NUR Health Assessment Exam 2
(Blueprint) Questions and All Correct
Answers.
Where is the point of maximal impulse (PMI) normally located? - Answer In the left 5th
intercostal space 7 to 9 cm lateral to the sternum
A patient presents with claudication symptoms and diminished pulses. Which of the following is
consistent with peripheral arteriole disease? - Answer Red shiny skin and hair loss on the
lower extremities
Displacement of the PMI lateral to the midclavicular line or greater than 10cm lateral to the
midsternal line suggests what? - Answer Left ventricular enlargement, possibly from
uncontrolled hypertension.
Important questions to ask the patient concerning the gastrointestinal area include what? -
Answer ALL OF THE ABOVE
If a patient's anterior-posterior to lateral diameter is 1:1 (they are equal), what shape might his
chest have? - Answer Barrel chest
What is the best place to auscultate for a community-acquired pneumonia? - Answer Right
lower lobe
T/F
When you have your patient squat, the venous return to the right side of the heart increases
and the peripheral vascular resistance increases. The blood pressure, stroke volume, and the
volume of blood in the left ventricle all rise. This may help you to find a heart murmur or extra
sound. - Answer True
Mr. Johnson an African American attorney, in a highly stressful job, presents in your office with a
blood pressure of 130/80. He denies recent headaches, vision changes, shortness of breath,
nausea, chest pain, palpitation, etc. What is your recommendation? - Answer Re-check the
blood pressure to make sure a mistake was not made the first time and discuss therapeutic
lifestyle changes
When crackles, wheezes, or rhonchi clear with a cough which of the following is a likely
etiology? - Answer Bronchitis
, You are teaching self breast exam to a patient. What "red flags" would you instruct her to
observe? - Answer ALL OF THE ABOVE
A patient's anterior-posterior to lateral diameter of the chest should be what? - Answer 2:1
Which lung sound possesses the characteristics of being louder and higher in pitch, with a short
silence between inspiration and expiration and with expiration being longer than inspiration? -
Answer Bronchial
Jim is a 60 year old man who presents with vomiting. He denies seeing any blood with emesis,
which has been occurring for 2 days. He does note a dark, granular substance resembling the
coffee left in the filter after brewing. What do you suspect? - Answer Bleeding from a peptic
ulcer
A 57 year old maintenance worker comes to your office for evaluation of pain in his legs. He has
smoked two packs per day since the age of 16, but he is otherwise healthy. You are concerned
that he may have peripheral vascular disease. Which of the following is part of common or
concerning symptoms for the peripheral vascular system? - Answer Intermittent claudication
A 58 year old teacher presents to your clinic with a complaint of breathlessness with activity.
The patient has no chronic conditions and does not take any medications, herbs, or
supplements. Which of the following symptoms is appropriate to ask about in the
cardiovascular review of symptoms? - Answer Dyspnea
T/F
A positive obturator sign could indicate gallbladder disease. - Answer False
T/F
When listening to your patient's lung sounds, you only need to listen to the inspiration sounds. -
Answer Flase
Which is the proper sequence of examination for the abdomen? - Answer Inspection,
Auscultation, Percussion, Palpation
A 13 year old boy presents in your office. He denies any symptoms, shortness of breath, chest
pain, or lightheadedness on exertion. Yet his grandmother thinks his chest "looks funny." Upon
visual examination of the chest, you note that the lower portion of the sternum is depressed.
What disorder of the thorax would best describe this? - Answer Funnel chest (pectus
excavatum)
(Blueprint) Questions and All Correct
Answers.
Where is the point of maximal impulse (PMI) normally located? - Answer In the left 5th
intercostal space 7 to 9 cm lateral to the sternum
A patient presents with claudication symptoms and diminished pulses. Which of the following is
consistent with peripheral arteriole disease? - Answer Red shiny skin and hair loss on the
lower extremities
Displacement of the PMI lateral to the midclavicular line or greater than 10cm lateral to the
midsternal line suggests what? - Answer Left ventricular enlargement, possibly from
uncontrolled hypertension.
Important questions to ask the patient concerning the gastrointestinal area include what? -
Answer ALL OF THE ABOVE
If a patient's anterior-posterior to lateral diameter is 1:1 (they are equal), what shape might his
chest have? - Answer Barrel chest
What is the best place to auscultate for a community-acquired pneumonia? - Answer Right
lower lobe
T/F
When you have your patient squat, the venous return to the right side of the heart increases
and the peripheral vascular resistance increases. The blood pressure, stroke volume, and the
volume of blood in the left ventricle all rise. This may help you to find a heart murmur or extra
sound. - Answer True
Mr. Johnson an African American attorney, in a highly stressful job, presents in your office with a
blood pressure of 130/80. He denies recent headaches, vision changes, shortness of breath,
nausea, chest pain, palpitation, etc. What is your recommendation? - Answer Re-check the
blood pressure to make sure a mistake was not made the first time and discuss therapeutic
lifestyle changes
When crackles, wheezes, or rhonchi clear with a cough which of the following is a likely
etiology? - Answer Bronchitis
, You are teaching self breast exam to a patient. What "red flags" would you instruct her to
observe? - Answer ALL OF THE ABOVE
A patient's anterior-posterior to lateral diameter of the chest should be what? - Answer 2:1
Which lung sound possesses the characteristics of being louder and higher in pitch, with a short
silence between inspiration and expiration and with expiration being longer than inspiration? -
Answer Bronchial
Jim is a 60 year old man who presents with vomiting. He denies seeing any blood with emesis,
which has been occurring for 2 days. He does note a dark, granular substance resembling the
coffee left in the filter after brewing. What do you suspect? - Answer Bleeding from a peptic
ulcer
A 57 year old maintenance worker comes to your office for evaluation of pain in his legs. He has
smoked two packs per day since the age of 16, but he is otherwise healthy. You are concerned
that he may have peripheral vascular disease. Which of the following is part of common or
concerning symptoms for the peripheral vascular system? - Answer Intermittent claudication
A 58 year old teacher presents to your clinic with a complaint of breathlessness with activity.
The patient has no chronic conditions and does not take any medications, herbs, or
supplements. Which of the following symptoms is appropriate to ask about in the
cardiovascular review of symptoms? - Answer Dyspnea
T/F
A positive obturator sign could indicate gallbladder disease. - Answer False
T/F
When listening to your patient's lung sounds, you only need to listen to the inspiration sounds. -
Answer Flase
Which is the proper sequence of examination for the abdomen? - Answer Inspection,
Auscultation, Percussion, Palpation
A 13 year old boy presents in your office. He denies any symptoms, shortness of breath, chest
pain, or lightheadedness on exertion. Yet his grandmother thinks his chest "looks funny." Upon
visual examination of the chest, you note that the lower portion of the sternum is depressed.
What disorder of the thorax would best describe this? - Answer Funnel chest (pectus
excavatum)
