WorksheetsHealth Assessment Final
Total questions: 100
Worksheet time: 50mins
The four areas to note in a general survey during a health assessment are (a) , body structure, mobility, and behavior.
Appearance
Posture
Gait
Behavior
(a) is a characteristic of a general survey in the aging adult.
Cognitive function
Physical health
Social support
Emotional well-being
The difference between subjective and objective data in health assessment is that subjective data is what the patient says, whereas objective data is what the professional (a)
says
observes
measures
reports
A key component of health promotion is (a)
Nutrition
Exercise
Education
Community Support
Cultural assessment is important in health history and communication because it (a) serious errors due to lack of cultural competence.
can lead to
avoids
creates
prevents
A health disparity is (a)
a difference in health outcomes
a type of health insurance
a public health initiative
a medical treatment
The spiritual history tool that includes faith, importance/influence, community, and address/action is (a) .
Faith
Importance/Influence
Community
Address/Action
(a) is the assessment technique that always comes first.
Formative Assessment
Summative Assessment
Diagnostic Assessment
Norm-referenced Assessment
The best part of the hand to use for determining temperature during palpation is (a)
Palm
Fingers
Back of the hand
Wrist
What type of percussion note is described as medium-loud, low pitch, and clear quality?
(a)Conga
Bongos
Timbales
Djembe
The function of the diaphragm of a stethoscope is to hear (a) sounds like breath, bowel, and normal heart sounds.
breath sounds
bowel sounds
heart sounds
(a) develops due to a lesion or disease in the somatosensory nervous system.
Neuropathy
Multiple Sclerosis
Stroke
Diabetes
(a) is an example of visceral pain.
Visceral pain
Somatic pain
Neuropathic pain
Acute pain
(a) is described as persistent and lasting for 6 months or longer.
Persistent
Temporary
Short-term
Long-lasting
(a) produce thick, milky secretion.
Mucus
Serum
Plasma
Lymph
The function of the skin that involves the production of Vitamin D is (a)
Synthesis of Vitamin D
Protection against UV rays
Regulation of body temperature
Sensation
The term for dry skin is (a)
Xerosis
Dermatitis
Psoriasis
Eczema
A characteristic of cherry angiomas is (a)
red color
raised surface
bleeding
painful
The acronym ABCDEF stands for (a) in the context of skin lesions.
Atypical
Benign
Cancerous
Dermatological
The presence of clubbing in nails indicates (a)
Lung disease
Heart disease
Liver disease
Thyroid disease
A Mongolian spot looks like a (a)
blue mark
birthmark
bruise
mole
Brown linear streaks in light-skinned people indicate (a)
Melanoma
Lentigo
Nevus
Seborrheic Keratosis
The appearance of sebaceous hyperplasia is (a)
smooth
bumpy
shiny
rough
The type of skin lesion described as "flat and circumscribed, of less than 1 cm" is called a (a) .
Macule
Papule
Nodule
Plaque
(a) is a skin lesion that is solid, elevated, and less than 1 cm in diameter.
Benign
Malignant
Inflammatory
Infectious
The term for lesions that run together, such as hives, is (a)
Urticaria
Psoriasis
Eczema
Dermatitis
The stage of bruising described as "red-blue or purple immediately after or within 24 hours of trauma" is (a)
Contusion
Hematoma
Ecchymosis
Petechiae
A vesicle in terms of skin lesions is a (a)
blister
macule
papule
plaque
A common result of chronic sun damage in aging adults is (a)
Wrinkles
Sunspots
Skin Cancer
Dry Skin
Senile lentigines are commonly known as (a) .
Age Spots
Freckles
Moles
Lentigines
The appearance of keratoses is (a)
Common
Rare
Moderate
Severe
In lighter skin, erythema typically appears as (a) .
Redness
Swelling
Itching
Pain
A common cause of anosmia is (a)
Viral infection
Nasal obstruction
Head trauma
Neurological disorders
The function of the olfactory nerve (CN I) is (a)
smell
taste
sight
hearing
The Optic nerve (CN II) is a type of (a) nerve.
Sensory
Motor
Mixed
The function of the Oculomotor nerve (CN III) is (a)
Eye movement
Pupil constriction
Lens shape adjustment
All of the above
(a) is characterized by blindness over half the field of vision.
Hemianopia
Quadrantanopia
Scotoma
Agnosia
The cranial nerves involved with the Oculomotor nerve (CN III) are (a)
Trochlear nerve
Abducens nerve
Optic nerve
Oculomotor nerve
The term for drooping of the eyelid is (a) .
Ptosis
Eyelid
Droop
Lid
The cranial nerve responsible for the down and inward movement of the eye is (a) .
Oculomotor Nerve
Trochlear Nerve
Abducens Nerve
Optic Nerve
The Trigeminal nerve is a type of (a) nerve.
Sensory
Motor
Mixed
The test used to assess the sensory function of the Trigeminal nerve is the (a) test.
Sensory Test
Motor Test
Reflex Test
A lesion of the pons affecting the Trigeminal nerve might result in (a) .
Loss of sensation
Facial pain
Muscle weakness
Twitching
The CN VI: Abducens is a type of (a) nerve.
motor
sensory
mixed
(a) is associated with the failure to move laterally and diplopia on lateral gaze.
Cranial Nerve VI Palsy
Myasthenia Gravis
Thyroid Eye Disease
Multiple Sclerosis
A symptom of Bell's palsy is (a)
Facial drooping
Loss of taste
Tearing
Pain around the jaw
The cranial nerve responsible for hearing and equilibrium is (a) .
Vestibulocochlear nerve
Trigeminal nerve
Optic nerve
Facial nerve
The ability to hear normal conversation and by the whispered voice test is used to test (a)
Hearing
Vision
Touch
Smell
The primary function of the Vagus nerve (CN X) is (a)
Regulating heart rate
Controlling digestive tract
Influencing mood
Managing respiratory rate
The cranial nerve responsible for the movement of the tongue is (a) .
Hypoglossal Nerve
Vagus Nerve
Glossopharyngeal Nerve
Trigeminal Nerve
What symptom is associated with a unilateral CN X lesion?
Hoarse or brassy voice
Deviates to side
Atrophy
Torticollis
What condition is indicated by a very brisk reflex response graded as 4+?
Normal reflex
Hyperactive with clonus, indicative of disease
Absent reflex
Reduced reflex
What is presbyopia?
A condition where the lens loses elasticity, affecting near vision
A gradual nerve degeneration affecting hearing
A type of cataract affecting the lens
A condition causing loss of central vision
Which of the following is a common cause of decreased visual functioning in older adults?
Presbycusis
Glaucoma
Temporal artery prominence
Head tremors
What is a characteristic of sensorineural hearing loss in aging adults?
Caused by presbyopia
Caused by presbycusis
Caused by cataracts
Caused by macular degeneration
What are pinguecula?
Yellowish elevated nodules on the conjunctiva
Cloudy cornea and opaque lens
Wrinkles around the eyes
Loss of central vision
What is the range of intercostal spaces where the heart extends?
1st to 3rd intercostal space
2nd to 5th intercostal space
3rd to 6th intercostal space
4th to 7th intercostal space
Which valves are involved in the first heart sound (S1)?
Aortic and pulmonic valves
Tricuspid and bicuspid/mitral valves
Semilunar valves
Aortic and mitral valves
What causes the second heart sound (S2)?
Closure of mitral and tricuspid valves
Opening of AV valves
Closure of aortic and pulmonic valves
Opening of semilunar valves
What is a common cause of peripheral artery disease (PAD)?
Hypertension
Atherosclerosis
Diabetes
Hyperthyroidism
What is the S3 heart sound associated with?
Atrial gallop
Ventricular gallop
Mitral valve prolapse
Aortic stenosis
What is the characteristic sound of a heart murmur?
Blowing or whooshing sound
Clicking sound
Humming sound
Buzzing sound
Which grade of heart murmur is associated with a thrill palpable on the chest wall?
Grade 1
Grade 3
Grade 4
Grade 6
What is a common symptom of right-sided heart failure?
Distended neck veins and abdomen
Swollen ankles
Chest pain
Headache
What is orthopnea?
A need for an upright position to breathe
A sudden drop in blood pressure
Fainting or sudden temporary loss of consciousness
Swelling in the legs
What is the main difference between arteriosclerosis and atherosclerosis?
Arteriosclerosis involves hardening of the arterial wall, while atherosclerosis involves fatty plaque deposition.
Arteriosclerosis involves fatty plaque deposition, while atherosclerosis involves hardening of the arterial wall.
Arteriosclerosis is a type of heart murmur, while atherosclerosis is a type of heart failure.
Arteriosclerosis is a symptom of orthopnea, while atherosclerosis is a symptom of syncope.
Which of the following is a risk factor for atherosclerosis?
Low blood pressure
Obesity
High physical activity
Low cholesterol levels
What does 3+ pitting edema indicate?
Mild pitting, slight indentation
Moderate pitting, indentation subsides rapidly
Deep pitting, indentation remains for a short time
No pitting, leg looks normal
What does a thrill in a peripheral vascular assessment signify?
Normal blood flow
Turbulent blood flow
Absence of blood flow
Decreased blood pressure
What is a common finding in a patient with right ventricular hypertrophy?
Left ventricular heave
Right ventricular heave
Absence of heave
Bilateral heave
Which condition is associated with clubbing of distal phalanges?
Liver disease
COPD
Heart failure
Diabetes
What is the position called when a patient with COPD leans forward with arms braced against their knees?
Supine position
Fowler's position
Tripod position
Prone position
Which lobe is mostly found in the anterior chest?
Lower lobe
Upper and middle lobe
Only middle lobe
Only upper lobe
What does noisy breathing indicate?
Chronic bronchitis or asthma
Pneumonia
COPD
Pleural effusion
What is tactile fremitus?
Palpable vibration
Unequal chest expansion
Noisy breathing
Increased lung sounds
What does decreased fremitus indicate?
Obstruction of bronchus, pleural effusion, pneumothorax, emphysema
Consolidation of lung tissue
Chronic bronchitis
Asthma
Where should auscultation start on the anterior chest?
Supraclavicular areas (3-4 cm above the clavicle)
At the base of the lungs
At the midline of the chest
Below the clavicle
What are bronchial breath sounds characterized by?
High pitched, loud
Moderate pitched
Low pitched, soft
Absent
What is the normal ratio for the anterior (AP) diameter compared to the transverse diameter of the thoracic cage?
1:2 or 0.70
1:1 or 0.50
2:1 or 1.50
1:3 or 0.30
Which of the following is a characteristic of bronchovesicular breath sounds?
Low-pitched, soft, rustling
High-pitched, loud, wheezing
Medium-pitched, harsh, crackling
High-pitched, soft, bubbling
What does hyperresonance in lung resonance indicate?
Lower-pitched sound
Higher-pitched sound
Normal lung density
Increased lung density
What color of sputum is associated with bacterial infections?
Yellow or green
White or clear
Rust colored
Pink, frothy
What is a common symptom of paroxysmal nocturnal dyspnea?
Awakening from sleep with shortness of breath
Difficulty breathing when standing
Continuous cough throughout the day
Increased appetite at night
What is a characteristic of a barrel chest?
Equal AP-to-transverse diameter
Ribs are vertical
Chest appears narrow
AP diameter is less than transverse diameter
What is the purpose of the 6-minute walk test (6 MWT)?
To measure lung capacity
To assess heart rate variability
To evaluate endurance and oxygen saturation
To test muscle strength
Which sound is described as a discontinuous popping over inspiration?
Wheezes
Crackles
Rhoncal
Stridor
What does an increased tactile fremitus indicate?
Decreased lung density
Increased lung density
Obstructed airways
Normal lung function
Which respiratory pattern is characterized by an irregular pattern with periods of apnea?
Cheyne-Stokes respiration
Biot respiration
Chronic obstructive breathing
Normal breathing
What technique is used to assess tactile fremitus?
Using a stethoscope
Placing the palmar base of one hand on the chest
Measuring breath sounds
Observing chest movement
Which of the following is a characteristic of pneumonia?
Infection in either one or both lungs causing inflammation in sacs
Abnormally wide costal angle with slight inspiratory variation
Collapse or closure of the lung, resulting in reduced or absent gas exchange
Allergic hypersensitivity characterized by bronchospasms
What is a symptom of asthma?
Wheezing, dyspnea, and chest tightness
Unequal chest expansion with decreased tactile fremitus
Abnormally wide costal angle with slight inspiratory variation
Infection in either one or both lungs causing inflammation in sacs
What does the term "egophony" refer to in voice sounds?
Abnormal sound of "aaaaa"
Normal response is faint, muffled, and almost inaudible
Normal voice transmission is soft, muffled, and indistinct
Abnormal sound of "ninety-nine"
Which condition is characterized by a severe attack involving the use of accessory muscles, cyanosis, and audible wheezes?
Asthma
Pneumothorax
Emphysema
Atelectasis
What is the normal response in whispered pectoriloquy?
Faint, muffled, and almost inaudible
Hearing a clear "ninety-nine"
Abnormal sound of "aaaaa"
Trachea shifts to unaffected side
Which organs are located in the Right Upper Quadrant (RUQ) of the abdominal cavity?
Liver, gallbladder, duodenum, right kidney, adrenal gland
Stomach, spleen, left lobe of liver, left kidney
Cecum, appendix, right ovary, right ureter
Sigmoid colon, left ovary, left ureter
What should be done prior to assessing the abdomen?
Person should empty bladder, keep room warm, person supine, use distraction
Person should drink water, keep room cold, person standing, use music
Person should eat a meal, keep room dark, person sitting, use silence
Person should exercise, keep room bright, person lying on side, use conversation
Which quadrant contains the stomach and spleen?
Right Upper Quadrant (RUQ)
Right Lower Quadrant (RLQ)
Left Upper Quadrant (LUQ)
Left Lower Quadrant (LLQ)
What is the correct procedure for inspecting the contour of the abdomen?
Stand on the left side, look up, then stoop or sit to gaze across
Stand on the right side, look down, then stoop or sit to gaze across
Stand in front, look straight, then stoop or sit to gaze across
Stand behind, look down, then stoop or sit to gaze across
What is a Sister Mary Joseph nodule?
A hard nodule in the umbilicus associated with metastatic cancer
A type of skin rash
A common type of abdominal pain
A type of bowel sound
What does an everted umbilicus indicate?
Obesity
Ascites
Dehydration
Jaundice
