Multiple Choice

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Chapter 11

Multiple Choice

This activity contains 57 questions.

Hyperresonance would be discovered during assessment using the technique of:

	palpation.
	auscultation.
	inspection.
	percussion.
	none of the above

To evaluate tissue masses, it is best to use the:

	tips of the fingers.
	pads of the fingers.
	palm of the hands.
	back of the hands or fingers.
	none of the above

To evaluate a patient's skin temperature, it is best to use the:

	tips of the fingers.
	pads of the fingers.
	palm of the hands.
	back of the hands or fingers.
	none of the above

The thudding sound produced by percussing a solid organ like the liver is described as:

	hyperresonance.
	dull.
	resonance.
	flat.
	none of the above

Tachycardia is likely to be caused by all of the following EXCEPT:

	fever.
	pain.
	fluid dehydration.
	hypoxia.
	sympathetic stimulation.

The process of normal inhalation is:

	an active action involving accessory muscles.
	an active action involving the diaphragm and intercostals muscles.
	active in its early stages and passive in its later stages.
	passive in its early stages and active in its later stages.
	passive.

The pressure of the blood within the blood vessels caused by contraction of the ventricles is the:

	Korotkoff pressure.
	systolic pressure.
	diastolic pressure.
	asystolic pressure.
	atrial pressure.

The normal respiratory tidal volume for a healthy adult is about:

	100 mL.
	200 mL.
	500 mL.
	800 mL.
	1200 mL.

The quality of respiration refers to:

	rate.
	effort.
	depth.
	pattern.
	both C and D

The pulse pressure of a patient with a pulse rate of 72, a blood pressure of 120/90, and a respiratory rate of 16 is:

	18.
	30.
	72.
	90.
	120.

The average blood pressure in a healthy adult is:

	90/60.
	100/70.
	120/80.
	140/90.
	180/100.

Hypotension is defined as:

	a systolic blood pressure below 100.
	a diastolic blood pressure below 60.
	a blood pressure below 100/60.
	either a diastolic pressure below 70 or a systolic pressure below 90.
	a lower than normal blood pressure.

To facilitate conduction of high-pitched sounds through the stethoscope bell, apply the bell using:

	firm pressure.
	moderate pressure.
	light pressure.
	alternating firm and light pressure.
	no pressure at all.

In a patient with a weak and irregular pulse, determine the pulse rate by assessing the number of beats in:

	2 minutes and dividing by 2.
	1 minute.
	30 seconds and multiplying by 2.
	15 seconds and multiplying by 4.
	10 seconds and multiplying by 5.

The width of a correctly sized sphygmomanometer cuff should be:

	one half to one third the circumference of the patient's arm.
	one half to one third the radius of the patient's arm.
	two thirds the length of the patient's upper arm.
	one third the length of the patient's upper arm.
	either A or C

When taking blood pressure, deflate the cuff at a rate of:

	2-3 mmHg per heartbeat.
	4-6 mmHg per heartbeat.
	5-10 mmHg per heartbeat.
	8-12 mmHg per heartbeat.
	10-20 mmHg per heartbeat.

As the blood pressure cuff is deflated, the first pulse beat heard through the stethoscope represents the:

	Kussmaul sound.
	diastolic blood pressure.
	systolic blood pressure.
	the pulse pressure.
	the Doppler sound.

The pulse oximeter reading indicates:

	carbon dioxide levels in the blood.
	inspired air oxygen levels.
	expired air oxygen levels.
	blood levels of desaturated hemoglobin.
	arterial blood oxygen saturation levels.

Cyanosis is caused by an increase in:

	blood oxygen.
	deoxyhemoglobin.
	dissolved carbon dioxide.
	carboxyhemoglobin.
	natural coloration overshadowing the red of blood.

The discoloration that represents a blue hue is:

	cyanosis.
	jaundice.
	sckophosis.
	erythema.
	carotanemia.

A heavy and greasy scaling of the skin under the hair is:

	dandruff.
	nits.
	seborrheic dermatitis.
	psoriasis.
	none of the above

The bluish discoloration just behind the ears, suggestive of a basilar skull fracture, is:

	"raccoon eyes".
	"Battle's sign".
	periorbital ecchymosis.
	Cullen's sign.
	either A or C

The term for blood in the anterior chamber of the eye is:

	hypopyon.
	hyphema.
	conjunctival hemorrhage.
	anisocoria.
	nystagmus.

The term for the common runny nose is:

	epistaxis.
	otorrhea.
	rhinorrhea.
	rhinitis.
	none of the above

A location where you are NOT likely to notice retractions during forced inspiration is the:

	suprasternal notch.
	intercostal spaces.
	supraclavicular space.
	costal border.
	both A and C

A finding of decreased tactile fremitus suggests:

	pneumonia.
	tumor.
	pulmonary fibrosis.
	emphysema.
	none of the above

Which condition is most likely to cause an area of the lung that is hyperresonant to percussion?

	pneumothorax
	pneumonia
	hemothorax
	pericardial tamponade
	friction rubs

The high-pitched continuous, almost musical notes heard during chest auscultation of the asthma patient are:

	rhonchi.
	stridor.
	crackles.
	wheezes.
	none of the above

The "dub" of the heart sounds represents which event of the cardiac cycle?

	ejection of blood from the ventricles
	ventricular contraction
	ventricular filling
	closing of the aortic and pulmonic valves
	closing of the tricuspid and mitral valves

The sound of turbulent blood flow through an artery is a:

	trill.
	murmur.
	friction rub.
	bruit.
	gallop.

An ecchymotic discoloration over the flanks is:

	Grey-Turner's sign.
	borborygmi.
	Hering-Breuer sign.
	Cullen's sign.
	none of the above

Assessment of the musculoskeletal system involves:

	examination of the passive range of motion.
	examination of the range of motion against gravity.
	examination of the range of motion against resistance.
	inspection and palpation.
	all of the above

To test for carpal tunnel syndrome, acutely flex the wrist for one minute and expect to have the patient complain of:

	sharp pain.
	numbness and tingling.
	a burning sensation.
	dull pain.
	crampy pain referred to axilla.

The most common sprains of the ankle are:

	medial.
	lateral.
	rotational.
	flexional.
	extensional.

An exaggerated curvature of the lumbar spine is:

	lordosis.
	scoliosis.
	kyphosis.
	spina bifida.
	none of the above

A bounding pulse quality would be reported as:

	0.
	1+.
	2+.
	3+.
	4+.

Which of the following is NOT a sign of proximal arterial occlusion?

	cold limb
	pulse deficit
	irregular pulse
	poor color in the fingertips
	slow capillary refill

Pitting edema that depresses one quarter to one half inch is reported as:

	0.
	1+.
	2+.
	3+.
	4+.

The term dysarthria refers to:

	defective speech caused by motor deficits.
	voice changes due to vocal cord problems.
	defective language due to neurologic problem.
	voice changes due to aging.
	joint pain and stiffness.

A patient who responds to stimulation only for short periods is termed:

	lethargic.
	obtunded.
	stuporous.
	comatose.
	none of the above

A question about what a patient had for lunch tests which of the following types of memory?

	immediate
	verifiable
	recent
	remote
	none of the above

There are how many cranial nerves?

	4 pairs
	6 pairs
	10 pairs
	12 pairs
	16 pairs

The cranial nerve that controls pupillary constriction is which of the following?

	CN-I
	CN-II
	CN-III
	CN-VII
	CN-X

The cranial nerve responsible for the sense of smell is which of the following?

	CN-I
	CN-II
	CN-III
	CN-VII
	CN-X

The cranial nerve that controls most facial muscles is which of the following?

	CN-I
	CN-II
	CN-III
	CN-VII
	CN-X

When a person loses his sense of balance, which cranial nerve has probably been injured?

	equilibrial
	glossopharyngeal
	acoustic
	vagus
	accessory

When your patient loses balance while standing with eyes closed, that finding is referred to as a(n):

	positive Romberg test.
	expressive aphasia.
	sensory aphasia.
	negative Romberg test.
	vertigo.

To perform the "tandem walking" test, have a patient:

	walk heel-to-toe in a straight line.
	stand with eyes closed for 20 to 30 seconds.
	walk across the room, turn, and walk back again.
	do a shallow knee bend on each leg in turn.
	walk first on his heels, then toes.

To assess the sensory system, you must test for:

	pain.
	light touch.
	temperature.
	vibration.
	all of the above

Which of the following is NOT recommended as part of the assessment and care for an ill or injured child?

	separate the patient from the parents if possible
	give the patient a toy or object to play with
	elicit a parent's help in obtaining a history
	perform invasive procedures late in the assessment if possible
	provide feedback and reassurance

Bulging along the sutures of the young child's skull suggests which of the following?

	meningitis
	head injury
	increasing intracranial pressure
	all of the above
	none of the above

The normal systolic blood pressure for the preschooler is:

	60 to 90 mmHg.
	87 to 105 mmHg.
	95 to 105 mmHg.
	95 to 110 mmHg.
	112 to 128 mmHg.

The normal pulse rate for an infant is:

	60 to 90 per minute.
	65 to 110 per minute.
	80 to 110 per minute.
	100 to 160 per minute.
	100 to 180 per minute.

The normal respiratory rate for a toddler is:

	30 to 50 per minute.
	30 to 60 per minute.
	24 to 40 per minute.
	22 to 34 per minute.
	18 to 30 per minute.

Which of the following is NOT true regarding the abdomen of the child?

	The liver is proportionally larger than that of the adult.
	The spleen is well hidden beneath the rib cage.
	The abdominal muscles afford less protection than those of the adult.
	The abdomen bulges at the end of inspiration.
	Inguinal hernias are common in young male children.

The patient's current health status is recorded under which element of the SOAP documentation format?

	S
	O
	A
	P
	none of the above

The results of auscultation are recorded under which element of the SOAP documentation format?

	S
	O
	A
	P
	none of the above

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