NUR 5461 MODULE 3 QUIZ | QUESTIONS
AND ANSWERS | LATEST UPDATE | 100%
CORRECT
GENERAL ASSESSMENT & INTERVIEW TECHNIQUES
1. When beginning an advanced health assessment, the most important first step is
to:
A. Perform a head-to-toe physical exam
B. Establish rapport and ensure patient comfort
C. Obtain vital signs
D. Review diagnostic results
Correct Answer: B
Rationale: Establishing rapport promotes accurate, complete information and patient
cooperation before any physical or diagnostic assessment.
2. Which question best assesses a patient’s chief complaint?
A. “Does it hurt all the time?”
B. “When did it start?”
C. “What brings you in today?”
D. “Is the pain severe?”
Correct Answer: C
Rationale: Open-ended questions allow patients to describe symptoms in their own words
without leading them.
3. The OLDCARTS mnemonic is used primarily to assess:
A. Past medical history
B. Family history
C. Present illness
D. Social history
Correct Answer: C
Rationale: OLDCARTS systematically explores the characteristics of the present illness.
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, VITAL SIGNS & GENERAL SURVEY
4. Orthostatic hypotension is confirmed when:
A. BP drops ≥10 mmHg systolic
B. BP drops ≥20 mmHg systolic or ≥10 mmHg diastolic
C. HR increases by ≥5 bpm
D. BP increases upon standing
Correct Answer: B
Rationale: Diagnostic criteria include a significant drop in BP upon position change.
5. Which finding during general survey is most concerning?
A. Mild obesity
B. Poor eye contact
C. Unsteady gait
D. Tattoos
Correct Answer: C
Rationale: An unsteady gait increases fall risk and may indicate neurologic or
musculoskeletal pathology.
HEENT
6. A normal pupillary response includes:
A. Fixed pupils
B. Sluggish dilation
C. Equal, round, reactive to light and accommodation
D. Unequal pupil size
Correct Answer: C
Rationale: PERRLA is the expected normal finding.
7. Which finding suggests acute angle-closure glaucoma?
A. Gradual vision loss
B. Severe eye pain and halos
C. Yellow sclera
D. Dry eyes
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, Correct Answer: B
Rationale: Acute glaucoma presents with sudden pain, blurred vision, and halos.
8. Weber test lateralizes to the affected ear in:
A. Sensorineural hearing loss
B. Normal hearing
C. Conductive hearing loss
D. Presbycusis
Correct Answer: C
Rationale: Sound localizes to the affected ear in conductive hearing loss.
CARDIOVASCULAR
9. The point of maximal impulse (PMI) is normally located:
A. Right 5th intercostal space
B. Left 2nd intercostal space
C. Left 5th intercostal space at midclavicular line
D. Left sternal border
Correct Answer: C
Rationale: This is the normal anatomical location of the PMI.
10. An S3 heart sound in an adult most commonly indicates:
A. Normal aging
B. Ventricular failure
C. Mitral stenosis
D. Pericarditis
Correct Answer: B
Rationale: S3 in adults is associated with volume overload and heart failure.
11. Which murmur increases with inspiration?
A. Mitral regurgitation
B. Aortic stenosis
C. Tricuspid regurgitation
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, D. Mitral stenosis
Correct Answer: C
Rationale: Right-sided murmurs intensify with inspiration.
RESPIRATORY
12. Crackles heard at lung bases are most associated with:
A. Asthma
B. COPD
C. Heart failure
D. Pneumothorax
Correct Answer: C
Rationale: Fluid accumulation causes crackles, especially in CHF.
13. Dullness to percussion suggests:
A. Normal lung tissue
B. Air trapping
C. Consolidation or fluid
D. Bronchospasm
Correct Answer: C
Rationale: Fluid or solid tissue transmits sound poorly.
ABDOMINAL
14. The correct order of abdominal assessment is:
A. Inspection, palpation, percussion, auscultation
B. Inspection, auscultation, percussion, palpation
C. Auscultation, inspection, palpation, percussion
D. Palpation, percussion, auscultation, inspection
Correct Answer: B
Rationale: Auscultation precedes percussion and palpation to avoid altering bowel sounds.
007
AND ANSWERS | LATEST UPDATE | 100%
CORRECT
GENERAL ASSESSMENT & INTERVIEW TECHNIQUES
1. When beginning an advanced health assessment, the most important first step is
to:
A. Perform a head-to-toe physical exam
B. Establish rapport and ensure patient comfort
C. Obtain vital signs
D. Review diagnostic results
Correct Answer: B
Rationale: Establishing rapport promotes accurate, complete information and patient
cooperation before any physical or diagnostic assessment.
2. Which question best assesses a patient’s chief complaint?
A. “Does it hurt all the time?”
B. “When did it start?”
C. “What brings you in today?”
D. “Is the pain severe?”
Correct Answer: C
Rationale: Open-ended questions allow patients to describe symptoms in their own words
without leading them.
3. The OLDCARTS mnemonic is used primarily to assess:
A. Past medical history
B. Family history
C. Present illness
D. Social history
Correct Answer: C
Rationale: OLDCARTS systematically explores the characteristics of the present illness.
007
, VITAL SIGNS & GENERAL SURVEY
4. Orthostatic hypotension is confirmed when:
A. BP drops ≥10 mmHg systolic
B. BP drops ≥20 mmHg systolic or ≥10 mmHg diastolic
C. HR increases by ≥5 bpm
D. BP increases upon standing
Correct Answer: B
Rationale: Diagnostic criteria include a significant drop in BP upon position change.
5. Which finding during general survey is most concerning?
A. Mild obesity
B. Poor eye contact
C. Unsteady gait
D. Tattoos
Correct Answer: C
Rationale: An unsteady gait increases fall risk and may indicate neurologic or
musculoskeletal pathology.
HEENT
6. A normal pupillary response includes:
A. Fixed pupils
B. Sluggish dilation
C. Equal, round, reactive to light and accommodation
D. Unequal pupil size
Correct Answer: C
Rationale: PERRLA is the expected normal finding.
7. Which finding suggests acute angle-closure glaucoma?
A. Gradual vision loss
B. Severe eye pain and halos
C. Yellow sclera
D. Dry eyes
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, Correct Answer: B
Rationale: Acute glaucoma presents with sudden pain, blurred vision, and halos.
8. Weber test lateralizes to the affected ear in:
A. Sensorineural hearing loss
B. Normal hearing
C. Conductive hearing loss
D. Presbycusis
Correct Answer: C
Rationale: Sound localizes to the affected ear in conductive hearing loss.
CARDIOVASCULAR
9. The point of maximal impulse (PMI) is normally located:
A. Right 5th intercostal space
B. Left 2nd intercostal space
C. Left 5th intercostal space at midclavicular line
D. Left sternal border
Correct Answer: C
Rationale: This is the normal anatomical location of the PMI.
10. An S3 heart sound in an adult most commonly indicates:
A. Normal aging
B. Ventricular failure
C. Mitral stenosis
D. Pericarditis
Correct Answer: B
Rationale: S3 in adults is associated with volume overload and heart failure.
11. Which murmur increases with inspiration?
A. Mitral regurgitation
B. Aortic stenosis
C. Tricuspid regurgitation
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, D. Mitral stenosis
Correct Answer: C
Rationale: Right-sided murmurs intensify with inspiration.
RESPIRATORY
12. Crackles heard at lung bases are most associated with:
A. Asthma
B. COPD
C. Heart failure
D. Pneumothorax
Correct Answer: C
Rationale: Fluid accumulation causes crackles, especially in CHF.
13. Dullness to percussion suggests:
A. Normal lung tissue
B. Air trapping
C. Consolidation or fluid
D. Bronchospasm
Correct Answer: C
Rationale: Fluid or solid tissue transmits sound poorly.
ABDOMINAL
14. The correct order of abdominal assessment is:
A. Inspection, palpation, percussion, auscultation
B. Inspection, auscultation, percussion, palpation
C. Auscultation, inspection, palpation, percussion
D. Palpation, percussion, auscultation, inspection
Correct Answer: B
Rationale: Auscultation precedes percussion and palpation to avoid altering bowel sounds.
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