Quiz 5: Secondary Assessment
Nursing
Q 1Q 1
You would like to test a patient's visual acuity, but a visual acuity card or wall chart is not available. You can still test for visual acuity by:
A) asking the patient to indicate the farthest object he can see.
B) checking the pupils.
C) having the patient count your raised fingers.
D) covering one eye and testing for light accommodation.
Free
Multiple Choice
C
Q 2Q 2
You are able to feel vibrations through the chest wall as your patient speaks. This is called:
A) egophony.
B) auscultation.
C) whispered pectoriloquy.
D) tactile fremitus.
Free
Multiple Choice
D
Q 3Q 3
The process in which a paramedic places a hand on a body part, then sharply taps a distal knuckle with the tip of another finger, is known as:
A) percussion.
B) hyperresonance.
C) palpation.
D) observation.
Free
Multiple Choice
A
Q 4Q 4
Asking your patient to recall what he had for a meal earlier in the day would test:
A) recent memory.
B) remote memory.
C) immediate memory.
D) long-term memory.
Free
Multiple Choice
Q 5Q 5
Physical exam techniques include all of the following EXCEPT:
A) palpation.
B) association.
C) auscultation.
D) inspection.
Free
Multiple Choice
Q 6Q 6
Petechiae are skin lesions characterized by:
A) reddish lines radiating from a red spot.
B) irregular red spots.
C) reddish-purple spots less than 0.5 cm in diameter.
D) reddish-purple blotches greater than 0.5 cm in diameter.
Free
Multiple Choice
Q 7Q 7
Which of the following is included in an examination of the cardiovascular system?
A) Auscultate for carotid bruits.
B) Palpate to check for Murphy's sign.
C) Auscultate breath sounds.
D) Palpate both carotid arteries simultaneously.
Free
Multiple Choice
Q 8Q 8
Inspection of the maxillary sinuses is accomplished by:
A) palpating under the zygomatic arches.
B) obstructing one side of the nares and watching the patient breathe.
C) using an otoscope for visualization.
D) palpating the nose and septum.
Free
Multiple Choice
Q 9Q 9
One sign of gonorrhea in males is a(n):
A) profuse, yellow discharge.
B) white, curdlike discharge.
C) scant, clear discharge.
D) external pustule.
Free
Multiple Choice
Q 10Q 10
During a musculoskeletal exam, you find redness of the skin over a nontraumatized joint. Which of the following is LEAST likely to be the cause?
A) Rheumatic fever
B) Dislocation
C) Gout
D) Arthritis
Free
Multiple Choice
Q 11Q 11
During the abdominal exam, areas that are known to be painful or tender should be examined:
A) only by a physician.
B) at the beginning and end of the exam.
C) first.
D) last.
Free
Multiple Choice
Q 12Q 12
Discoloration over the umbilicus, known as ________ sign, is a(n) ________ indicator of intraabdominal bleeding.
A) Cullen's; late
B) Grey Turner's; early
C) Grey Turner's; late
D) Cullen's; early
Free
Multiple Choice
Q 13Q 13
Which of the following best describes the technique of evaluating plantar reflexes?
A) Have the patient dorsiflex the foot, then strike the Achilles tendon.
B) Stroke the lateral aspect of the sole of the foot from heel to ball, curving medially.
C) Tap the patellar tendon just below the edge of the patella.
D) Strike the triceps along the posterior aspect of the distal humerus.
Free
Multiple Choice
Q 14Q 14
To check for symmetrical chest expansion, you should place your hands on the patient's chest, with the thumbs resting on the ________, and ask the patient to inhale.
A) costal margins
B) nipples
C) clavicles
D) lateral chest wall
Free
Multiple Choice
Q 15Q 15
Your patient is complaining of numbness and hand pain that wakes him. Of the following, which is most likely?
A) Carpal tunnel syndrome
B) Chondromalacia
C) Bursitis
D) Plantar fasciitis
Free
Multiple Choice
Q 16Q 16
Which of the following findings is abnormal in a cardiovascular assessment?
A) Splitting of the S2 heart sound in children
B) Vibrations when palpating the carotid artery
C) Jugular venous distension in the supine position
D) Visible pulsation of the PMI at the fifth intercostal space, medial to the left midclavicular line
Free
Multiple Choice
Q 17Q 17
All of the following characteristics indicate a normal appearance to oral mucosa EXCEPT:
A) smooth.
B) patches of white.
C) pink.
D) moist.
Free
Multiple Choice
Q 18Q 18
You have just percussed the patient's chest and heard a loud, booming, low-pitched sound. This indicates:
A) atelectasis.
B) a normal lung field.
C) a hypoinflated lung field.
D) a hyperinflated lung field.
Free
Multiple Choice
Q 19Q 19
A condition marked by exaggerated lumbar concavity is called:
A) scoliosis.
B) lordosis.
C) kyphosis.
D) spondylosis.
Free
Multiple Choice
Q 20Q 20
A light, popping, nonmusical sound heard upon auscultation of the lungs is best described as:
A) wheezing.
B) crackles.
C) stridor.
D) rhonchi.
Free
Multiple Choice
Q 21Q 21
You can test the oculomotor, trochlear, and abducens nerves by:
A) shining a light into the pupils and observing constriction of the pupils.
B) conducting a visual acuity test.
C) evaluating the patient's extraocular movements.
D) closing one nostril while presenting a strong smell under the other nostril.
Free
Multiple Choice
Q 22Q 22
A patient who loses his balance while standing with his eyes closed and feet together for 20 to 30 seconds is exhibiting a positive:
A) tilt test.
B) Babinski's reflex.
C) Romberg test.
D) Kehr's sign.
Free
Multiple Choice
Q 23Q 23
By placing the tip of the index finger in the depression in front of the tragus and asking the patient to open his mouth, the paramedic can evaluate the:
A) zygomatic arch.
B) sphenoid bone.
C) temporomandibular joint.
D) external auditory canal.
Free
Multiple Choice
Q 24Q 24
You are examining a 70-year-old female patient with altered mental status. She is awake and can speak. You detect an odor of acetone and suspect that the patient is suffering from:
A) cyanide poisoning.
B) alcohol poisoning.
C) bowel obstruction.
D) diabetic ketoacidosis.
Free
Multiple Choice
Q 25Q 25
Increased fremitus over part of the patient's chest wall may indicate:
A) pneumonia.
B) emphysema.
C) pleural effusion.
D) pneumothorax.
Free
Multiple Choice
Q 26Q 26
To avoid the carotid sinus, you should palpate for a carotid pulse at the level of:
A) Terry's point.
B) the cricoid cartilage.
C) the sternocleidomastoid muscle.
D) carotid bifurcation.
Free
Multiple Choice
Q 27Q 27
The standard sequence for examining the chest is:
A) palpate, percuss, auscultate, inspect.
B) inspect, palpate, auscultate, percuss.
C) inspect, palpate, percuss, auscultate.
D) inspect, auscultate, percuss, palpate.
Free
Multiple Choice
Q 28Q 28
Which of the following findings is NOT a sign of peritoneal irritation?
A) Abdominal pain when the patient coughs
B) Rebound tenderness
C) Abdominal pain upon light palpation
D) DeLorenzo's sign
Free
Multiple Choice
Q 29Q 29
Select the choice below that best describes the sequence of a joint examination.
1) Palpation
2) Passive range of motion
3) Range of motion against resistance
4) Range of motion against gravity
5) Inspection
A) 5, 1, 2, 4, 3
B) 5, 2, 1, 3, 4
C) 2, 3, 4, 5, 1
D) 1, 5, 2, 4, 3
Free
Multiple Choice
Q 30Q 30
During a neurologic exam, you ask your patient to stick out his tongue. It deviates to the right. This may indicate a lesion to the patient's ________ nerve.
A) vagus
B) glossopharyngeal
C) facial
D) hypoglossal
Free
Multiple Choice
Q 31Q 31
Which of the following guidelines should be observed when examining a one- to three-year-old child?
A) Restrain the child if necessary.
B) Do not distract the toddler with toys.
C) Do the most invasive procedure first in order to get it out of the way.
D) Focus on the vital areas as indicated by the chief complaint.
Free
Multiple Choice
Q 32Q 32
Jugular venous pressure approximates the patient's ________ pressure.
A) left atrial
B) right ventricular
C) left ventricular
D) right atrial
Free
Multiple Choice
Q 33Q 33
Assessing for bronchophony is important if the patient has abnormal or absent lung sounds because its presence can reveal:
A) tension pneumothorax.
B) breathing obstruction.
C) emphysema.
D) fluid in the lungs.
Free
Multiple Choice
Q 34Q 34
Heart sound S2 may be heard at the end of systole by auscultating over the ________ intercostal space.
A) second
B) sixth
C) first
D) fifth
Free
Multiple Choice
Q 35Q 35
The fourth heart sound, S4, is:
A) an atrial gallop sound.
B) a ventricular gallop sound.
C) a high-pitched sound at the base of the heart.
D) the "dub" of "dee-lub-dub."
Free
Multiple Choice
Q 36Q 36
A scalp condition marked by mild flaking of skin is known as:
A) psoriasis.
B) dandruff.
C) seborrheic dermatitis.
D) hirsutism.
Free
Multiple Choice
Q 37Q 37
The loss of muscle tone results in:
A) rigidity.
B) spasticity.
C) paresthesia.
D) flaccidity.
Free
Multiple Choice
Q 38Q 38
Using an otoscope, you can examine the patient for ________ and ________.
A) tympanic membrane rupture; color changes
B) cranial nerve VIII function; basilar skull fracture
C) otitis; mastoiditis
D) tinnitus; eustachian tube blockage
Free
Multiple Choice
Q 39Q 39
Dullness in the chest during percussion of the third to fifth intercostal spaces can be attributed to the location of the:
A) spleen.
B) heart.
C) stomach.
D) liver.
Free
Multiple Choice
Q 40Q 40
When evaluating dorsiflexion, you should instruct the patient to point his:
A) foot upward.
B) hand downward.
C) foot downward.
D) hand upward.
Free
Multiple Choice
Q 41Q 41
Which of the following is an abnormal finding of the pupils?
A) Constriction when focusing on a near object
B) Both pupils constricting when a penlight is shone in one eye
C) Slow but equal reaction to light
D) Less than 2 mm difference in size with normal reaction to light
Free
Multiple Choice
Q 42Q 42
The condition of the nail bed caused by chronic hypoxia associated with cardiopulmonary diseases is called:
A) Terry's nails.
B) onycholysis.
C) clubbing.
D) paronychia.
Free
Multiple Choice
Q 43Q 43
Your patient was in a motor vehicle collision but was not discovered until 3 hours after the event. When you examine her, you discover bilateral discolored skin over the mastoid process. You should suspect:
A) temporal bone fracture.
B) frontal bone fracture.
C) basilar skull fracture.
D) a fractured sinus.
Free
Multiple Choice
Q 44Q 44
While assessing a 23-year-old man with abdominal pain, you note discoloration around the umbilicus. This is known as:
A) ascites.
B) borborygmi.
C) Kernig's sign.
D) Cullen's sign.
Free
Multiple Choice
Q 45Q 45
Pleural effusion is characterized by the presence of:
A) fluid in the pleural space.
B) atelectasis in the affected area.
C) secretions in large airways.
D) increased friction between the pleural layers.
Free
Multiple Choice
Q 46Q 46
A loud, harsh sound over the trachea on auscultation with a stethoscope suggests:
A) bronchoconstriction.
B) normal air movement.
C) pneumothorax.
D) foreign body obstruction.
Free
Multiple Choice
Q 47Q 47
Skin color is best evaluated by observing the:
A) limbs and torso.
B) dorsum of the hand.
C) nail beds and conjunctiva.
D) face.
Free
Multiple Choice
Q 48Q 48
Palpation and inspection of the point of maximal impulse can reveal certain conditions, such as:
A) pneumothorax.
B) enlarged right ventricle.
C) coronary insufficiency.
D) cardiac tamponade.
Free
Multiple Choice
Q 49Q 49
Cyanosis is caused by increased:
A) methemoglobin.
B) oxyhemoglobin.
C) carboxyhemoglobin.
D) deoxyhemoglobin.
Free
Multiple Choice
Q 50Q 50
Moving a finger in an "H" pattern in front of your patient's eyes tests:
A) accommodation.
B) extraocular muscles.
C) visual acuity.
D) corneal reflex.
Free
Multiple Choice
Q 51Q 51
Which of the following sounds is produced when the tricuspid and mitral valves close during systole?
A) S4
B) S3
C) S1
D) S2
Free
Multiple Choice
Q 52Q 52
Which of the following is a normal finding when examining a patient's neck?
A) Tracheal tugging
B) Visible lymph nodes
C) Subcutaneous emphysema
D) Movement of the thyroid gland during swallowing
Free
Multiple Choice
Q 53Q 53
Nasal flaring is an indication of:
A) dysfunction of cranial nerve I.
B) respiratory distress.
C) hypoxia.
D) rhinitis.
Free
Multiple Choice
Q 54Q 54
Which of the following best describes the technique of percussion?
A) Using a reflex hammer to produce vibrations
B) Pressing the bell of the stethoscope against the skin
C) Shining a penlight into the ear to see the eardrum
D) Striking the knuckle of one hand with the tip of a finger on the opposite hand
Free
Multiple Choice
Q 55Q 55
For you to assess for jugular venous distention, your patient should be ________ at a ________-degree angle.
A) sitting; 90
B) sitting; 45
C) supine; 45
D) standing; 90
Free
Multiple Choice
Q 56Q 56
Which of the following is LEAST important to the paramedic when evaluating a patient's skin in an emergency situation?
A) Color
B) Temperature
C) Pigmentation
D) Moisture
Free
Multiple Choice
Q 57Q 57
The sounds auscultated when assessing the blood pressure are the ________ sounds.
A) Kobileski
B) Korotkoff
C) Kunzlemann
D) Kernig's
Free
Multiple Choice
Q 58Q 58
To test an extremity for pain sensation, you should:
A) use a sharp object, and have the patient tell you if he feels a sharp or dull sensation.
B) firmly pinch a fold of skin over the most sensitive part of the extremity.
C) stroke the extremity in a distal-to-proximal direction.
D) briskly tap the tendon of the elbow or knee.
Free
Multiple Choice
Q 59Q 59
Which of the following best describes the correct positioning of a patient for an abdominal exam?
A) Lateral recumbent
B) Supine with the head flat and legs extended
C) Semi-Fowler's position
D) Supine with the head and knees supported by pillows
Free
Multiple Choice
Q 60Q 60
Which of the following best describes the technique for palpating the abdomen for large or deep masses?
A) One hand pushing deeply in a quick, smooth motion
B) One finger pressing firmly against the abdominal wall
C) One hand over another, pushing down slowly
D) Both hands side by side over the midline of the abdomen
Free
Multiple Choice
Q 61Q 61
While you are assessing for Babinski's response, the patient's big toe dorsiflexes and the other toes fan out. This indicates a ________ response, which is ________.
A) negative; normal
B) positive; abnormal
C) negative; abnormal
D) positive; normal
Free
Multiple Choice
Q 62Q 62
Using your sense of touch to gather information about the patient's condition is called:
A) auscultation.
B) percussion.
C) palpation.
D) inspection.
Free
Multiple Choice
Q 63Q 63
A patient experienced a brief loss of consciousness following a blow to the head. During your questioning, she describes a series of events that do not match what observers had noted before the trauma. This might be an example of:
A) delusion.
B) incoherence.
C) mania.
D) confabulation.
Free
Multiple Choice
Q 64Q 64
A patient who is misinterpreting what is happening is experiencing a(n):
A) paresthesia.
B) hallucination.
C) delusion.
D) illusion.
Free
Multiple Choice
Q 65Q 65
Which of the following is included in examination of the mouth?
A) Palpating the uvula
B) Removing dentures
C) Visualizing the larynx
D) Looking under the tongue
Free
Multiple Choice
Q 66Q 66
A condition that makes posterior chest and lung examination difficult is thoracic:
A) kyphoscoliosis.
B) spondylosis.
C) ankylosis.
D) lordosis.
Free
Multiple Choice
Q 67Q 67
Which of the following best describes the pulse pressure?
A) The difference between systolic and diastolic blood pressures
B) The diastolic pressure plus one-third of systolic pressure
C) The sum of systolic and diastolic blood pressures
D) The systolic pressure minus one-third of the diastolic pressure
Free
Multiple Choice
Q 68Q 68
Shining a light onto the iris from the lateral side could cause a crescent-shaped shadow on the medial side if the patient is suffering from:
A) hemianopsia.
B) glaucoma.
C) retinal artery occlusion.
D) anisocoria.
Free
Multiple Choice
Q 69Q 69
Areas of a neurologic exam include all of the following EXCEPT:
A) mental status and speech.
B) reflexes.
C) cranial nerves.
D) cranium.
Free
Multiple Choice
Q 70Q 70
You are assessing a 34-year-old female patient who appears to be in hypovolemic shock. You would expect her pulse to be:
A) bradycardic and irregular.
B) tachycardic and weak.
C) tachycardic and bounding.
D) bradycardic and strong.
Free
Multiple Choice
Q 71Q 71
During the cardiac cycle, the S2 heart sound indicates the ________ of the ________ valves.
A) closing; mitral and tricuspid
B) opening; aortic and pulmonic
C) opening; mitral and tricuspid
D) closing; aortic and pulmonic
Free
Multiple Choice
Q 72Q 72
When checking for skin turgor, you should:
A) gently pick up a fold of skin, then release it.
B) use the back of your hand to determine temperature.
C) press the nail beds, then release.
D) palpate the skin for flaking.
Free
Multiple Choice
Q 73Q 73
A tear in the tracheobronchial tree or a pneumothorax can be characterized by ________ in the neck.
A) swollen lymph nodes
B) jugular venous distention
C) mediastinal deviation
D) subcutaneous emphysema
Free
Multiple Choice
Q 74Q 74
To inspect and examine the anus, a paramedic should place the patient in the ________ position.
A) supine
B) left lateral recumbent
C) kneeling
D) prone
Free
Multiple Choice
Q 75Q 75
The crunching sound that is made when unlubricated skeletal parts rub against each other is called:
A) a synovial rub.
B) bursal friction.
C) crepitus.
D) a pleural friction rub.
Free
Multiple Choice
Q 76Q 76
When auscultating the posterior chest, you should listen:
A) only at the apices.
B) only at the bases.
C) down one side first, then the other.
D) from side to side as you proceed down the chest.
Free
Multiple Choice
Q 77Q 77
A 23-year-old female patient is complaining of lower abdominal and genital pain. Upon examination you find a white, curdlike vaginal discharge. This is most typical of:
A) Gardnerella.
B) gonorrhea.
C) candidiasis.
D) herpes simplex.
Free
Multiple Choice
Q 78Q 78
Components of a general survey include all of the following EXCEPT:
A) cardiac monitoring.
B) blood pressure.
C) medical history.
D) the patient's appearance.
Free
Multiple Choice
Q 79Q 79
When you ask the patient to puff out her cheeks, show her upper and lower teeth, and raise her eyebrows, which cranial nerve are you evaluating?
A) VI
B) V
C) VII
D) IX
Free
Multiple Choice
Q 80Q 80
During ventricular systole, the ventricles contract while the:
A) foramen ovale opens.
B) tricuspid and mitral valves open.
C) pulmonic and aortic semilunar valves close.
D) tricuspid and mitral valves close.
Free
Multiple Choice
Q 81Q 81
You respond to a patient complaining of lower abdominal pain. Upon your arrival, you find a 25-year-old man who also complains of groin pain. After inspecting the penis and scrotum, your next step would be to:
A) inspect the glans.
B) lift the scrotum and inspect for swelling or lumps.
C) palpate the testicles.
D) take a urine sample.
Free
Multiple Choice
Q 82Q 82
When evaluating any patient's genitalia, a paramedic must always:
A) maintain privacy.
B) use a lubricant.
C) be of the same gender as the patient.
D) perform a rectal exam, as well.
Free
Multiple Choice
Q 83Q 83
A 45-year-old patient presents with abdominal pain in the right lower quadrant. Upon auscultation of bowel sounds, you hear high-pitched gurgles and clicks lasting around 10 seconds. This patient may have:
A) normal sounds.
B) hyperperistalsis.
C) borborygmi.
D) paralytic ileus.
Free
Multiple Choice
Q 84Q 84
A complete neurologic exam includes assessment of mental status and speech, the motor and sensory systems, reflexes, and the:
A) speed of peripheral nervous conduction.
B) tympanic membrane.
C) cranial nerves.
D) visual acuity.
Free
Multiple Choice
Q 85Q 85
Normal pediatric respiratory and heart rates ________ as children grow older.
A) stay the same
B) decrease
C) increase
D) increase, then decrease
Free
Multiple Choice
Q 86Q 86
You are examining a 50-year-old male patient complaining of a fever. You inspect the tympanic membrane and note that it is a pearly, translucent gray color. You conclude that the patient has:
A) otitis media.
B) hemotympanum.
C) a buildup of fluid behind the eardrum.
D) a normal eardrum.
Free
Multiple Choice
Q 87Q 87
Rales, or crackles, would be most typically auscultated in patients with which of the following conditions?
A) Pulmonary embolus
B) Congestive heart failure
C) Asthma
D) Pneumonia
Free
Multiple Choice
Q 88Q 88
A patient who is experiencing dysphonia:
A) has defective language caused by neurological damage.
B) has defective speech caused by motor deficits.
C) is speaking clearly and normally.
D) has voice changes secondary to vocal cord problems.
Free
Multiple Choice
Q 89Q 89
An elderly man is complaining of shortness of breath. You discover pitting edema that is 0.5 to 1 inch deep. This is ________ pitting edema.
A) +2
B) +4
C) +1
D) +3
Free
Multiple Choice
Q 90Q 90
You are examining a patient's face. Upon observing the eyes, you notice a droop in the eyelids. This condition is known as:
A) nystagmus.
B) apoptosis.
C) anisocoria.
D) ptosis.
Free
Multiple Choice
Q 91Q 91
Which of the following body systems would you gain the least information about during an abdominal exam?
A) Musculoskeletal
B) Reproductive
C) Cardiovascular
D) Digestive
Free
Multiple Choice
Q 92Q 92
Pain or tenderness on palpation of the tragus could suggest:
A) Ménière's disease.
B) mastoiditis.
C) cerumen impaction.
D) perforated tympanic membrane.
Free
Multiple Choice
Q 93Q 93
While speaking, your patient shifts rapidly from topic to topic without realizing that his thoughts are not connected. This might be a sign of any of the following conditions EXCEPT:
A) psychosis.
B) schizophrenia.
C) manic episodes.
D) depression.
Free
Multiple Choice
Q 94Q 94
A person who has a visual acuity test result of 20/100 can see at ________ feet what a normal person sees at ________ feet.
A) 10; 2
B) 20; 100
C) 100; 20
D) 100; 100
Free
Multiple Choice
Q 95Q 95
Lesions found on the lips may indicate:
A) dehydration.
B) anemia.
C) allergic reaction.
D) skin cancer.
Free
Multiple Choice
Q 96Q 96
What procedure can you perform to determine additional signs of carpal tunnel syndrome?
A) Ask the patient to extend his fingers forward for 60 seconds.
B) Hold the patient's wrist in acute extension for 60 seconds.
C) Ask the patient to gently wave his wrists for 60 seconds.
D) Hold the patient's wrist in acute flexion for 60 seconds.
Free
Multiple Choice
Q 97Q 97
Which of the following statements is FALSE regarding the S3 heart sound?
A) It is commonly heard in children.
B) It is a high-pitched sound heard at the end of diastole.
C) It is the "dee" part of the "lub-dub-dee" cadence.
D) It can develop with ventricular failure or ventricular volume overload.
Free
Multiple Choice
Q 98Q 98
The hard and soft palates are normally colored ________ and ________, respectively.
A) white; pink
B) pink; white
C) white; white
D) pink; pink
Free
Multiple Choice
Q 99Q 99
You are sent to the home of an insulin-dependent diabetic female patient. You ask her to state her name, the month, and her address. This would be an example of assessing the patient's:
A) memory and attention.
B) general fund of knowledge.
C) judgment.
D) mood.
Free
Multiple Choice
Q 100Q 100
The technique of ________ involves careful, noninvasive, informed observation.
A) auscultation
B) percussion
C) inspection
D) palpation
Free
Multiple Choice