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NUR 504 HEALTH ASSESSMENT EXAM 1 2025 QUESTIONS
AND CORRECT ANSWERS GRADED A+
A physician has just directly examined a patient's sinuses. Which sinuses could these have been?
a. Ethmoidal
b. Superciliary
c. Sphenoidal
d. Maxillary
d. Maxillary
Where are olfactory receptors located?
a. The mucosa in the upper part of the nasal cavity
b. The nasal vestibule
c. The inferior nasal turbinate
d. The nasopharynx
a. The mucosa in the upper part of the nasal cavity
Which of the following best describes diphenhydramine?
a. A pain reliever
b. A decongestant
c. An expectorant
d. An antihistamine
d. An antihistamine
A patient complains of nasal congestion. Which medication is most likely responsible?
a. Beta blockers
b. Aspirin
c. Ginkgo biloba
d. Hormone replacement therapy
a. Beta blockers
A patient presents with pale, boggy turbinates. What is the most likely reason?
a. Scratching
b. Infection
c. Allergies
d. A healthy patient
c. Allergies
A patient presents with congestion, clear rhinorrhea, sinus pain, and patches of eczema. Knowing that there is a risk of anaphylaxis, what test can the physician recommend that will be safe for the patient and help target the specific reason for the symptoms?
a. RAST
b. The TSH test
c. Eosinophil counts
d. Ultrasound of the facial sinuses
a. RAST
Which of the following is true of bacterial pharyngitis?
a. There are no diagnostic tests.
b. It is associated with rapid onset.
c. It most often presents in the winter or early spring.
d. A quick beta strep can be used for diagnosis.
b. It is associated with rapid onset.
How can smoking affect the gums?
a. Through vasoconstriction
b. By finely coating them with tar so saliva cannot clean them
c. Through sloughing by the physical action of smoking
d. Dilating the blood vessels and increasing likelihood of bleeding
a. Through vasoconstriction
Which of the following is a common consideration for the geriatric patient?
a. Varicose veins on the underside of the tongue
b. Increased saliva production
c. Heightened sense of taste
d. Overly moist oral mucosa
a. Varicose veins on the underside of the tongue
Only the nasal cavity is lined with cilia.
False
Nasal sprays, if used more than three days, may lead to "rebound congestion."
True
Cocaine use may lead to nasal polyps.
False
A typical physical examination of a patient's mouth includes palpation of lips, gums, tongue, and lymph nodes
False
Rhinitis is the most frequent cause of tooth and mouth pain.
False
Asymmetrical movement of the uvula is a normal response in Caucasian populations.
False
d. Breathing is initiated by the brain stem.
What does a low-pitched cough signify?
a. Secretions or inflammation
b. Airway constriction
c. Cardiac problems
d. Tuberculosis
a. Secretions or inflammation
Which of the following respiratory rates is seen with hyperventilatory states?
a. Eupnea
b. Tachypnea
c. Bradypnea
d. Hyperpnea
b. Tachypnea
Which of the following is a potentially normal breathing pattern for children in their sleep?
a. Kussmaul
b. Cheyne-Stokes
c. Sigh
d. Biot
b. Cheyne-Stokes
According to the text, bronchiolitis is correlated with respiratory symptoms that affect which body system?
a. Skin
b. Cardiovascular
c. Gastrointestinal
d. Neurological
b. Cardiovascular
What symptom of high thoracic pressure can be found by visual inspection?
a. Retracted chest wall
b. Venous patterns on the chest
c. Kyphosis
d. Clubbing of fingers
b. Venous patterns on the chest
Fremitus is examined during which part of the physical exam?
a. Palpation
b. Auscultation
c. Percussion
d. Inspection
a. 35 degrees
A pregnant patient's tidal volume typically changes by how much?
a. Decreases by 20%
b. Increases by 40%
c. Doubles
d. Is halved
b. Increases by 40%
Respiration is a four-step process: two inhalation steps and two exhalation steps.
False
If sputum onset is acute, the cause is probably an infection.
True
Hepatitis, Marburg, yellow fever, cholera, and meningitis are all travel-related diseases.
True
It is considered normal for the trachea to have a slight deviation to the patient's right side
True
Emphysema is associated with barrel chest and absent fremitus.
True
Because their respiratory systems are not fully developed, the breath sounds of young pediatric patients are often quieter, higher-pitched, and more nasal than those of an adult.
False
What are the common chief complaints of the respiratory system examined in the text?
Cough, chest pain, sputum production, dyspnea, abnormal respiratory rate
What are the four ways breath sounds are characterized, and what are the three classifications?
Pitch, intensity, quality, and relative duration; vesicular, bronchovesicular, bronchial
Which of the following is true of the cardiac cycle?
a. The ventricles are nearly emptied during the systole.
b. S1 and S2 are related to diastole; S3 and S4 are related to systole.
c. Atrial contraction occurs late in the systole.
b. Musculoskeletal
c. Pleural
d. Gastrointestinal
a. Anginal
Calf tenderness and warmth, swelling and ankle edema, and an otherwise unexplained fever are symptoms of what?
a. Congestive heart failure
b. Deep vein thrombosis
c. Arteriosclerosis
d. Obstructed cardiac valves
b. Deep vein thrombosis
Which of the following examples of JVP activity is related to the tricuspid opening normally?
a. The Y descent
b. Prominent V wave
c. Large A wave
d. C wave
a. The Y descent
Edema is caused by poor function of which part of the heart?
a. Right ventricle
b. Left ventricle
c. Right atrium
d. Left atrium
b. Left ventricle
Which of the following is true about palpation of the cardiovascular system?
a. The PMI should be palpated within a 2-centimeter radius.
b. Both carotid arteries should be palpated gently and simultaneously to determine a balance of flow.
c. Palpating a thrill around the aorta may indicate left ventricular hypertrophy.
d. It is important to note pitting edema of the extremities, as this may indicate heart failure.
d. It is important to note pitting edema of the extremities, as this may indicate heart failure.
How is the patient positioned when palpating the precordium and the carotid pulse?
a. Supine
b. Standing
c. Sitting up
d. Resting on right side
a. Supine
Who would be a likely candidate for receiving an ultrasound of the abdomen as part of a cardiovascular exam?
a. A 66-year-old man with suspected AAA
LSD and ecstasy are the most important recreational drugs to ask a patient about in terms of cardiac health.
False
Arcus senilis in the eye is never a normal finding in a patient.
False
When percussing the borders of the heart, an unexpected change from resonance to dullness is usually indicative of pathology.
False
S3 is the sound that results from the passive flow of blood from the atria
True
For the neonatal patient, count the apical pulse for at least 30 seconds.
False
What visible markers on a patient's legs suggest peripheral vascular disease, especially in conjunction with leg pain?
Temperature changes, color changes, loss of hair, redness, sores
What are the four heart sounds, and what do they relate to?
S1 is the first heart sound. It results from closure of the mitral and tricuspid valves. S2 is the second heart sound. It results from closure of the aortic and pulmonic valves. S3 is an early diastolic sound that results from passive flow of blood from the atria. S4 is a late diastolic sound immediately preceding S1.
