Holistic Health Assessment: Final Physical Examination
Questions With Complete Solutions
Abdomen Correct Answer -Skin is tan and consistent with the
rest of the body
-Hair distribution is even throughout
-no scars, lesions, nevi, striae, or bulges
-Umbilicus is midline
Abdominal Contour Correct Answer -Stand on right side
-Look straight down on abdomen
-Get level and observe
-No pulsations are present
-Contour is flat
Ability to hear and speak Correct Answer -The patient
maintaining eye contact with the examiner and answering
questions appropriately shows that she can hear to a full extent
-The patient is able to respond during conversation, showing that
her ability is in tact
Accommodation Correct Answer -Have client focus on wall
behind examiner
-Have client focus on finger
-The clients pupils dilated bilaterally focusing on the distal
object and constricted bilaterally when they focused on the
object up close
Anterior Chest Correct Answer -Skin color is tan, consistent
with the rest of the body
-Skin is in tact with no lesions or scars
,-Anterior Chest is is symmetrical
-Anterior Posterior to lateral diameter is 1:2, client is showing
no signs of barrel chest
-Intercostal Angle 90º
-The thorax is symmetric with downward sloping ribs
Apical Pulse Correct Answer -I am now going to palpate your
apical pulse
-5th intercostal MCL
-Apical pulse is palpable at a 2+ amplitude approximately one
cm
Arm Palpation Correct Answer -Im going to palpate your arms,
let me know if you feel any tenderness
-palpate arms
-The client did not express any tenderness and the examiner did
not feel any lumps, masses, or deformities
Arms Correct Answer -Client's arms are tan in color consistent
with the rest of the body
-Arms are warm and symmetrical with even hair distribution
bilaterally
Assess gait Correct Answer -Walk to the wall
-Walk back on your toes
-Walk to the wall on your heels
-Walk back placing your heel directly in front of your toe
-Gait is smooth and effortless with good balance
Assess Visual Fields (Cranial Nerve 2 Optic Nerve) Correct
Answer -Perform the Confrontation Test (peripheral vision)
, -Cover Left Eye
-Examiner covers right eye
-Say when you can see my finger
-Hold Finger out on examiners left and bring it closer to midline
-Hold Finger out on Examiners right side and bring it closer to
midline
-Hold finger above and bring it down
-Hold finger below and bring it up
-Same with Right/Left examiner eye
-The client's peripheral vision is in tact bilaterally
Auricle and Tragus Correct Answer -Palpate the Auricle
-Any Tenderness?
-Palpate Tragus
-Any tenderness?
-The Auricle and Tragus are firm with no lumps, lesions, or
tenderness
Auscultate Anterior Chest Correct Answer -Im going to listen
to your breath sounds, take a deep breath every time you feel my
stethoscope
-Listen in all 18 areas
-no adventitious sounds
Auscultate Heart Correct Answer -I am going to listen to your
heart. Breath normally. I am going to go through once with the
diaphragm of my stethoscope and once with the bell
-Listen in all 5 areas with diaphragm
-Aortic is L 2ICS
-Pulmonic is R 2ICS
-Each go down from there. Erbs Tri, Mit
Questions With Complete Solutions
Abdomen Correct Answer -Skin is tan and consistent with the
rest of the body
-Hair distribution is even throughout
-no scars, lesions, nevi, striae, or bulges
-Umbilicus is midline
Abdominal Contour Correct Answer -Stand on right side
-Look straight down on abdomen
-Get level and observe
-No pulsations are present
-Contour is flat
Ability to hear and speak Correct Answer -The patient
maintaining eye contact with the examiner and answering
questions appropriately shows that she can hear to a full extent
-The patient is able to respond during conversation, showing that
her ability is in tact
Accommodation Correct Answer -Have client focus on wall
behind examiner
-Have client focus on finger
-The clients pupils dilated bilaterally focusing on the distal
object and constricted bilaterally when they focused on the
object up close
Anterior Chest Correct Answer -Skin color is tan, consistent
with the rest of the body
-Skin is in tact with no lesions or scars
,-Anterior Chest is is symmetrical
-Anterior Posterior to lateral diameter is 1:2, client is showing
no signs of barrel chest
-Intercostal Angle 90º
-The thorax is symmetric with downward sloping ribs
Apical Pulse Correct Answer -I am now going to palpate your
apical pulse
-5th intercostal MCL
-Apical pulse is palpable at a 2+ amplitude approximately one
cm
Arm Palpation Correct Answer -Im going to palpate your arms,
let me know if you feel any tenderness
-palpate arms
-The client did not express any tenderness and the examiner did
not feel any lumps, masses, or deformities
Arms Correct Answer -Client's arms are tan in color consistent
with the rest of the body
-Arms are warm and symmetrical with even hair distribution
bilaterally
Assess gait Correct Answer -Walk to the wall
-Walk back on your toes
-Walk to the wall on your heels
-Walk back placing your heel directly in front of your toe
-Gait is smooth and effortless with good balance
Assess Visual Fields (Cranial Nerve 2 Optic Nerve) Correct
Answer -Perform the Confrontation Test (peripheral vision)
, -Cover Left Eye
-Examiner covers right eye
-Say when you can see my finger
-Hold Finger out on examiners left and bring it closer to midline
-Hold Finger out on Examiners right side and bring it closer to
midline
-Hold finger above and bring it down
-Hold finger below and bring it up
-Same with Right/Left examiner eye
-The client's peripheral vision is in tact bilaterally
Auricle and Tragus Correct Answer -Palpate the Auricle
-Any Tenderness?
-Palpate Tragus
-Any tenderness?
-The Auricle and Tragus are firm with no lumps, lesions, or
tenderness
Auscultate Anterior Chest Correct Answer -Im going to listen
to your breath sounds, take a deep breath every time you feel my
stethoscope
-Listen in all 18 areas
-no adventitious sounds
Auscultate Heart Correct Answer -I am going to listen to your
heart. Breath normally. I am going to go through once with the
diaphragm of my stethoscope and once with the bell
-Listen in all 5 areas with diaphragm
-Aortic is L 2ICS
-Pulmonic is R 2ICS
-Each go down from there. Erbs Tri, Mit
