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Health Assessment Exam 3 Practice Questions with correct Answers
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Health Assessment Exam 3 Practice Questions
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Health Assessment Exam 3 PracticeQuestions
The Left Upper Quadrant (LUQ) contains the:
A) Gallbladder
B) Spleen
C) Liver
D) Appendix - answerSpleen
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 - answerCVA 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 - answerShifting 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 - answerClosing 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 - answer1-2 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 - answerNormal
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 - answerA) 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 - answerA) 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 - answerA) Pyloric Stenosis
Infants with pyloric stenosis present with projectile vomiting as a chief complaint with
marked peristalsis noted on physical exam.
A 76-year-old is admitted to the Shadow General Hospital ICU with severe abdominal
pain and nausea. On physical exam you find rebound tenderness, guarding on
palpation and abdominal wall rigidity. These are common findings with what problem?
A) Peritonitis
B) Constipation
C) Hiatal hernia
D) Peptic ulcer - answerA) Peritonitis
The physical exam findings above are indicators of peritonitis. This can be secondary to
tumor, ruptured diverticulum, or infections.
A 3-year-old child with Down's syndrome is in the cardiac ICU of Shadow General
Hospital following open heart surgery. Which of the following musculoskeletal physical
exam findings would you expect to find on this child?
A) Fixed joints
B) Lordosis
C) Hyperextensible joints
D) Scoliosis - answerC) Hyperextensible joints
Children with Down's syndrome often have palmar simian crease, hyperextensible
joints, and short, broad extremities.
An 86-year-old woman has been admitted to the Shadow General surgical floor after a
knee replacement. She has a history of degenerative joint disease (DJD). What physical
exam findings would you expect to find?
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