LU 3.2 SCAQ

1. What is the first step in a physical assessment?
   A) Inspection
   B) Auscultation
   C) Palpation
   D) Percussion

2. The general survey of a patient begins:
   A) After completing vital signs
   B) At the first encounter with the patient
   C) During the physical examination
   D) After reviewing medical records

3. Which of the following is NOT a component of a general survey?
   A) Physical appearance
   B) Mobility
   C) Laboratory results
   D) Behavior

4. Physical appearance assessment includes:
   A) Height and weight
   B) Age, skin color, and facial features
   C) Posture and symmetry
   D) Pulse and respiratory rate

5. Which factor determines nutrition status during a general survey?
   A) Symmetry of the body
   B) Stature and posture
   C) Body contour and muscle tone
   D) Skin color

6. Cachexia is a condition that primarily affects:
   A) The respiratory system
   B) Muscle mass and body weight
   C) Visual acuity
   D) Joint movement

7. A normal gait is described as:
   A) Unsteady and imbalanced
   B) Smooth and well-balanced
   C) Limping and slow
   D) Restricted and stiff

8. Which of the following behavioral aspects are evaluated during a general survey?
   A) Facial expressions, mood, and hygiene
   B) Visual acuity and hearing ability
   C) Pain tolerance and sensation
   D) Reflexes and motor coordination

9. What are the five vital signs?
   A) Blood pressure, oxygen saturation, weight, height, reflexes
   B) Temperature, pulse, respiration, blood pressure, pain level
   C) Heart rate, blood glucose, respiratory rate, pulse, vision test
   D) Blood pressure, pupil size, capillary refill, weight, posture

10. When measuring an infant’s height, the correct position is:
    A) Sitting upright
    B) Lying with knees flexed
    C) Lying with knees extended
    D) Standing barefoot

11. A key consideration when measuring weight is:
    A) Weigh the patient at different times of the day
    B) Use a different scale each time
    C) Ensure the patient wears similar clothing for accuracy
    D) Record weight only on admission

12. Core body temperature is measured using:
    A) Blood pressure cuff
    B) Pulse oximeter
    C) Non-contact infrared thermometer
    D) Visual assessment

13. Which site is most commonly used for measuring pulse?
    A) Brachial artery
    B) Radial artery
    C) Femoral artery
    D) Temporal artery

14. In an emergency situation, which pulse site is preferred?
    A) Radial
    B) Brachial
    C) Carotid
    D) Dorsalis pedis

15. What should the nurse do if a patient has an irregular pulse?
    A) Ignore the finding
    B) Immediately start CPR
    C) Report it to the healthcare provider
    D) Retake it using a different method

16. Respirations are assessed by observing:
    A) Blood oxygen levels
    B) The movement of the chest and abdomen
    C) The radial pulse
    D) The auscultation of the lungs

17. Which technique is used in indirect blood pressure measurement?
    A) Use of an aneroid sphygmomanometer and stethoscope
    B) Use of a central line monitor
    C) Direct catheterization of the artery
    D) Doppler ultrasound

18. Korotkoff sounds are associated with:
    A) Pulse rate assessment
    B) Lung auscultation
    C) Blood pressure measurement
    D) Abdominal percussion

19. Which factor can cause a false BP reading?
    A) Using the correct cuff size
    B) Measuring BP after the patient has been resting
    C) Allowing the patient to talk during measurement
    D) Keeping the arm at heart level

20. Orthostatic hypotension occurs when:
    A) Blood pressure drops when moving from lying to standing
    B) Blood pressure rises significantly after eating
    C) The heart rate remains constant despite position changes
    D) Blood sugar levels drop suddenly

21. The Snellen chart is used to assess:
    A) Hearing
    B) Respiratory function
    C) Vision
    D) Reflexes

22. The first technique used in a physical assessment is:
    A) Palpation
    B) Inspection
    C) Percussion
    D) Auscultation

23. Inspection involves using:
    A) Touch and pressure
    B) Observation and visual cues
    C) Deep palpation techniques
    D) Reflex hammers

24. Palpation is used to assess:
    A) Blood pressure
    B) The texture, shape, and mobility of structures
    C) Heart sounds
    D) Vision

25. Light palpation is performed by pressing:
    A) 1-2 cm deep
    B) 3-4 cm deep
    C) 5-6 cm deep
    D) 7-8 cm deep

26. Deep palpation is used to:
    A) Feel surface structures
    B) Detect organ size and masses
    C) Measure heart rate
    D) Observe skin color

27. The dorsal surface of the hand is used to assess:
    A) Pulse volume
    B) Skin temperature
    C) Tissue elasticity
    D) Reflex response

28. Percussion is performed to:
    A) Assess joint mobility
    B) Determine the density of underlying tissues
    C) Observe skin hydration
    D) Evaluate muscle strength

29. Direct percussion is used primarily to:
    A) Assess deep organ function
    B) Detect tenderness or pain
    C) Measure lung expansion
    D) Evaluate joint flexibility

30. Tympany is a percussion sound typically heard over:
    A) Lungs
    B) Bones
    C) Abdomen
    D) Heart

31. Auscultation is used to assess:
    A) Muscle strength
    B) Circulation
    C) Internal body sounds
    D) Skin temperature

32. The diaphragm of a stethoscope is used for:
    A) Low-pitched sounds
    B) High-pitched sounds
    C) Hearing pulse rate
    D) Measuring respiratory effort

33. The bell of a stethoscope is best for:
    A) Detecting high-pitched sounds
    B) Measuring blood pressure
    C) Detecting low-pitched sounds like murmurs
    D) Assessing muscle tone

34. When documenting physical assessment findings, the nurse should:
    A) Summarize only the positive findings
    B) Record both normal and abnormal findings
    C) Use only subjective data
    D) Avoid using the patient’s words

35. The SOCRATES method is used to assess:
    A) Skin hydration
    B) Lung expansion
    C) Pain characteristics
    D) Visual acuity

Answer Key

1 A | 2. B | 3. C | 4. B | 5. C | 6. B | 7. B | 8. A | 9. B | 10. C

11 C | 12. C | 13. B | 14. C | 15. C | 16. B | 17. A | 18. C | 19. C | 20. A

21 C | 22. B | 23. B | 24. B | 25. A | 26. B | 27. B | 28. B | 29. B | 30. C

31 C | 32. B | 33. C | 34. B | 35. C