ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 21 : Physical Assessment Questions
Question 1 of 5
Which of the following would be the most accurate description of dorsal flexion assessment?
Correct Answer: B
Rationale: Dorsal flexion involves pulling the toes toward the head, assessed for strength and equality against resistance.
Question 2 of 5
What is the medical terminology for each of the 'lubb dupp' heart sounds?
Correct Answer: A
Rationale: The 'lubb' is S1 (closure of mitral and tricuspid valves), and 'dupp' is S2 (closure of aortic and pulmonic valves).
Question 3 of 5
Which of the two heart sounds is the loudest?
Correct Answer: A
Rationale: S1 is typically louder than S2 because it involves the closure of the mitral and tricuspid valves, which produce a stronger sound.
Question 4 of 5
List all the assessments that are part of a neurological examination.
Correct Answer: D
Rationale: A neurological examination includes level of consciousness, pupil response, motor function, sensory function, reflexes, cranial nerve testing, coordination, and gait.
Question 5 of 5
Which of the following assessment findings is not within the textbook normal range?
Correct Answer: B,D
Rationale: Capillary refill of 5 seconds (normal is <2-3 seconds) and systolic pressure of 86 mm Hg (normal is 90-120 mm Hg) are outside normal ranges.