Physical Assessment Adult Flashcards
As part of your general patient survey, you find that your patient has a body mass index (BMI) of 23. From this finding, you can conclude that you patient:
Has no nutritional problems or deficits
Is at high risk for obesity – related health problems
Needs a referral to a nutritional counselor
Has a body mass index within normal limits
Has a body mass index within normal limits
When using and maintaining your stethoscope, it is important to
Insert the earpieces at an angle toward your nose
Use the diaphragm for listening to low – pitched sounds
Drape the stethoscope over you neck when not in use
Clean your stethoscope by immersing it in soapy water
Insert the earpieces at an angle toward your nose
While performing a cardiovascular assessment, you might encounter a variety of pulsations and sounds. Which of the following findings is considered normal?
A continuous sensation of vibration felt over the second and third left intercostal spaces
A high – pitched, scraping sound heard in the third intercostal space to the left of the sternum
A brief thump felt near the fourth or fifth intercostal space near the left midclavicular line
A whooshing or swishing sound over the second intercostal space long the left sternal border
A brief thump felt near the fourth or fifth intercostal space near the left midclavicular line
Over which abdominal quadrant are bowel sounds most active and therefore easiest to auscultate?
Right upper quadrant
Left upper quadrant
Right lower quadrant
Left lower quadrant
Right lower quadrant
You are performing a physical examination of the spine for an older adult. Which of the following findings is common with aging?
Lordosis
Kyphosis
Ankylosis
Scliosis
Kyphosis
When assessing peripheral vascular status of the lower extremities, you place your fingertips on the top of your patient’s foot between the extensor tendons of the great toe and those next to it. Which pulse are you palpating?
Posterior tibial
Popliteal
Dorsalis pedis
Femoral
Dorsalis pedis
While performing an abdominal assessment, you place your fingertips over the patient’s painful area and gradually increase pressure, then quickly release it. The patient reports increased pain on release of pressure, so you document that your patient has positive
Bororygmi
Rebound tenderness
Tympany
Abdominal guarding
Rebound tenderness
When performing a complete, head – to – toe physical examination, which physical – assessment technique should you perform first
Auscultation
Inspection
Percussion
Palpation
Inspection
When performing a respiratory assessment, you auscultate wet, popping sounds at the inspiratory phase of each respiratory cycle. These sounds are best identified as
Crackles
Stridor
Wheezes
Friction rub
Crackles
While examining your patient’s head and face, you determine that cranial nerve I is intact when the patient follows your instructions and successfully
Sticks his tongue out
Smiles symmetrically
Hears whispered words
Identifies a minty scent
Identifies a minty scent
While performing a head – to – toe assessment, you perform the Romberg test. You do this to test the patient’s
Gait
Hearing
Vision
Balance
Balance
What is your primary goal in performing a comprehensive physical assessment?
To document accurate data
To develop a plan of care
To validate previous data
To evaluate outcomes of care
To develop a plan of care
