Health Assessment Exam 3 Practice
Questions with Correct Answers 2026
1
The Left Upper Quadrant (LUQ) contains the:
A) Gallbladder
B) Spleen
C) Liver
D) Appendix
Spleen
The spleen is the largest lymphatic organ. However, instead of lymph, its chambers are
filled with blood.
2
Suppose that Tina reported pain when you assessed for costovertebral angle (CVA)
tenderness. Which of the following would be true?
A) CVA tenderness may indicate kidney infection
B) CVA tenderness may indicate liver enlargement
C) CVA tenderness is an expected finding
D) CVA tenderness is a rare finding
CVA tenderness may indicate kidney infection
Percussion of the costovertebral angle should evoke no pain. The elicitation of pain is
indicative of inflammation in the underlying kidney or surrounding tissue.
3
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Suppose that you suspected ascites because Tina's abdomen is large. Which of the
following assessment findings would confirm ascites?
A) Shifting dullness
B) Murphy's sign
C) Deep organ palpation
D) Peristaltic fluid wave test
Shifting dullness
Ascites is the accumulation of fluid in the peritoneal space. This fluid can be detected
by abdominal percussion. The distribution of fluid in the abdomen shifts according to
gravity when the person changes body position. To test for ascites, percuss for dullness
in the abdomen when Tina is in several different body positions.
4
The second heart sound is the result of which of the following?
A)Opening of aortic and pulmonic valves
B) Closing of aortic and pulmonic valves
C) Opening of mitral and tricuspid valve
D) Closing of mitral and tricuspid valve
Closing of aortic and pulmonic valves
The five cardiac areas of auscultation are not the anatomical positions of the heart
valves but are the best places to listen due to the direction that sounds resonate in the
thorax.
5
Normal capillary refill is:
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A) Nails turning from blanched to pink
B) > 2 seconds
C) 1-2 seconds
D) < 1 second
1-2 seconds
Most capillaries have such small inner diameters that only one red blood cell can move
through at a time.
6
Tina's left tibial pulse is graded as 2+. This finding is:
A)Bounding
B) Increased
C) Normal
D) Weak
Normal
Pulses are graded on a 4 point scale in which 3+ is bounding, 2+ is normal, 1+ is weak,
and 0 is absent.
7
When listening to the heart of an 18-month-old admitted to Shadow General Hospital
for physical abuse, what is the normal heart rate range?
A) 90-150 beats per minute
B) 80-140 beats per minute
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C) 100-160 beats per minute
D) 60-100 beats per minute
A) 90-150 beats per minute
Children have smaller heart chambers and lower blood volume than adults, which
results in a lower heart stroke volume.
8
An 82-year-old is on the cardiac floor of Shadow General Hospital after being admitted
for chest pain. Which of the following findings would be due to vessel narrowing?
A) Bruits
B) Tachycardia
C) Harsh holosystolic murmur
D) Regurgitation
A) Bruits
Bruits are heard when blood flow is obstructed, causing turbulence. They are murmur-
like sounds that originate from the vasculature instead of from the heart that are
heard with the bell of the stethoscope.
9
A 2-month-old male child comes into the Shadow General Hospital Emergency
Department with dehydration due to projectile vomiting since birth. On physical exam
you note marked peristalsis (waves visible on inspection of the abdomen). This is a
sign of what pathologic process?
A) Pyloric stenosis
B) Diastasis recti
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