Physical Assessment Practice Exam 1

Which of the following has a list of current medications, date/time of administration, missed doses, start and stop dates and PRN medication administration?

• Medications or Medication Administration Record

• Labs and Imaging

• Nursing Notes

• Procedures/Operative Reports

• Initial Admission SOAP Note and Progress Notes

When trying to measure a pulse accurately, using shortcuts will decrease errors.

• True

• False

The earpieces of the stethoscope should be pointed ___________.

The ____________ blood pressure represents the maximum pressure that is felt on the arteries during left ventricular contraction.

The ____________ blood pressure represents the resting pressure that the blood exerts between each ventricular contraction.

A proper cuff size should have a length that is 40% of arm circumference and width that is 80% of arm circumference.

• True

• False

Hypertension has no symptoms but can cause damage to many different organs systems, and is therefore called the 'silent killer.'

• True

• False

Auscultatory gap is a __________ ____________ that may be present between the systolic and diastolic blood pressures. (two words)

Which of the following should be included in the blood pressure documentation? SELECT ALL THAT APPLY

• Odd numbers (the numbers on the dial)

• Units (mmHg)

• Location (which extremity; right/left arm)

• Position (sitting/laying/standing)

• Cuff size (child, small adult, adult, large adult, thigh)

_________ (all caps) waivers allow for non-laboratory tests to be conducted in physician offices or pharmacies; must be in place before conducting test(s).

Which of the following is a mnemonic that can aid the pharmacist in gathering vital information related to the patient's pain process?

• PQRST

• ABCDE

• ASDF

• QWERTY

• IHOP

Which of the following has the initial history and physical (H&P) obtained on admission?

• Labs and Imaging

• Procedures/Operative Reports

• Medications or Medication Administration Record

• Nursing Notes

• Initial Admission SOAP Note and Progress Notes

Which of the following would NOT be in the demographic data of an outpatient medical chart?

• Name/gender/race/DOB

• Room/Bed Number

• Physician

• Pharmacy used

• Medical Record Number (MRN)

This type of thermometer is available for oral, rectal, and auxiliary temperature measurements.

• Electronic probe thermometers

• Infrared thermometers

• Color-change thermometers

• Temporal touch thermometers

• No-touch infrared thermometers

Which of the following is medication history, medical history, and patient lifestyle habits, beliefs, goals and other factors that affect aspects of care a part of in the Pharmacist's Patient Care Process?

• Collect

• Assess

• Plan

• Implement

• Follow-Up

Which of the following is a normal heart rate?

• 75 bpm

• 55 bpm

• 115 bpm

• 59 bpm

Which of the following is part of setting the stage when beginning a physical exam? SELECT ALL THAT APPLY

• Avoid saying anything to alarm the patient

• Show distaste or other negative reactions to findings

• Do not explain to the patient what you will be doing

• Maintain a calm demeanor

• Wash your hands after seeing patient

• Provide good lighting and a calm environment

• Show concern for privacy or modesty

Which of the following occurs when the systolic blood pressure > 180 mmHg OR diastolic blood pressure > 110 mmHg?

• Hypertensive Crisis

• White coat hypertension

• Auscultatory Gap

• Stage 1 hypertension

• Stage 2 hypertension

This type of thermometer is placed on the side of the forehead directly over the temporal artery and moved across the forehead.

• Electronic probe thermometer

• Infrared thermometer

• Color change thermometer

• Temporal touch thermometer

• No touch infrared thermometer

Home monitoring is recommended for patients with arrhythmias.

• True

• False

Which of the following detects HIV antibodies in saliva or blood sample?

• HIV Tests

• Pregnancy Tests

• Hepatitis C Tests

• Fecal Occult Blood Tests

• STD Tests

This type of thermometer does not require contact with the patient for measurement. Temperature is measured by aiming the thermometer at the center of the forehead.

• Electronic probe thermometer

• Infrared thermometer

• Color change thermometer

• Temporal touch thermometer

• No touch thermometer

Which of the following includes information such as chemistries, blood counts, microbiology, drug levels, X-rays, CT or MRI results, and EKG?

• Labs and Imaging

• Medications or Medication Administration Record

• Nursing Notes

• Procedures/Operative Reports

• Initial Admission SOAP Note and Progress Notes

This type of thermometer is an adhesive strip containing heat-sensitive material that changes color in response to different temperature gradients.

• Electronic probe thermometers

• Infrared thermometers

• Color change thermometers

• Temporal touch thermometers

• No touch infrared thermometers

Which of the following in the Pharmacist's Patient Care Process assess medications for appropriateness, effectiveness, safety and patient adherence?

• Collect

• Assess

• Implement

• Plan

• Follow-up

Which of the following in the Pharmacist's Patient Care Process involves initiating, modifying, discontinuing, or administering medication therapies as authorized?

• Collect

• Assess

• Plan

• Follow-up

• Implement

Which of the following is a normal respiratory rate?

• 19 rpm

• 11 rpm

• 21 rpm

• 50 rpm

When checking blood pressure, the last sound heard is the systolic pressure.

• True

• False

Which of the following tests involves a chemical reaction and equation that convents whole blood sample to estimated serum glucose?

• Glucometers

• Fecal Occult Blood Tests

• Microalbumin

• Vaginal pH

• Hepatitis C

Which of the following is false regarding evaluation of respiratory rate?

• All of statements are true.

• Evaluate by maintaining position of radial pulse evaluation to remain unknown to the patient

• Watch chest or abdomen movement

• Record as respirations per minute

• Count respirations in 30-60 seconds

Which of the following detects HCG in the urine (usually present 1-2 weeks after fertilization or about 15 days after ovulation)

• Pregnancy Tests

• Glucometers

• HIV Tests

• Paternity Tests

• Ovulation Tests

Physical assessment skills are used only to diagnosis problems.

• True

• False

Which of the following is stated in the Pharmacy and Medically Underserved Areas Enhancement Act? SELECT ALL THAT APPLY

• Amends Social Security Act to enable patient access (and pharmacy payment for) Medicare Part B services by licensed pharmacists in medically underserved communities.

• Amends Social Security Act to define payment of "pharmacist services"

• Reimbursement equal to 80% of the lesser of the actual charge or 85% of the physician fee schedule amount.

• Amends Social Security Act to enable patient access (and pharmacy payment for) Medicare Part D services by licensed pharmacists in medically underserved communities.

• Reimbursement equal to 85% of the lesser of the actual charge or 80% of the physician fee schedule amount.

• Amends Social Security Act to define payment of "physician services"

Which of the following is true regarding radial pulse?

• Pressure wave of the heart beat felt in the periphery

• Allows assessment of heart rate

• Allows assessment of heart rhythm

• Normally evaluated by palpation of the radial artery

• All of the statements are true.

Which of the following is false regarding blood pressure?

• Force of blood pushing against arterial walls

• Dependent on cardiac output and peripheral vascular resistance

• BP = CO X PVR

• Measure directly by auscultation

Which of the following is false when assessing the radial pulse?

• Palpate over radial artery on anterior wrist using 2nd and 3rd fingers

• Too much pressure may occlude the artery

• Count pulsations felt in 30-60 seconds

• Use a clock or watch with a second hand

• Record in the chart as breaths per minute (bpm)

Abnormal findings should be confirmed after addressing them with patient.

• True

• False

Which of the following is a type of Single-Dimension Instrument? SELECT ALL THAT APPLY

• Visual analog scale (VAS)

• Verbal numerical scale (VNS)

• Verbal rating scale (VRS)

• Pain diary

• Pain drawings

• Face pain scale

• Wisconsin Brief Pain Questionnaire

• McGill Pain Questionnaire

Which of the following is a criteria when searching for a FDA approved product/device/kit on the FDA database? SELECT ALL THAT APPLY

• Safe

• Effective

• Reliable

• Proper use is dependent on user intelligence or technique

• Complex and lengthy instructions

Which of the following is true regarding POC INR? SELECT ALL THAT APPLY 

• Measures international normalized ratio

• Ratio that estimates clotting ability of the patient

• Coagucheck is a type of POC INR

• Disadvantage is the speed

• Very inexpensive

• Very accurate

Which of the following is vital to providing patient-centered care? SELECT ALL THAT APPLY

• Cultural self assessment

• Get to know your patients

• Passively listen (note verbal/non-verbal cues)

• Accept and respect cultural differences

• Avoid asking questions about cultural differences

• Take a judgmental approach

• Be empathetic

• Be sympathetic

Gain and use knowledge of various cultures to make assumptions regarding your patients' beliefs.

• True

• False

Which of the following has details of any events occurring during procedures or surgeries including any complications encountered?

• Labs and Imaging

• Medications or Medication Administration Record

• Nursing Notes

• Initial Admission SOAP Note and Progress Notes

• Procedures/Operative Reports

Which of the following statements is false?

• The data contained within the medical record belongs to the patient.

• The physical form the data takes belongs to the entity responsible for maintaining the record.

• Patients have the right to ensure information contained in their record is accurate.

• Patients cannot petition to remedy factually incorrect information in their records.

• All statements listed are true.

Which of the following is true regarding POC Cholesterol? SELECT ALL THAT APPLY 

• Measures usually total cholesterol, high-density cholesterol, and triglycerides

• May also measure LDL and blood glucose

• Not easily obtain, requires a lab test

• Advantage: requires only 1 microliter of blood

• Disadvantage: Fasting is required for this test

Which of the following in the Pharmacist's Patient Care Process evaluate adherence, physical assessment findings, and subjective information?

• Collect

• Assess

• Plan

• Implement

• Follow-up

Which of the following acts amends Social Security Act to define payment of "pharmacist services" and enables patient access to (and pharmacist payment for) Medicare Part B services by licensed pharmacists in medically underserved communities?

• Pharmacist Prescriptive Act

• Clinical Pharmacist Practitioner Act

• Pharmacy and Medically Underserved Areas Enhancement Act

• Social Security Act

• None of the above

The McGill Pain Questionnaire consist of four parts: SELECT ALL THAT APPLY

• Pain drawing

• Pain rating index (PRI)

• Questions about previous pain experience and location of pain

• The present pain intensity index

• Pain diary

• Pain scale