Extra credit quiz Flashcards
A patient is generally considered to have orthostatic vital signs when:
Choose one answer.
A. the respiratory rate becomes fast and the depth becomes shallow when he or she suddenly stands up.
B. the systolic BP increases and the diastolic BP decreases when going from a lying to a sitting position.
C. the heart rate increases by 20 beats/min or more when going from a supine to a standing position.
D. he or she experiences chest pain and a rapid, irregular heart rate when going from a seated to a standing position.
c
If a hostile family member suddenly leaves the room, especially in the middle of a conversation with him or her, you should:
Choose one answer.
A. ignore the family member’s departure and continue to assess your patient.
B. have your partner follow the person, while working to defuse the situation.
C. immediately depart the scene and notify law enforcement personnel.
D. ask the patient to follow the person in an attempt to reason with him or her.
B
The fourth heart sound (S4):
Choose one answer.
A. indicates increased pressure in the atria.
B. represents increased left ventricular stretching.
C. is normal in 25% of the population.
D. occurs immediately before the S2 sound.
A
Abdominal guarding is MOST commonly encountered in patients with: Choose one answer. A. acute renal failure. B. chronic liver inflammation. C. peritoneal irritation. D. intra-abdominal bleeding.
C
A patient with dysarthria has: Choose one answer. A. slurred speech. B. severe stuttering. C. painful joints. D. a flat affect.
A
Cognitive function can be MOST accurately defined as:
Choose one answer.
A. one’s state of awareness.
B. functional use of the extremities.
C. the ability to use reasoning.
D. general level of consciousness.
C
In general, +3 pitting edema is characterized by indentation of the skin to a depth of: Choose one answer. A. ¼ in to ½ in. B. greater than 1 in. C. ½ in to 1 in. D. 0 in to ¼ in.
C
Any time you encounter jugular venous distention in a patient, you should determine:
Choose one answer.
A. what body cavity the patient is bleeding into that is causing lost volume.
B. where the venous obstruction is that is impeding blood return to the heart.
C. what is happening to the heart to cause such a large increase in preload.
D. what condition the patient has that is causing decreased venous pressure.
B
Bruising in the periumbilical area is indicative of: Choose one answer. A. ruptured ectopic pregnancy. B. a ruptured urinary bladder. C. intraperitoneal hemorrhage. D. a leaking aortic aneurysm.
C
Percussion of the chest produces \_\_\_\_\_\_\_\_\_\_\_\_ if the pleural space is full of blood. Choose one answer. A. hyperresonance B. a high-pitched note C. a hollow sound D. a dull sound
D
The skin becomes \_\_\_\_\_\_\_\_\_ when red blood cell perfusion to the capillary beds of the skin is poor. Choose one answer. A. pale B. cyanotic C. flushed D. mottled
A
To appreciate the S1 sound:
Choose one answer.
A. ask the patient to breathe normally and hold his or her breath on inhalation.
B. ask the patient to breathe normally and hold his or her breath on expiration.
C. the patient should be sitting upright and leaning slightly backward.
D. the patient should be supine with his or her body tilted to the right
B
A patient who does not respond to verbal or tactile stimuli is: Choose one answer. A. disoriented. B. unresponsive. C. lethargic. D. semiconscious.
B
The Babinski sign, grasping, and sucking are:
Choose one answer.
A. voluntary motor responses.
B. examples of primitive reflexes.
C. signs of nervous system dysfunction.
D. abnormal findings in infants.
B
Which of the following statements regarding ascites is correct?
Choose one answer.
A. The most common cause of ascites is an acute splenic injury.
B. The abdomen of a patient with ascites has a sunken appearance.
C. Ascites is a collection of fluid within the peritoneal cavity.
D. Percussion of the abdomen will often yield hyperresonance.
C
