Advanced Health Assessment Exam 3 Questions &
Answers, Explained
The Left Upper Quadrant (LUQ) contains the:
A) Gallbladder
B) Spleen
C) Liver
D) Appendix - Spleen
The spleen is the largest lymphatic organ. However, instead of lymph, its chambers
are filled with blood.
Suppose that Tina reported pain when you assessed for costovertebral angle (CVA)
tenderness. Which of the following would be true?
A) CVA tenderness may indicate kidney infection
B) CVA tenderness may indicate liver enlargement
C) CVA tenderness is an expected finding
D) CVA tenderness is a rare finding - CVA tenderness may indicate kidney
infection
Percussion of the costovertebral angle should evoke no pain. The elicitation of
pain is indicative of inflammation in the underlying kidney or surrounding tissue.
Suppose that you suspected ascites because Tina's abdomen is large. Which of the
following assessment findings would confirm ascites?
A) Shifting dullness
B) Murphy's sign
C) Deep organ palpation
D) Peristaltic fluid wave test - Shifting dullness
Ascites is the accumulation of fluid in the peritoneal space. This fluid can be
detected by abdominal percussion. The distribution of fluid in the abdomen shifts
,according to gravity when the person changes body position. To test for ascites,
percuss for dullness in the abdomen when Tina is in several different body
positions.
The second heart sound is the result of which of the following?
A)Opening of aortic and pulmonic valves
B) Closing of aortic and pulmonic valves
C) Opening of mitral and tricuspid valve
D) Closing of mitral and tricuspid valve - Closing of aortic and pulmonic valves
The five cardiac areas of auscultation are not the anatomical positions of the heart
valves but are the best places to listen due to the direction that sounds resonate in
the thorax.
Normal capillary refill is:
A) Nails turning from blanched to pink
B) > 2 seconds
C) 1-2 seconds
D) < 1 second - 1-2 seconds
Most capillaries have such small inner diameters that only one red blood cell can
move through at a time.
Tina's left tibial pulse is graded as 2+. This finding is:
A)Bounding
B) Increased
C) Normal
D) Weak - Normal
Pulses are graded on a 4 point scale in which 3+ is bounding, 2+ is normal, 1+ is
weak, and 0 is absent.
, When listening to the heart of an 18-month-old admitted to Shadow General
Hospital for physical abuse, what is the normal heart rate range?
A) 90-150 beats per minute
B) 80-140 beats per minute
C) 100-160 beats per minute
D) 60-100 beats per minute - A) 90-150 beats per minute
Children have smaller heart chambers and lower blood volume than adults, which
results in a lower heart stroke volume.
An 82-year-old is on the cardiac floor of Shadow General Hospital after being
admitted for chest pain. Which of the following findings would be due to vessel
narrowing?
A) Bruits
B) Tachycardia
C) Harsh holosystolic murmur
D) Regurgitation - A) Bruits
Bruits are heard when blood flow is obstructed, causing turbulence. They are
murmur-like sounds that originate from the vasculature instead of from the heart
that are heard with the bell of the stethoscope.
A 2-month-old male child comes into the Shadow General Hospital Emergency
Department with dehydration due to projectile vomiting since birth. On physical
exam you note marked peristalsis (waves visible on inspection of the abdomen).
This is a sign of what pathologic process?
A) Pyloric stenosis
B) Diastasis recti
C) Enlarged kidneys
D) Umbilical hernia - A) Pyloric Stenosis
Answers, Explained
The Left Upper Quadrant (LUQ) contains the:
A) Gallbladder
B) Spleen
C) Liver
D) Appendix - Spleen
The spleen is the largest lymphatic organ. However, instead of lymph, its chambers
are filled with blood.
Suppose that Tina reported pain when you assessed for costovertebral angle (CVA)
tenderness. Which of the following would be true?
A) CVA tenderness may indicate kidney infection
B) CVA tenderness may indicate liver enlargement
C) CVA tenderness is an expected finding
D) CVA tenderness is a rare finding - CVA tenderness may indicate kidney
infection
Percussion of the costovertebral angle should evoke no pain. The elicitation of
pain is indicative of inflammation in the underlying kidney or surrounding tissue.
Suppose that you suspected ascites because Tina's abdomen is large. Which of the
following assessment findings would confirm ascites?
A) Shifting dullness
B) Murphy's sign
C) Deep organ palpation
D) Peristaltic fluid wave test - Shifting dullness
Ascites is the accumulation of fluid in the peritoneal space. This fluid can be
detected by abdominal percussion. The distribution of fluid in the abdomen shifts
,according to gravity when the person changes body position. To test for ascites,
percuss for dullness in the abdomen when Tina is in several different body
positions.
The second heart sound is the result of which of the following?
A)Opening of aortic and pulmonic valves
B) Closing of aortic and pulmonic valves
C) Opening of mitral and tricuspid valve
D) Closing of mitral and tricuspid valve - Closing of aortic and pulmonic valves
The five cardiac areas of auscultation are not the anatomical positions of the heart
valves but are the best places to listen due to the direction that sounds resonate in
the thorax.
Normal capillary refill is:
A) Nails turning from blanched to pink
B) > 2 seconds
C) 1-2 seconds
D) < 1 second - 1-2 seconds
Most capillaries have such small inner diameters that only one red blood cell can
move through at a time.
Tina's left tibial pulse is graded as 2+. This finding is:
A)Bounding
B) Increased
C) Normal
D) Weak - Normal
Pulses are graded on a 4 point scale in which 3+ is bounding, 2+ is normal, 1+ is
weak, and 0 is absent.
, When listening to the heart of an 18-month-old admitted to Shadow General
Hospital for physical abuse, what is the normal heart rate range?
A) 90-150 beats per minute
B) 80-140 beats per minute
C) 100-160 beats per minute
D) 60-100 beats per minute - A) 90-150 beats per minute
Children have smaller heart chambers and lower blood volume than adults, which
results in a lower heart stroke volume.
An 82-year-old is on the cardiac floor of Shadow General Hospital after being
admitted for chest pain. Which of the following findings would be due to vessel
narrowing?
A) Bruits
B) Tachycardia
C) Harsh holosystolic murmur
D) Regurgitation - A) Bruits
Bruits are heard when blood flow is obstructed, causing turbulence. They are
murmur-like sounds that originate from the vasculature instead of from the heart
that are heard with the bell of the stethoscope.
A 2-month-old male child comes into the Shadow General Hospital Emergency
Department with dehydration due to projectile vomiting since birth. On physical
exam you note marked peristalsis (waves visible on inspection of the abdomen).
This is a sign of what pathologic process?
A) Pyloric stenosis
B) Diastasis recti
C) Enlarged kidneys
D) Umbilical hernia - A) Pyloric Stenosis
