Health Assessment Kaplan Prep

Question 1

What is the test for blot clot risk?

Answer 1

D-dimer

Question 2

What does bruit sound indicate?

Answer 2

obstruction

Question 3

What is the iliopsoas muscle test for and how is the test done?

Answer 3

tests for appendicitis: raise right leg up, flex knee: resulting pain is “positive psoas sign”

Question 4

What is a common assessment of level of consciousness in a stroke victim?

Answer 4

gag reflex

Question 5

What is the commonest LOC scale?

Answer 5

Glasgow coma scale

Question 6

What respiration rate signals need to intubate?

Answer 6

8

Question 7

DTR means _______.

Answer 7

deep tendon reflex

Question 8

What is nuchal rigidity and what does it indicate?

Answer 8

neck pain and resistance to flexion; indicates meningitis

Question 9

What is egophony and what does it indicate?

Answer 9

hyperresonance (usually heard over lung tissue with pleural effusion)

Question 10

SOAP stands for

Answer 10

Subjective, Objective, Assessment, Plan

Question 11

DAR stands for

Answer 11

Data, Assessment, Recommendation

Question 12

What is a sinus disrhythmia (aka sinus arrhythmia)?

Answer 12

In children note that pulse rhythm may vary with respirations, speeding up during inspiration and slowing down with expiration. This is common in children and young adults

Question 13

What are Hindu dietary practices?

Answer 13

Hindu: avoid beef, pork, and alcohol. Many are vegetarians.

Question 14

What are Seventh-Day Adventist dietary practices?

Answer 14

Seventh Day Adventist: many are lacto-ovo-vegetarians

Question 15

What are Islamic dietary practices?

Answer 15

Islam: avoid pork and birds of prey. Fast during Ramadan

Question 16

What are Buddhist dietary practices?

Answer 16

Buddhism: Many are lacto-ovo-vegetarians

Question 17

What is the ABCT assessment?

Answer 17

appearance, behavior, cognition and thoughts

Question 18

List 4 urgent situations involving the head and neck that require emergency assessment.

Answer 18

head or neck injuries, neck pain (may be cardiac), enlarged hard nodes (may indicate cancer), and thyrotoxicosis

Question 19

What is the Jaeger test for?

Answer 19

Near vision

Question 20

What indicates normal in a Rinne test?

Answer 20

air conduction hearing is twice as long a bone conduction hearing

Question 21

Which test assesses for unilateral hearing loss?

Answer 21

Weber

Question 22

List the acute and emergency situations involving the thorax and lungs.

Answer 22

• Dyspnea, decreased LOC, respirations greater than 30 breaths per minute, oxygen saturation less than 90%, intercostals retractions, and accessory muscle use may indicate an acute or emergency situation

Question 23

What type of breath sounds are soft, low-pitched and found over fine airways near the site of exchange (lung periphery)

Answer 23

vesicular breath sounds

Question 24

What type of breath sounds are found more centrally, over major bronchi that have fewer alveoli?

Answer 24

bronchovesicular

Question 25

What type of breath sounds are loud, high-pitched, and found over the trachea and larynx?

Answer 25

bronchial

Question 26

What are gallops?

Answer 26

extra heart sounds

Question 27

What does an apical S3 heart sound in a patient over 40 indicate? What causes it?

Answer 27

possible heart failure- sound is caused by atrial pressure

Question 28

What does an apical S4 heart sound indicate? What causes it?

Answer 28

possible hypertension- sound is caused by noncompliant ventricles

Question 29

What could be the cause of a heart sound that is like a "snap?"

Answer 29

mitral stenosis

Question 30

What could be the cause of a "rubbing" heart sound?

Answer 30

acute pericarditis

Question 31

What are the most common sources of murmurs in adults?

Answer 31

stenosis, mitral insufficiency, and ventricular septal defect

Question 32

Breast development in adolescents girls occurs over a ___ year period

Answer 32

3

Question 33

When is the best time to perform a BSE?

Answer 33

4 to 7 days after the menstrual cycle starts

Question 34

Define ascites.

Answer 34

fluid collection in the abdomen

Question 35

________ pain occurs when hollow organs are distended (poorly localized and dull, aching, burning and cramping)

Answer 35

visceral

Question 36

_________ pain occurs from inflammation of the peritoneum (more localized and more severe and steady)

Answer 36

parietal

Question 37

_________ pain occurs in more distant sites (innervated at the same level)

Answer 37

referred

Question 38

Liver assessment by percussion: where should you start? Where would you expect to hear the sound change and what would you expect to hear? WHat is the normal liver span?

Answer 38

start over the lung at the 3rd intercostal space, percuss until you hear dull instead of hollow sound, which is usually between the 5th and 7th intercostal space. Normal liver span is 6-12cm.

Question 39

What is the most common blood-borne virus in the U.S.?

Answer 39

Hepatitis C

Question 40

What is the number rating for good muscle strength?

Answer 40

5/5

Question 41

are common presenting symptoms of gonnorhea?

Answer 41

dysuria, urethral discharge (obtain specimen if present), or rectal pain

Question 42

How many stages of syphilis are there? What is the first stage?

Answer 42

5 Stages; first stage is painless sores

Question 43

TSE should be performed monthly after age ____.

Answer 43

14

Question 44

Chlamydia is associated with _______.

Answer 44

salpingitis (PID)

Question 45

What does Murphy's sign test for?

Answer 45

gall bladder pain

Question 46

The role of the professional nurse is to:

Answer 46

promote health, prevent illness, treat human responses, and advocate for patients.

Question 47

Four main goals of nursing are to:

Answer 47

Four main goals of nursing are to

Question 48

Steps of the nursing process include

Answer 48

assessing, diagnosing, setting goals and outcomes, planning, intervening, and evaluating.

Question 49

hyperresonance in thorax indicates ____

Answer 49

emphysematous lungs

Question 50

resonance in thorax indicates ____

Answer 50

healthy lungs