Nur Quiz #2 Unit 6,7,8
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- 1.The examiner is palpating the apical impulse. The normal size of this impulse:
- A.
Is less than 1 cm
- B.
Is about 2 cm
- C.
Is 3 cm
- D.
Varies depending on the size of the person
- 2.The examiner wishes to listen in the pulmonic valve area. To do this, the stethascope would be placed at the:
- A.
Second right interspace
- B.
Second left interspace
- C.
Left lower sternal border
- D.
Fifth interspace, left midclavicular line
- 3.When auscultating the heart, your first step is to
- A.
Identify S1 and S2
- B.
Listen for S3 and S4
- C.
Listen for murmurs
- D.
Identify all four sounds on the first round
- 4.When you have your patient squat, the venous return to the heart increasesand the peripheral vascular resistance increases.The blood pressure, stroke volume, and the volume of blood in the left ventricle all rise.This helps to identify a mitral valve prolapse and to distinguishhypertrophic cardiomyopathy from aortic stenosis.
- A.
True
- B.
False
- 5.You are auscultating at the 5th intercostal space at the midclavicular line. You are most likely to hear which valve?
- A.
Aortic
- B.
Pulmonic
- C.
Mitral
- D.
Tricuspid
- 6.Concerning symptoms of the peripheral vascular system would include?
- A.
Edema of the calves, legs, or feet
- B.
Pain
- C.
Numbness of the legs
- D.
Hair loss on the lower extremities
- 7.Which lung sound possesses the characteristics of being louder and higher in pitch, with a short silence between inspiration and expiration and with expiration being longer than inspiration?
- A.
Bronchovesicular
- B.
Vesicular
- C.
Bronchial
- D.
Tracheal
- 8.When crackles, wheezes, or rhonchi clear with a cough, which of the following is a likely etiology?
- A.
Bronchitis
- B.
Simple asthma
- C.
Cystic fibrosis
- D.
Heart failure
- 9.A 13 year old boy presents in your office.he denies any symptoms, shortness of breathe, chest pains, or lightheadedness on exertion. yet his grandmother thinks his chest looks funny. upon visual exam of the chest, you note that the lower portion of the sternum is depressed. what disorder of the thorax would best describe it?
- A.
Barrel chest
- B.
Funnel chest (pectus excavatum)
- C.
Pigeon Chest (pectus carinatum)
- D.
Thoracic kyphoscoliosis
- 10.A common cause of chronic cough in adults is GERD
- A.
True
- B.
False
- 11.Order of examination for the lungs should be:
- A.
Auscultation, inspection, palpation, percussion
- B.
Palpation, percussion, auscultation, inspection
- C.
Percussion, palpation, auscultation, inspection
- D.
Inspection, palpation, percussion, and auscultation
- 12.Common or concerning symptoms for respiratory health include:
- A.
Shortness of breath (dyspnea)
- B.
Wheezing
- C.
Hemoptysis
- D.
All of the above
- 13.The lateral diameter of the adult chest should be larger than its anteroposterior diameter
- A.
True
- B.
False
- 14.Adventitious breath sounds may include?
- A.
Wheezes
- B.
Rhonchi
- C.
Crackles
- D.
All of the above
- 15.You are auscultating Mr. Campbells lungs with your stethoscope. you ask him to say "99" each time you place your stethoscope on his back. what test is this?
- A.
Egophony
- B.
Bronchophony
- C.
Whispered pectoriloquy
- D.
Tactile fremitus
- 16.Structures in the right upper quadrant include:
- A.
Liver
- B.
Gallbaldder
- C.
Ascending colon
- D.
All of the above
- 17.Inferior wall myocardial infraction angina commonly presents as indigestion and is precipitated by exertion
- A.
True
- B.
False
- 18.The order of examination of the abdomen is:
- A.
Inspection, auscultation, percussion, and palpation
- B.
Percussion, auscultation, palpation, and inspection
- C.
Auscultation, inspection, palpation, and percussion
- D.
Inspection, palpation, auscultation, and percussion
- 19.In diagnosing acute appendicitis, deep palpation on the LLQ produces pain in the RLQ. This is called
- A.
Russel's sign
- B.
Rovsing sign
- C.
Patrick's sign
- D.
Goodman's sign
- 20.Lymph from the breasts drains from the central axillary nodes to the infraclavicular and supraclavicular nodes
- A.
True
- B.
False
- 21.Common causes of adult chronic cough could be caused by?
- A.
Cancer
- B.
Asthma/allergies
- C.
Gastro-esophageal reflux disease
- D.
All of the above
- 22.Periumbilical pain could be an early sign of an inflamed appendix
- A.
True
- B.
False
- 23.The straight leg raise is a good test to assess peritoneal inflammation
- A.
True
- B.
False
- 24.Important questions to ask the patient concerning the gastrointestinal area include?
- A.
Have you had any change in your bowel habits?
- B.
Have you experienced any blood in your stool?
- C.
Have you recently been coughing and/or wheezing?
- D.
All of the above
- 25.Traveling and eating in areas of poor sanitation, or the ingestion of contaminated water or food can increase one's exposure to?
- A.
Hepatitis A
- B.
Hepatitis B
- C.
Hepatitis C
- D.
Hepatitis E
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