Chapter 21: Physical Assessment - Nurselytic

Questions 49

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Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills

Chapter 21 : Physical Assessment Questions

Question 1 of 5

You have just completed an initial shift assessment of a male in his 30s with a history of elevated hypertension and elevated cholesterol. Which of the following assessment findings provides information about his circulatory system?

Correct Answer: B,D,E,F

Rationale: BP, pulse deficit, pedal pulses, and edema are direct indicators of circulatory status, reflecting vascular pressure, perfusion, and fluid dynamics.

Question 2 of 5

During a focused assessment of a patient's circulatory system, you were unable to palpate the left pedal pulse although the right pedal pulse was strong. What should be your first action?

Correct Answer: D

Rationale: Using a Doppler is the first step to assess an absent pedal pulse, as it can detect blood flow that is not palpable.

Question 3 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 4 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 5 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.

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