Shadow Health Focused Exam Chest Pain Brian
Foster Complete EXAM 150 QUESTIONS AND
CORRECT ANSWERS 2025-2026 ATEST ALREADY
GRADED A+
A brief statement of the reason the patient is seeking health care is called the: - CORRECT ANSWER-
chief complaint
Which of the following is an "ABCD" characteristic of malignant melanoma? - CORRECT ANSWER-
Irregular borders
Which question would be considered a "leading question"? - CORRECT ANSWER-"You don't get
headaches often, do you?"
A flat, nonpalpable lesion is described as a macule if the diameter is: - CORRECT ANSWER-less than 1
cm.
After you have the patient complete the AUDIT questionnaire, your tally the score and realize the
patient has scored a "9" . Your next communication with the patient should be: - CORRECT ANSWER-
I see that you completed the questionnaire, may I discuss the results with you?
You are conducting a brief negotiated interview with your young male patient after you have
reviewed his AUDIT questionnaire results. You discuss the safe drinking limits per day for his gender .
You explain to him that this number is: - CORRECT ANSWER-4
You are discussing the amount of alcohol in different drinks with your patient. You explain to your
patient what constitutes a standard drink. You review that 12 oz of regular beer is equal to: -
CORRECT ANSWER-5 oz. of table wine
With consolidation in the lung tissue, the breath sounds are louder and easier to hear, whereas
healthy lung tissue produces softer sounds. This is because: - CORRECT ANSWER-air-filled lung tissue
is an insulator of sound
The characteristic barrel chest of the older adult is due to a combination of factors including: -
CORRECT ANSWER-skeletal changes of aging.
,You would expect to document the presence of a pleural friction rub for a patient being treated for: -
CORRECT ANSWER-pleurisy.
Both pleural effusion and lobar pneumonia are characterized by _____ percussion. - CORRECT
ANSWER-dullness heard on
Mr. L. has cyanotic lips and nail beds. His lips are pursed, and he has nasal flaring. You suspect he is
having cardiac or pulmonary difficulty. What additional sign would support this impression? -
CORRECT ANSWER-Clubbing of the fingers
Breath sounds normally auscultated over most of the lung fields are called: - CORRECT ANSWER-
vesicular.
To begin counting the ribs and the intercostal spaces, you begin by palpating the reference point of
the: - CORRECT ANSWER-manubriosternal junction.
Which bronchial structure(s) is(are) most susceptible to aspiration of foreign bodies? - CORRECT
ANSWER-Right mainstem bronchus
What term would you use to document a respiratory rate greater than 20 breaths per minute in an
adult? - CORRECT ANSWER-Tachyapnea
The NP would document this assessment finding as: - CORRECT ANSWER-Pectus excavatum
What is the correct procedure when percussing the chest? - CORRECT ANSWER-Percuss
systematically and symmetrically the anterior chest, moving from left to right side, then percuss the
posterior chest.
On assessment of the client's respiratory status, crepitaiton is felt over the third rib at the
midaxillary line on the left side. What is the interpretation of this finding? - CORRECT ANSWER-Air is
present in the subcutaneous tissue from an air leak in the respiratory system.
Normal physiologic changes in the respiratory system of the geriatric client include an increased
rigidity of rib cage and increase in anteroposterior (AP) diameter of the chest. (T/F) - CORRECT
ANSWER-true
, During a new patient physical exam, you are ausculting the lungs and assess a few scattered
expiratory wheezes. Which of the following review of system responses by the patient confirm that
this is an expected and not unusual finding for this patient. - CORRECT ANSWER-History of asthma
since childhood.
Your 76 year old male patient's chief complaint today is a productive cough times two weeks. What
percussion finding over the posterior chest during your physical exam would lead you to include
pneumonia as one of your differential diagnoses? - CORRECT ANSWER-Dullness
During your review of system questions for a new patient annual exam, you ask the patient - "Do
you ever have shortness of breath or difficulty breathing? If the patient answers yes to this question,
what additional questions related to using OLDCART would you need to ask? Mark all that apply. -
CORRECT ANSWER-Can you tell me when this started? Is there anything that makes it worse?
Is there anything that makes it better?
COPD is most commonly caused by: - CORRECT ANSWER-smoking
Risk factors for TB include: - CORRECT ANSWER-lower socioeconomic status and crowded conditions
Risk factors for pulmonary embolism include: - CORRECT ANSWER-recent pregnancy
What should always be considered for a patient with hemoptysis? - CORRECT ANSWER-malignancy
The "pacing" structure of the heart's electrical activity is the: - CORRECT ANSWER-sinoatrial (SA)
node.
If pitting edema is unilateral, you would suspect occlusion of a: - CORRECT ANSWER-major vein
Which ECG change would not be expected as an age-related pattern? - CORRECT ANSWER-
Ventricular fibrillation
The amplitude of pulses is recorded on a(n): - CORRECT ANSWER-numerical scale of 0 to 4.
In the adult, the apical impulse should be most visible in a thin person or palpable when the patient
is in what position? - CORRECT ANSWER-Upright
Foster Complete EXAM 150 QUESTIONS AND
CORRECT ANSWERS 2025-2026 ATEST ALREADY
GRADED A+
A brief statement of the reason the patient is seeking health care is called the: - CORRECT ANSWER-
chief complaint
Which of the following is an "ABCD" characteristic of malignant melanoma? - CORRECT ANSWER-
Irregular borders
Which question would be considered a "leading question"? - CORRECT ANSWER-"You don't get
headaches often, do you?"
A flat, nonpalpable lesion is described as a macule if the diameter is: - CORRECT ANSWER-less than 1
cm.
After you have the patient complete the AUDIT questionnaire, your tally the score and realize the
patient has scored a "9" . Your next communication with the patient should be: - CORRECT ANSWER-
I see that you completed the questionnaire, may I discuss the results with you?
You are conducting a brief negotiated interview with your young male patient after you have
reviewed his AUDIT questionnaire results. You discuss the safe drinking limits per day for his gender .
You explain to him that this number is: - CORRECT ANSWER-4
You are discussing the amount of alcohol in different drinks with your patient. You explain to your
patient what constitutes a standard drink. You review that 12 oz of regular beer is equal to: -
CORRECT ANSWER-5 oz. of table wine
With consolidation in the lung tissue, the breath sounds are louder and easier to hear, whereas
healthy lung tissue produces softer sounds. This is because: - CORRECT ANSWER-air-filled lung tissue
is an insulator of sound
The characteristic barrel chest of the older adult is due to a combination of factors including: -
CORRECT ANSWER-skeletal changes of aging.
,You would expect to document the presence of a pleural friction rub for a patient being treated for: -
CORRECT ANSWER-pleurisy.
Both pleural effusion and lobar pneumonia are characterized by _____ percussion. - CORRECT
ANSWER-dullness heard on
Mr. L. has cyanotic lips and nail beds. His lips are pursed, and he has nasal flaring. You suspect he is
having cardiac or pulmonary difficulty. What additional sign would support this impression? -
CORRECT ANSWER-Clubbing of the fingers
Breath sounds normally auscultated over most of the lung fields are called: - CORRECT ANSWER-
vesicular.
To begin counting the ribs and the intercostal spaces, you begin by palpating the reference point of
the: - CORRECT ANSWER-manubriosternal junction.
Which bronchial structure(s) is(are) most susceptible to aspiration of foreign bodies? - CORRECT
ANSWER-Right mainstem bronchus
What term would you use to document a respiratory rate greater than 20 breaths per minute in an
adult? - CORRECT ANSWER-Tachyapnea
The NP would document this assessment finding as: - CORRECT ANSWER-Pectus excavatum
What is the correct procedure when percussing the chest? - CORRECT ANSWER-Percuss
systematically and symmetrically the anterior chest, moving from left to right side, then percuss the
posterior chest.
On assessment of the client's respiratory status, crepitaiton is felt over the third rib at the
midaxillary line on the left side. What is the interpretation of this finding? - CORRECT ANSWER-Air is
present in the subcutaneous tissue from an air leak in the respiratory system.
Normal physiologic changes in the respiratory system of the geriatric client include an increased
rigidity of rib cage and increase in anteroposterior (AP) diameter of the chest. (T/F) - CORRECT
ANSWER-true
, During a new patient physical exam, you are ausculting the lungs and assess a few scattered
expiratory wheezes. Which of the following review of system responses by the patient confirm that
this is an expected and not unusual finding for this patient. - CORRECT ANSWER-History of asthma
since childhood.
Your 76 year old male patient's chief complaint today is a productive cough times two weeks. What
percussion finding over the posterior chest during your physical exam would lead you to include
pneumonia as one of your differential diagnoses? - CORRECT ANSWER-Dullness
During your review of system questions for a new patient annual exam, you ask the patient - "Do
you ever have shortness of breath or difficulty breathing? If the patient answers yes to this question,
what additional questions related to using OLDCART would you need to ask? Mark all that apply. -
CORRECT ANSWER-Can you tell me when this started? Is there anything that makes it worse?
Is there anything that makes it better?
COPD is most commonly caused by: - CORRECT ANSWER-smoking
Risk factors for TB include: - CORRECT ANSWER-lower socioeconomic status and crowded conditions
Risk factors for pulmonary embolism include: - CORRECT ANSWER-recent pregnancy
What should always be considered for a patient with hemoptysis? - CORRECT ANSWER-malignancy
The "pacing" structure of the heart's electrical activity is the: - CORRECT ANSWER-sinoatrial (SA)
node.
If pitting edema is unilateral, you would suspect occlusion of a: - CORRECT ANSWER-major vein
Which ECG change would not be expected as an age-related pattern? - CORRECT ANSWER-
Ventricular fibrillation
The amplitude of pulses is recorded on a(n): - CORRECT ANSWER-numerical scale of 0 to 4.
In the adult, the apical impulse should be most visible in a thin person or palpable when the patient
is in what position? - CORRECT ANSWER-Upright
