Deck 20: Physical Assessment

Question 1

Patients who cannot perform activities of daily living (ADLs)must remain in the hospital or other health care institution.

Answer 1

False

Question 2

When opening and closing valves on medical equipment, it is helpful to remember "lefty loosey, righty tighty."

Answer 2

True

Question 3

The femoral pulse point is located in the inner aspect of the crease where the upper thigh joins the trunk of the body.

Answer 3

True

Question 4

Using the thumb to measure the patient's pulse ensures the most accurate measurement.

Question 5

Which of the following is the most fundamental skill on which to base good health care observational skills?​

A) ​Recognizing the signs of disease
B) ​Understanding normal anatomy and physiology
C) ​Learning diagnostic skills
D) ​Knowing how to correctly read the patient's chart

Question 6

​Which order is most frequently used for conducting complete physical examinations?

A) ​From head to toe
B) ​From trunk to arms and legs
C) ​From feet to head
D) ​From arms and legs to trunk

Question 7

What is the purpose of the general health survey?​

A) ​Determine the chief complaint.
B) ​Make a diagnosis.
C) ​Learn about patient's health habits.
D) ​Get an impression of the patient as a whole.

Question 8

White coat syndrome is a situation where patients have low blood pressure in the provider's office, but otherwise run in the normal range.

Question 9

What is the most appropriate action when observing an abnormal condition in a patient?​

A) ​Note the condition on the patient's chart.
B) ​Report the condition immediately to your supervisor.
C) ​Check on the patient again in a few hours.
D) ​Call the physician.

Question 10

Electronic, tympanic (aural), chemical-dot, and temporal artery are different types of thermometers available today.​

Question 11

The normal rate of respiration increases with age.

Question 12

It is not possible for the radial pulse rate to be higher than the apical pulse rate.​

Question 13

A digital thermometer must be left in place a minimum of 2 minutes.

Question 14

Tunnel vision is double vision.

Question 15

The numerical rating scale to evaluate a patient's pain level is best used for the younger or cognitively challenged patients.

Question 16

An adult blood pressure of 135/85 is considered to be within the normal range.

Question 17

Good oral communication skills are essential for obtaining accurate information from patients.

Question 18

If a hospitalized patient has always had normal blood pressure readings, it is not necessary to measure it every time the other vital signs are checked.

Question 19

What does it mean when a patient reports his pain dropping from an 8 to a 2 after receiving pain medication?​

A) ​The medication has been effective.
B) ​The patient did not need the medication.
C) ​The medication regimen needs to be reevaluated.
D) ​The pain cannot be controlled.

Question 20

When a patient has an apical-radial deficit, the apical pulse will be higher than the radial pulse.

Question 21

Which method of taking the temperature should NOT be used with patients who have recently suffered a heart attack?​

A) ​Axillary
B) ​Oral
C) ​Rectal
D) ​Tympanic

Question 22

Match each term with the correct definition below.​
​Using a stethoscope to listen to sounds inside the body

A)​Review of all systems
B)​Source of referral
C)​Psychosocial history
D)​Inspection
E)​Auscultation
F)​Palpation
G)​Percussion

Question 23

When working with patients who have orthostatic hypotension, it is important to:

A) ​make sure they take blood pressure medication.
B) ​test for apical-radical deficit.
C) ​check their blood pressure frequently.
D) ​assist them when they attempt to stand from a lying or sitting position.

Question 24

Match each term with the correct definition below.​
​Complete physical evaluation, including height, weight, and vital signs

A)​Review of all systems
B)​Source of referral
C)​Psychosocial history
D)​Inspection
E)​Auscultation
F)​Palpation
G)​Percussion

Question 25

Match each term with the correct definition below.​
​Using hands on the outside of the body to detect evidence of internal abnormalities

A)​Review of all systems
B)​Source of referral
C)​Psychosocial history
D)​Inspection
E)​Auscultation
F)​Palpation
G)​Percussion

Question 26

Which is the most appropriate action for a patient who is febrile?​

A) ​Stay as warm as possible.
B) ​Increase activity to encourage sweating.
C) ​Increase intake of fluids.
D) ​Decrease intake of fluids.

Question 27

What does incontinent mean?​

A) ​Inability to retain urine
B) ​Lack of balance
C) ​Swelling of the extremities
D) ​Pain when walking

Question 28

When a health care professional is noting the gait of a patient, what are they observing?​

A) ​Manner of walking
B) ​Speech pattern
C) ​How well they hear
D) ​If they are hydrated

Question 29

Match each term with the correct definition below.​
​Using the fingertips to tap the body to determine the characteristics of internal structures

A)​Review of all systems
B)​Source of referral
C)​Psychosocial history
D)​Inspection
E)​Auscultation
F)​Palpation
G)​Percussion

Question 30

When taking a blood pressure, at what point should you stop inflating the arm cuff?​

A) ​When you can no longer feel the pulse
B) ​At 30 mm Hg higher than when you last felt the pulse
C) ​When the dial reads 120 mm Hg
D) ​When it becomes uncomfortable for the patient

Question 31

What is indicated by a patient's blood pressure?​

A) ​Emotional stress
B) ​How hard the heart is working to distribute blood
C) ​Presence of infection
D) ​Rate and rhythm of the heartbeat

Question 32

Testing for an apical-radial deficit is done in order to:​

A) ​determine if the pulse is regular.
B) ​measure the ability of the heart to contract.
C) ​determine if the patient is having a heart attack.
D) ​obtain a very accurate pulse rate.

Question 33

Sweating is a method the body uses to:​

A) ​cool itself.
B) ​fight infection.
C) ​kill microorganisms.
D) ​stop a fever from recurring.

Question 34

Match each term with the correct definition below.​
​Physician who recommends a second physician or other health care specialist

A)​Review of all systems
B)​Source of referral
C)​Psychosocial history
D)​Inspection
E)​Auscultation
F)​Palpation
G)​Percussion

Question 35

Which statement is NOT true about high blood pressure?​

A) ​It can lead to serious conditions such as heart attack and stroke.
B) ​It usually has no symptoms.
C) ​It does not require treatment if the individual is under age 65.
D) ​It affects more than one-half of the U.S.population who are over age 65.

Question 36

​Which system is being evaluated when palpating for peripheral pulses?

A) ​Endocrine
B) ​Eyes and ears
C) ​Circulatory
D) ​Digestive

Question 37

Which statement is true about the proper use of chemical-dot thermometers?

A) ​Shake them before measuring temperature.
B) ​Do not remove the cover in advance of use.
C) ​Place them in disposable sheaths.
D) ​Use them only with children.

Question 38

When is it appropriate to take a pulse by counting the heart rate for 30 seconds and multiplying by two?​

A) ​Never
B) ​When the patient is very young and does not have a cardiac or respiratory condition
C) ​When the previous two readings are normal and the patient does not have a respiratory condition
D) ​When the pulse is strong, regular, and within normal range and patient does not have a cardiac condition

Question 39

Which action is necessary to obtain an accurate respiratory rate?​

A) ​Count respirations without the patient's knowledge.
B) ​Instruct the patient to lie still and breathe normally.
C) ​Place a stethoscope on the chest.
D) ​Ask the patient to take deep breaths.

Question 40

Which of the following routes will give the highest thermometer reading?​

A) ​Oral
B) ​Axillary
C) ​Rectal
D) ​Tympanic

Question 41

The four vital signs commonly measured by the health care professional are ____________________, ____________________, ____________________, and ____________________.

Question 42

​Match each term with the correct statement below.
​Measured with a stethoscope placed over the highest point of the heart

A)​Dyspnea
B)​ADLs
C)​Tachycardia
D)​Apical pulse
E)​Hypertension
F)​Afebrile
G)​Cheyne-Stokes
H)​Bradypnea
I)​Exhalation
J)​Sphygmomanometer

Question 43

Explain why health care professionals can provide physicians with valuable information about the conditions of patients.

Question 44

​Match each term with the correct statement below.
​Action of air being expelled out of the lungs

A)​Dyspnea
B)​ADLs
C)​Tachycardia
D)​Apical pulse
E)​Hypertension
F)​Afebrile
G)​Cheyne-Stokes
H)​Bradypnea
I)​Exhalation
J)​Sphygmomanometer

Question 45

​Match each term with the correct statement below.
​Breathing pattern characterized by absence of respirations for 10 to 60 seconds

A)​Dyspnea
B)​ADLs
C)​Tachycardia
D)​Apical pulse
E)​Hypertension
F)​Afebrile
G)​Cheyne-Stokes
H)​Bradypnea
I)​Exhalation
J)​Sphygmomanometer

Question 46

The pulse deficit assessment check requires the coordination of ____________________ health care professionals and must be conducted for ____________________ minute(s).

Question 47

List at least six components that make up the history and physical for new patients.

Question 48

Tracking the weight of patients with kidney problems is important for monitoring the amount of ____________________ being retained by the body.

Question 49

​Match each term with the correct statement below.
​Activities regularly performed to meet one's physical needs

A)​Dyspnea
B)​ADLs
C)​Tachycardia
D)​Apical pulse
E)​Hypertension
F)​Afebrile
G)​Cheyne-Stokes
H)​Bradypnea
I)​Exhalation
J)​Sphygmomanometer

Question 50

​Match each term with the correct statement below.
​Pulse rate of more than 100 beats per minute

A)​Dyspnea
B)​ADLs
C)​Tachycardia
D)​Apical pulse
E)​Hypertension
F)​Afebrile
G)​Cheyne-Stokes
H)​Bradypnea
I)​Exhalation
J)​Sphygmomanometer

Question 51

Two basic ways for the health care professional to obtain essential information about patients are observation and ______________________________.

Question 52

​Match each term with the correct statement below.
​Instrument used to measure blood pressure

A)​Dyspnea
B)​ADLs
C)​Tachycardia
D)​Apical pulse
E)​Hypertension
F)​Afebrile
G)​Cheyne-Stokes
H)​Bradypnea
I)​Exhalation
J)​Sphygmomanometer

Question 53

Match each term with the correct definition below.​
​Using the senses to determine aspects of a patient's condition

A)​Review of all systems
B)​Source of referral
C)​Psychosocial history
D)​Inspection
E)​Auscultation
F)​Palpation
G)​Percussion

Question 54

​Match each term with the correct statement below.
​Blood pressure above the normal range

A)​Dyspnea
B)​ADLs
C)​Tachycardia
D)​Apical pulse
E)​Hypertension
F)​Afebrile
G)​Cheyne-Stokes
H)​Bradypnea
I)​Exhalation
J)​Sphygmomanometer

Question 55

​Match each term with the correct statement below.
​Difficulty breathing

A)​Dyspnea
B)​ADLs
C)​Tachycardia
D)​Apical pulse
E)​Hypertension
F)​Afebrile
G)​Cheyne-Stokes
H)​Bradypnea
I)​Exhalation
J)​Sphygmomanometer

Question 56

List at least five physical and two psychosocial aspects that should be observed when doing a general survey of a patient.

Question 57

​Match each term with the correct statement below.
​Temperature within the normal range

A)​Dyspnea
B)​ADLs
C)​Tachycardia
D)​Apical pulse
E)​Hypertension
F)​Afebrile
G)​Cheyne-Stokes
H)​Bradypnea
I)​Exhalation
J)​Sphygmomanometer

Question 58

Match each term with the correct definition below.​
​Family and friends, conditions in the home

A)​Review of all systems
B)​Source of referral
C)​Psychosocial history
D)​Inspection
E)​Auscultation
F)​Palpation
G)​Percussion

Question 59

Body temperature readings are typically ____________________ during early morning hours.​

Question 60

​Match each term with the correct statement below.
​Respiratory rate below normal range

A)​Dyspnea
B)​ADLs
C)​Tachycardia
D)​Apical pulse
E)​Hypertension
F)​Afebrile
G)​Cheyne-Stokes
H)​Bradypnea
I)​Exhalation
J)​Sphygmomanometer

Question 61

Discuss the meaning of the following statement: "A critical function of the health care professional is to be able to discriminate between normal and abnormal conditions and situations." Include knowledge and skills that students should acquire.

Question 62

Explain why a diagnosis of high blood pressure is never made after just one reading.

Question 63

List the three observations to make when taking a pulse.​