2025/2026 NU 650 Regis University HEALTH ASSESSMENT EXAM WITH Q&A ACCURATE ANSWERS ALREADY PASSED

2025/2026 NU 650 Regis University HEALTH ASSESSMENT EXAM WITH Q&A ACCURATE ANSWERS ALREADY PASSED Order of Assessment - CORRECT ANSWER-Inspection, Palpation, Percussion and Auscultation. EXCEPT with abdomen Comprehensive Health History - CORRECT ANSWER-chief complaint, reason for visit, ROS, past medical and surgical history, social history and family history Pediatric Body measurements - CORRECT ANSWER-length, height, weight, head circumference from birth to 36 months Normal/Hypertension cut off - CORRECT ANSWER-130 normal 140+ hypertension Fontanel Closure - CORRECT ANSWER-posterior 1-2 months, anterior 9mo-2years otoscope - CORRECT ANSWER-adult-up and back, peds- down and back, using the largest speculum that will fit comfortably tympanic membrane - CORRECT ANSWER-Cone of light R-5 l-7 EOM testing - CORRECT ANSWER-CN III, IV, VI AP diameter of chest - CORRECT ANSWER-1:2 (AP less than transverse) barrel chest - CORRECT ANSWER-COPD Flat or Dull percussion - CORRECT ANSWER-effusion or pneumonia normal resonant percussion - CORRECT ANSWER-healthy lung Hyperressonance (percussion) - CORRECT ANSWER-trapped air crackles/rales - CORRECT ANSWER-high pitched, discontinuous Wheezes - CORRECT ANSWER-high-pitched whistling or squeaking sounds during inspiration or expiration Rhonchi - CORRECT ANSWER-snoring, rumbling sounds heard upon auscultation of the chest during respiration-low pitched tactile fremitus - CORRECT ANSWER-• INCREASED FREMITUS - Means there is liquid or solid inside the lungs (consolidation such as with pneumonia) - Remember Liquid or solid transmits vibrations better than air • DECREASED FREMITUS Means air trapping such as with emphysema or bronchial obstruction. Bronchophony - CORRECT ANSWER-the spoken voice sound heard through the stethoscope, which sounds soft, muffled, and indistinct over normal lung tissue, clearer over disease Egophony - CORRECT ANSWER-abnormal change in tone of voice that is heard when auscultating the lungs EE--AA UE Arteries - CORRECT ANSWER-radial-thumb side, ulnar pinky side Pulse grading - CORRECT ANSWER-0 absent 1+ weak 2+ normal 3+ increased 4+ bounding palpate bilaterally PMI - CORRECT ANSWER-point of maximal impulse mid-clavicular and 5th ICS S1 - CORRECT ANSWER-normal, closure of AV, Start of systole, loudest at Apex, contraction of ventricles S2 - CORRECT ANSWER-normal, closure of semilunar, end of systole, loudest at base, filling of ventricles S3 - CORRECT ANSWER-third heart sound (normal in pregnant young adults, and children), gallop S4 - CORRECT ANSWER-extra heart sound, end of diastole, indicative of disease-AFIB murmur grading scale - CORRECT ANSWER-I-Barely Audible II-Quiet, Clearly Audible III-moderately Loud IV-loud, thrill V-Very loud, can palpate thrill VI-Very loud, thrill palpable and visible clubbing - CORRECT ANSWER-bulbous enlargement of distal phalanges of fingers and toes that occurs with chronic cyanotic heart and lung conditions edema scale - CORRECT ANSWER-1+ = disappears rapidly. 2+ = last 10-15 seconds. 3+ = lasts more than one minute. 4+ = lasts 2-5 minutes. These are signs used in what scale? normal/abnormal findings spleen - CORRECT ANSWER-normal=tympanic, dullness could be enlargement not normally felt on exam Blumberg Sign: Rebound Test - CORRECT ANSWER-peritoneal inflammation, hurts more when release from palpation shifting dullness - CORRECT ANSWER-a sign of free peritoneal fluid wherein the dullness of percussion shifts, generally from one side to the other, as the patient is turned from side to side. Psoas sign - CORRECT ANSWER-RLQ pain with extension of right thigh indicative of appendicitis Obturator sign - CORRECT ANSWER-RLQ on internal rotation of right thigh indicative of appendicitis assessment of hernia - CORRECT ANSWER-pt may report a lump. observe pt while lying and standing, hernia may disappear while lying. ask pt to strain or perform Valsalva maneuver and observe for bulging. absent bowel sounds may indicate strangulation.