Physical Assessment Final Exam – Questions With
Solutions
Is a sideways curvature of the spine that occurs most often during the growth
spurt just before puberty. ✔️Ans - scoliosis
Is an increased inward curving of the lumbar spine (just above the buttocks).
✔️Ans - lordosis
Is the outward curve of the thoracic spine at rib-level ✔️Ans - kyphosis
While auscultating heart sounds, the nurse hears a murmur What should be
used to assess it? ✔️Ans - The bell of the stethoscope
The nurse is testing a pt's visual accommodation, which refers to: ✔️Ans -
Pupillary constriction when looking at a near object
In using the ophthalmoscope to assess a pt's eyes the nurse notes a red glow
in the pupils. What does the nurse do? ✔️Ans - Consider it a normal
reflection of the light off the inner retina
Preparing to do an otoscope exam on a 2 yr old. What is correct procedure?
✔️Ans - Pull pinna down
When using otoscope to assess the nasal cavity, what does the nurse need to
do? ✔️Ans - Avoid touching the nasal septum w/ the speculum
During assessment of a 20 yr old pt w/ 3-day history of N/V, nurse notes dry
mucosa, deep fissures on tongue. Reflective of: ✔️Ans - Dehydration
When listening to heart sounds, the nurse knows that the valve closures that
can be heard best at the base of the heart are: ✔️Ans - Aortic & pulmonic
Assessment of 70 yr old - swelling in ankles, jugular venous pulsations. This
indicates? ✔️Ans - Increased pressure in the right side of his heart
During assessment of healthy adult, where would you palpate the apical
pulse? ✔️Ans - Fifth left intercostal space MCL
, While counting apical pulse on 16 yr old, nurse notes irregular rhythm -
speeds up on inspiration, slows on exhalation - What is the nurse's response?
✔️Ans - NO response - normal!
If a mother hides a block under her baby's blanket & baby looks for it, the
nurse knows that the baby has begun what concept? ✔️Ans - Object
permanence
The nurse is checking ROM in pts knee & knows the knee is capable of what
movements? ✔️Ans - Flexion and extension
A pt's annual phx exam reveals lateral curvature of thoracic & lumbar
segments of spine. Dissapears when forward bending. This is called: ✔️Ans
- Functional scoliosis
When examining the face, what 2 prs of salivary glands are accessible to
exam? ✔️Ans - Parotid & submandibular
Pts lab data reveal an elevated thyroxine level. What needs examination?
✔️Ans - Thyroid
A non cancerous thyroid nodule is a lump that: ✔️Ans - Is mobile and not
hard
Four areas of the body where lymph nodes are accessible: ✔️Ans - Head &
neck, arms, inguinal area, axillae
Severe HA in frontotemporal area, throbbing & somewhat relieved when lying
down. Mother also had these HA's. What type? ✔️Ans - Migraine
Hyperthyroidism - thyroxine & T3 levels are elevated, what finding would be
likely on examination? ✔️Ans - Tachycardia
What is a bruit? ✔️Ans - Soft, whooshing, pulsatile sound best heard w/
bell of stethoscope
What is a characteristic of culture? ✔️Ans - Adapts to specific
environmental factors & available natural resources
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