient? |- |CORRECT |ANSWER✔✔-Calm



Suzanne, |a |25 |year |old, |comes |to |your |clinic |to |establish |care. |You |are |the |student |preparing

to |go |into |the |examination |room |to |interview |her. |Which |of |the |following |is |the |most |logical

sequence |for |the |patient-provider |interview? |- |CORRECT |ANSWER✔✔-Greet |the |patient, |
establish |rapport, |invite |the |patient's |story, |establish |the |agenda, |expand

and |clarify |the |patient's |story, |and |negotiate |a |plan.



Alexandra |is |a |28-year-old |editor |who |presents |to |the |clinic |with |abdominal |pain. |The |pain |is

a |dull |ache, |located |in |the |right |upper |quadrant, |that |she |rates |as |a |3 |at |the |least |and |an |8 |at |
the

worst. |The |pain |started |a |few |weeks |ago, |it |lasts |for |2 |to |3 |hours |at |a |time, |it |comes |and |goes,
|and



it |seems |to |be |worse |a |couple |of |hours |after |eating. |She |has |noticed |that |it |starts |after |eating

greasy |foods, |so |she |has |cut |down |on |these |as |much |as |she |can. |Initially |it |occurred |once |a |
week,

but |now |it |is |occurring |every |other |day. |Nothing |makes |it |better. |From |this |description, |which |
of

the |seven |attributes |of |a |symptom |has |been |omitted? |- |CORRECT |ANSWER✔✔-associated |
manifestations



Jason |is |a |41-year-old |electrician |who |presents |to |the |clinic |for |evaluation |of |shortness |of

breath. |The |shortness |of |breath |occurs |with |exertion |and |improves |with |rest. |It |has |been |
going |on

for |several |months |and |initially |occurred |only |a |couple |of |times |a |day |with |strenuous |exertion;

however, |it |has |started |to |occur |with |minimal |exertion |and |is |happening |more |than |a |dozen |
times

per |day. |The |shortness |of |breath |lasts |for |less |than |5 |minutes |at |a |time. |He |has |no |cough, |
chest

, pressure, |chest |pain, |swelling |in |his |feet, |palpitations, |orthopnea, |or |paroxysmal |nocturnal

dyspnea. |- |CORRECT |ANSWER✔✔-Severity



You |are |interviewing |an |elderly |woman |in |the |ambulatory |setting |and |trying |to |get |more

information |about |her |urinary |symptoms. |Which |of |the |following |techniques |is |not |a |
component

of |adaptive |questioning? |- |CORRECT |ANSWER✔✔-Reassuring |the |patient |that |the |urinary |
symptoms |are |benign |and |that |she |doesn't |need |to

worry |about |it |being |a |sign |of |cancer



Mr. |W. |is |a |51-year-old |auto |mechanic |who |comes |to |the |emergency |room |wanting |to |be

checked |out |for |the |symptom |of |chest |pain. |As |you |listen |to |him |describe |his |symptom |in |
more

detail, |you |say |"Go |on," |and |later, |"Mm-hmmm." |This |is |an |example |of |which |of |the |following

skilled |interviewing |techniques? |- |CORRECT |ANSWER✔✔-Facilitation



Mrs. |R. |is |a |92-year-old |retired |teacher |who |comes |to |your |clinic |accompanied |by |her

daughter. |You |ask |Mrs. |R. |why |she |came |to |your |clinic |today. |She |looks |at |her |daughter |and

doesn't |say |anything |in |response |to |your |question. |This |is |an |example |of |which |type |of

challenging |patient? |- |CORRECT |ANSWER✔✔-Silent |patient



Mrs. |T. |comes |for |her |regular |visit |to |the |clinic. |She |is |on |your |schedule |because |her |regular

provider |is |on |vacation |and |she |wanted |to |be |seen. |You |have |heard |about |her |many |times |
from

your |colleague |and |are |aware |that |she |is |a |very |talkative |person. |Which |of |the |following |is |a

helpful |technique |to |improve |the |quality |of |the |interview |for |both |the |provider |and |the |
patient? |- |CORRECT |ANSWER✔✔-Briefly |summarize |what |you |heard |from |the |patient |in |the |
first |5 |minutes |and |then |try |to