Physical Assessment Practice Exam 1

85 Questions | Attempts: 52
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  • 1/85 Questions

    Which of the following may include: clinical signs/symptoms, behavioral/cognitive status, documentation of care/nursing interventions, room transfers, and discharge plans?

    • Labs and Imaging
    • Procedures/Operative Reports
    • Nursing Notes
    • Medications or Medication Administration Record
    • Initial Admission SOAP Note and Progress Notes
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About This Quiz

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Physical Assessment Practice Exam 1 - Quiz

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  • 2. 

    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

    Correct Answer
    A. Medications or Medication Administration Record
  • 3. 

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

    • True

    • False

    Correct Answer
    A. False
    Explanation
    pulse accuracy: using shortcuts increases errors

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  • 4. 

    The earpieces of the stethoscope should be pointed ___________.

    Correct Answer
    forward
  • 5. 

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

    Correct Answer
    systolic
  • 6. 

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

    Correct Answer
    diastolic
  • 7. 

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

    • True

    • False

    Correct Answer
    A. False
    Explanation
    length: 80%; width 40%

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  • 8. 

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

    • True

    • False

    Correct Answer
    A. True
  • 9. 

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

    Correct Answer
    silent interval
  • 10. 

    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)

    Correct Answer(s)
    A. Units (mmHg)
    A. Location (which extremity; right/left arm)
    A. Position (sitting/laying/standing)
    A. Cuff size (child, small adult, adult, large adult, thigh)
  • 11. 

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

    Correct Answer(s)
    CLIA
  • 12. 

    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

    Correct Answer
    A. PQRST
  • 13. 

    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

    Correct Answer
    A. Initial Admission SOAP Note and Progress Notes
  • 14. 

    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)

    Correct Answer
    A. Room/Bed Number
    Explanation
    Inpatient and Outpatient* Medical Chart Demographic Data
    Name/gender/race/DOB
    Medical Record Number (MRN)
    Room/Bed Number (not included in the demographic of outpatient medical chart)*
    Physician
    Pharmacy used
    Forms (consent, advanced directives, etc)
    Contact Information
    Insurance
    Social History
    Language
    Religion

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  • 15. 

    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

    Correct Answer
    A. Electronic probe thermometers
  • 16. 

    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

    Correct Answer
    A. Collect
  • 17. 

    Which of the following is a normal heart rate?

    • 75 bpm

    • 55 bpm

    • 115 bpm

    • 59 bpm

    Correct Answer
    A. 75 bpm
  • 18. 

    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

    Correct Answer(s)
    A. Avoid saying anything to alarm the patient
    A. Maintain a calm demeanor
    A. Provide good lighting and a calm environment
    A. Show concern for privacy or modesty
  • 19. 

    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

    Correct Answer
    A. Hypertensive Crisis
  • 20. 

    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

    Correct Answer
    A. Temporal touch thermometer
  • 21. 

    Home monitoring is recommended for patients with arrhythmias.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    not recommended, will not be accurate

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  • 22. 

    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

    Correct Answer
    A. HIV Tests
  • 23. 

    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

    Correct Answer
    A. No touch thermometer
  • 24. 

    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

    Correct Answer
    A. Labs and Imaging
  • 25. 

    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

    Correct Answer
    A. Color change thermometers
  • 26. 

    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

    Correct Answer
    A. Assess
  • 27. 

    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

    Correct Answer
    A. Implement
  • 28. 

    Which of the following is a normal respiratory rate?

    • 19 rpm

    • 11 rpm

    • 21 rpm

    • 50 rpm

    Correct Answer
    A. 19 rpm
  • 29. 

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

    • True

    • False

    Correct Answer
    A. False
  • 30. 

    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

    Correct Answer
    A. Glucometers
  • 31. 

    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

    Correct Answer
    A. All of statements are true.
  • 32. 

    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

    Correct Answer
    A. Pregnancy Tests
  • 33. 

    Physical assessment skills are used only to diagnosis problems.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    We (pharmacists) are managing medications for disease states that are already diagnose (by the physician).

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  • 34. 

    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"

    Correct Answer(s)
    A. Amends Social Security Act to enable patient access (and pharmacy payment for) Medicare Part B services by licensed pharmacists in medically underserved communities.
    A. Amends Social Security Act to define payment of "pharmacist services"
    A. Reimbursement equal to 80% of the lesser of the actual charge or 85% of the physician fee schedule amount.
  • 35. 

    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.

    Correct Answer
    A. All of the statements are true.
  • 36. 

    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

    Correct Answer
    A. Measure directly by auscultation
  • 37. 

    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)

    Correct Answer
    A. Record in the chart as breaths per minute (bpm)
  • 38. 

    Abnormal findings should be confirmed after addressing them with patient.

    • True

    • False

    Correct Answer
    A. False
  • 39. 

    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

    Correct Answer(s)
    A. Visual analog scale (VAS)
    A. Verbal numerical scale (VNS)
    A. Verbal rating scale (VRS)
  • 40. 

    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

    Correct Answer(s)
    A. Safe
    A. Effective
    A. Reliable
  • 41. 

    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

    Correct Answer(s)
    A. Measures international normalized ratio
    A. Ratio that estimates clotting ability of the patient
    A. Coagucheck is a type of POC INR
  • 42. 

    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

    Correct Answer(s)
    A. Cultural self assessment
    A. Get to know your patients
    A. Accept and respect cultural differences
    A. Be empathetic
    Explanation
    Vital to providing patient-centered care
    -Cultural self assessment
    -Get to know your patients
    -Actively listen (note verbal/non-verbal cues)
    -Accept and respect cultural differences
    -Ask questions about cultural differences to gain a better understanding
    -Take a nonjudgmental approach
    -Be empathetic

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  • 43. 

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

    • True

    • False

    Correct Answer
    A. False
    Explanation
    REMEMBER: gain and use knowledge of various cultures to guide you in asking constructive questions – NOT to make assumptions regarding your patients’ beliefs

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  • 44. 

    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

    Correct Answer
    A. Procedures/Operative Reports
  • 45. 

    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.

    Correct Answer
    A. Patients cannot petition to remedy factually incorrect information in their records.
  • 46. 

    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

    Correct Answer(s)
    A. Measures usually total cholesterol, high-density cholesterol, and triglycerides
    A. May also measure LDL and blood glucose
    A. Disadvantage: Fasting is required for this test
  • 47. 

    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

    Correct Answer
    A. Follow-up
  • 48. 

    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

    Correct Answer
    A. Pharmacy and Medically Underserved Areas Enhancement Act
  • 49. 

    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

    Correct Answer(s)
    A. Pain drawing
    A. Pain rating index (PRI)
    A. Questions about previous pain experience and location of pain
    A. The present pain intensity index

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