Fundamentals:Kaplan Integrated Exam
UPDATED ACTUAL Questions and CORRECT Answers
Question: Initial health history interview steps
Correct Answer: 1. Demographic data is collected 2. Reason for seeking healthcare (chief complaint)
3. History of the current complaint is taken 4. Overview of past health history Final
step: summarize the highlights and permit the pt to add or clarify
Question: Order of physical as- sessment:
Correct Answer: Inspection, auscultation, percussion and palpation
Question: Vesicular breath sounds
Correct Answer: soft and low-pitched breezy sounds heard over most of the peripheral lung fields
Question: Bronchial breath sounds
Correct Answer: loud, blowing heard of the trachea (normal)
Question: Rhonchi
Correct Answer: musical sounds or vibration commonly heard on expiration, adventitious sounds
caused by fluid or inflammation
Question: Bronchovesicular
Correct Answer: harsh sounds heard over the main stem bronchi (normal)
Question: Normal urine pH
Correct Answer: 4.5-8
Question: Pt has complaint of a rash. What is your first step?
Correct Answer: Interview the pt to find out more info: when it first appeared, any change in diet or
medications (open ended questions)
, Question: If the right leg is tapped for a patellar reflex test and there is no movement what should be
done next?
Correct Answer: Tap the tendon again while patient is pulling against interlaced locked fingers: after
first tapping should be re-tested using reinforcement tech- niques
Question: In a mental status exam, what is asking a pt to compare and contrast testing?
Correct Answer: Abstract reasoning
Question: How is judgement as- sessed in a mental sta- tus exam?
Correct Answer: Asking a person what they would do in a certain realistic situation and looking for a
"normal" response
Question: Throughout the whole interview by listening to the pt describe their current health situation
and if the client is perceiving self in a realistic manner
Correct Answer: How is insight as- sessed?
Question: What is nystagmas?
Correct Answer: rapid eye movement side to side
Question: What is stabismus?
Correct Answer: "lazy eye" drifting of one eye
Question: Photophobia?
Correct Answer: Light intolerance
Question: Ptosis?
Correct Answer: drooping of the upper eye lid, may be congenital, acquired weakness or paralysis
Question: Normal urine specific gravity?
Correct Answer: 1.01-1.03 Increased specific gravity indicates fluid volume deficit
Question: What position should the pt be in for ab- domen assessment?
Correct Answer: Supine with knees flexed
UPDATED ACTUAL Questions and CORRECT Answers
Question: Initial health history interview steps
Correct Answer: 1. Demographic data is collected 2. Reason for seeking healthcare (chief complaint)
3. History of the current complaint is taken 4. Overview of past health history Final
step: summarize the highlights and permit the pt to add or clarify
Question: Order of physical as- sessment:
Correct Answer: Inspection, auscultation, percussion and palpation
Question: Vesicular breath sounds
Correct Answer: soft and low-pitched breezy sounds heard over most of the peripheral lung fields
Question: Bronchial breath sounds
Correct Answer: loud, blowing heard of the trachea (normal)
Question: Rhonchi
Correct Answer: musical sounds or vibration commonly heard on expiration, adventitious sounds
caused by fluid or inflammation
Question: Bronchovesicular
Correct Answer: harsh sounds heard over the main stem bronchi (normal)
Question: Normal urine pH
Correct Answer: 4.5-8
Question: Pt has complaint of a rash. What is your first step?
Correct Answer: Interview the pt to find out more info: when it first appeared, any change in diet or
medications (open ended questions)
, Question: If the right leg is tapped for a patellar reflex test and there is no movement what should be
done next?
Correct Answer: Tap the tendon again while patient is pulling against interlaced locked fingers: after
first tapping should be re-tested using reinforcement tech- niques
Question: In a mental status exam, what is asking a pt to compare and contrast testing?
Correct Answer: Abstract reasoning
Question: How is judgement as- sessed in a mental sta- tus exam?
Correct Answer: Asking a person what they would do in a certain realistic situation and looking for a
"normal" response
Question: Throughout the whole interview by listening to the pt describe their current health situation
and if the client is perceiving self in a realistic manner
Correct Answer: How is insight as- sessed?
Question: What is nystagmas?
Correct Answer: rapid eye movement side to side
Question: What is stabismus?
Correct Answer: "lazy eye" drifting of one eye
Question: Photophobia?
Correct Answer: Light intolerance
Question: Ptosis?
Correct Answer: drooping of the upper eye lid, may be congenital, acquired weakness or paralysis
Question: Normal urine specific gravity?
Correct Answer: 1.01-1.03 Increased specific gravity indicates fluid volume deficit
Question: What position should the pt be in for ab- domen assessment?
Correct Answer: Supine with knees flexed
