:TYPE:MC:1:0:C
:TITLE:Question TF #1
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Patients who cannot perform ADLs must remain in the hospital or other health care institution.</div>
:LAYOUT:vertical
:ANSWER1:0:H
True
:REASON1:H
Incorrect.
:ANSWER2:100:H
False
:REASON2:H
Correct.
:FEEDBACK
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>ADLs are activities of daily living that we all perform to function. Many times family members or others can assist the patient so they can remain in their home.</div>
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question TF #2
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Good oral communication skills are essential for conducting effective patient assessments.</div>
:LAYOUT:vertical
:ANSWER1:100:H
True
:REASON1:H
Correct.
:ANSWER2:0:H
False
:REASON2:H
Incorrect.
:FEEDBACK
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Obtaining information pertinent to a good assessment is dependent on good oral communication skills.</div>
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question TF #3
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>If a hospitalized patient has always had normal blood pressure readings, it is not necessary to measure it every time the other vital signs are checked.</div>
:LAYOUT:vertical
:ANSWER1:0:H
True
:REASON1:H
Incorrect.
:ANSWER2:100:H
False
:REASON2:H
Correct.
:FEEDBACK
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>The patient is in the hospital due to some illness, and a change in the blood pressure may signal a change in their condition.</div>
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question TF #4
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Using the thumb to measure the patient&#8217;s pulse ensures the most accurate measurement.</div>
:LAYOUT:vertical
:ANSWER1:0:H
True
:REASON1:H
Incorrect.
:ANSWER2:100:H
False
:REASON2:H
Correct.
:FEEDBACK
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Using the thumb may result in the health care worker&#8217;s feeling their own pulse.</div>
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question TF #5
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>It is not possible for the radial pulse rate to be higher than the apical pulse rate.</div>
:LAYOUT:vertical
:ANSWER1:100:H
True
:REASON1:H
Correct.
:ANSWER2:0:H
False
:REASON2:H
Incorrect.
:FEEDBACK
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>The radial pulse (at the wrist) cannot be higher than the source of the pulse, which is the heart (apical pulse).</div>
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question TF #6
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>The normal rate of respiration increases with age.</div>
:LAYOUT:vertical
:ANSWER1:0:H
True
:REASON1:H
Incorrect.
:ANSWER2:100:H
False
:REASON2:H
Correct.
:FEEDBACK
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>The respiratory rate decreases with age.</div>
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question TF #7
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>An adult blood pressure of 135/85 is considered to be within the normal range.</div>
:LAYOUT:vertical
:ANSWER1:100:H
True
:REASON1:H
Correct.
:ANSWER2:0:H
False
:REASON2:H
Incorrect.
:FEEDBACK
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Normal rage for an adult is 90/60 to 140/90.</div>
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question MC #1
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Which order is most frequently used for conducting complete physical examinations?</div>
:LAYOUT:vertical
:ANSWER1:100:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>from head to toe</span>
:REASON1:T
Correct.
:ANSWER2:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>from trunk to arms and legs</span>
:REASON2:T
Most common is head to toe.
:ANSWER3:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>from feet to head</span>
:REASON3:T
Most common is head to toe
:ANSWER4:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>from arms and legs to trunk</span>
:REASON4:T
Most common is head to toe.
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question MC #2
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Which of the following is the most fundamental skill on which to base good health care observational skills?</div>
:LAYOUT:vertical
:ANSWER1:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>recognizing the signs of disease</span>
:REASON1:T
Recognizing the signs of disease is important, but if you do not know normal anatomy and physiology, there is no base upon which to gauge the abnormal.
:ANSWER2:100:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>understanding normal anatomy and physiology</span>
:REASON2:T
Correct.
:ANSWER3:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>learning diagnostic skills</span>
:REASON3:T
Learning diagnostic skills is important, but basic to that is knowing normal anatomy and physiology.
:ANSWER4:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>knowing how to correctly read the patient&#8217;s chart</span>
:REASON4:T
Knowing how to correctly read the patients chart is important, but understanding normal anatomy and physiology is the base needed for good observational skills.
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question MC #3
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>What is the most appropriate action when observing an abnormal condition in a patient?</div>
:LAYOUT:vertical
:ANSWER1:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Note the condition on the patient&#8217;s chart.</span>
:REASON1:T
Abnormal conditions need to be noted in the patients chart, but notifying your supervisor is more important to do first.
:ANSWER2:100:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Report the condition immediately to your supervisor.</span>
:REASON2:T
Correct.
:ANSWER3:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Check on the patient again in a few hours.</span>
:REASON3:T
A change in condition would require frequent checks to monitor status.
:ANSWER4:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Call the physician.</span>
:REASON4:T
The physician may need to be called, but the supervisor will make that decision.
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question MC #4
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>What is the purpose of the general health survey?</div>
:LAYOUT:vertical
:ANSWER1:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>determine the chief complaint</span>
:REASON1:T
The purpose of the general health survey is to get a picture of the patient as a whole and may give clues, but does not result in the determination of the chief complaint.
:ANSWER2:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>make a diagnosis</span>
:REASON2:T
The purpose of the general health survey is to get a picture of the patient as a whole and may give clues, but does not result in the determination of the diagnosis.
:ANSWER3:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>learn about patient&#8217;s health habits</span>
:REASON3:T
The purpose of the general health survey is to get a picture of the patient as a whole and may give clues, but does not result in the determination of the patients health habits.
:ANSWER4:100:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>get an impression of the patient as a whole</span>
:REASON4:T
Correct.
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question MC #5
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>What does it mean when a patient reports his pain dropping from an 8 to a 2 after receiving pain medication?</div>
:LAYOUT:vertical
:ANSWER1:100:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>The medication has been effective.</span>
:REASON1:T
Correct.
:ANSWER2:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>The patient did not need the medication.</span>
:REASON2:T
The reduction in the reported pain scale indicates the patient did need the medication.
:ANSWER3:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>The medication regimen needs to be reevaluated.</span>
:REASON3:T
The reduction in the reported pain scale from 8 to 2 indicates the medication regime was effective.
:ANSWER4:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>The pain cannot be controlled.</span>
:REASON4:T
The reduction in the reported pain scale indicates that the pain has been controlled.
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question MC #6
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>What is indicated by a patient&#8217;s blood pressure?</div>
:LAYOUT:vertical
:ANSWER1:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>emotional stress</span>
:REASON1:T
Emotional stress can affect the blood pressure, but the blood pressure reading is not a measurement of stress.
:ANSWER2:100:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>how hard the heart is working to distribute blood</span>
:REASON2:T
Correct.
:ANSWER3:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>presence of infection</span>
:REASON3:T
The presence of infection can affect the blood pressure, but the blood pressure reading is not a determination of the presence of infection.
:ANSWER4:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>rate of heartbeat</span>
:REASON4:T
The rate of the heart may affect the blood pressure, but the heartbeat is not indicated by the blood pressure.
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question MC #7
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Which is the most appropriate action for a patient who is febrile?</div>
:LAYOUT:vertical
:ANSWER1:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Stay as warm as possible.</span>
:REASON1:T
Increasing the warmth may increase the temperature, and febrile means they already have an increased temperature.
:ANSWER2:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Increase activity to encourage sweating.</span>
:REASON2:T
Exercising may increase the temperature, and febrile means they already have an increased temperature.
:ANSWER3:100:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Increase intake of fluids.</span>
:REASON3:T
Correct.
:ANSWER4:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Decrease intake of fluids.</span>
:REASON4:T
A fever (febrile) will cause dehydration, and decreasing the intake will make matters worse.
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question MC #8
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Which statement is true about the proper use of chemical-dot thermometers?</div>
:LAYOUT:vertical
:ANSWER1:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Shake them down before measuring temperature.</span>
:REASON1:T
There is no mercury to shake down.
:ANSWER2:100:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Do not remove the cover in advance of use.</span>
:REASON2:T
Correct.
:ANSWER3:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Place them in disposable sheaths.</span>
:REASON3:T
They do not have disposable sheaths.
:ANSWER4:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Use them only with children.</span>
:REASON4:T
They can be used in any age group.
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question MC #9
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Sweating is a method the body uses to&#058;</div>
:LAYOUT:vertical
:ANSWER1:100:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>cool itself</span>
:REASON1:T
Correct.
:ANSWER2:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>fight infection</span>
:REASON2:T
The body trying to fight an infection causes an increase in temperature, and sweating causes a decrease in temperature.
:ANSWER3:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>kill microorganisms</span>
:REASON3:T
The body increases the temperature to kill microorganisms, and sweating causes a decrease n temperature.
:ANSWER4:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>stop a fever from recurring</span>
:REASON4:T
Sweating does not stop a fever from recurring.
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question MC #10
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>How many minutes should a mercury thermometer be left in the mouth when taking an oral temperature?</div>
:LAYOUT:vertical
:ANSWER1:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>1</span>
:REASON1:T
1 minute is not long enough for an accurate reading.
:ANSWER2:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>3</span>
:REASON2:T
3 minutes is not long enough for an accurate reading.
:ANSWER3:100:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>5</span>
:REASON3:T
Correct.
:ANSWER4:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>10</span>
:REASON4:T
10 minutes is longer than required for an accurate temperature.
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question MC #11
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Which method of taking the temperature should NOT be used with patients who have recently suffered a heart attack?</div>
:LAYOUT:vertical
:ANSWER1:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>axillary</span>
:REASON1:T
Axillary temperatures are safe in a patient with a recent heart attack.
:ANSWER2:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>oral</span>
:REASON2:T
Oral temperatures are safe in a patient with a recent heart attack.
:ANSWER3:100:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>rectal</span>
:REASON3:T
Correct.
:ANSWER4:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>tympanic</span>
:REASON4:T
Tympanic temperatures are safe in a patient with a recent heart attack.
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question MC #12
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Which of the following routes will give the highest thermometer reading?</div>
:LAYOUT:vertical
:ANSWER1:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>oral</span>
:REASON1:T
Oral will run lower than rectal.
:ANSWER2:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>axillary</span>
:REASON2:T
Axillary will run lower than rectal.
:ANSWER3:100:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>rectal</span>
:REASON3:T
Correct.
:ANSWER4:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>tympanic</span>
:REASON4:T
Tympanic will run lower than rectal.
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question MC #13
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>When is it appropriate to take a pulse by counting the heart rate for 30 seconds and multiplying by two?</div>
:LAYOUT:vertical
:ANSWER1:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>never</span>
:REASON1:T
It is appropriate when the patient does not have a cardiac or respiratory condition and the pulse is strong, regular, and within normal range.
:ANSWER2:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>when the patient is very young and does not have a cardiac or respiratory condition</span>
:REASON2:T
It is appropriate when the patient does not have a cardiac or respiratory condition and the pulse is strong, regular, and within normal range.
:ANSWER3:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>when the previous two readings are normal and the patient does not have a respiratory condition</span>
:REASON3:T
It is appropriate when the patient does not have a cardiac or respiratory condition and the pulse is strong, regular, and within normal range.
:ANSWER4:100:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>when the pulse is strong, regular, and within normal range and patient does not have a cardiac condition</span>
:REASON4:T
Correct.
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question MC #14
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Testing for an apical-radial deficit is done in order to&#058;</div>
:LAYOUT:vertical
:ANSWER1:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>determine if the pulse is regular</span>
:REASON1:T
Apical-radial deficit does not measure the regularity of the pulse.
:ANSWER2:100:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>measure the ability of the heart to contract</span>
:REASON2:T
Correct.
:ANSWER3:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>determine if the patient is having a heart attack</span>
:REASON3:T
Apical-radial deficit does not determine if the patient is having a heart attack.
:ANSWER4:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>obtain a very accurate pulse rate</span>
:REASON4:T
Apical-radial deficit does not increase the accuracy of the pulse rate.
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question MC #15
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Which action is necessary to obtain an accurate respiratory rate?</div>
:LAYOUT:vertical
:ANSWER1:100:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Count respirations without the patient&#8217;s knowledge.</span>
:REASON1:T
Correct.
:ANSWER2:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Instruct the patient to lie still and breathe normally.</span>
:REASON2:T
When patients are instructed how to breathe, they often alter their rate.
:ANSWER3:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Place a stethoscope on the chest.</span>
:REASON3:T
A respiratory rate can be taken when the stethoscope is on the chest, but the main factor is for the patient not to know that you are checking the respiratory rate.
:ANSWER4:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Ask the patient to take deep breaths.</span>
:REASON4:T
The respiratory rate is not taken when the patient is taking deep breaths.
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question MC #16
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>When working with patients who have orthostatic hypotension, it is important to&#058;</div>
:LAYOUT:vertical
:ANSWER1:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>make sure they take blood pressure medication</span>
:REASON1:T
Orthostatic hypotension is a lowered blood pressure, and blood pressure medication would lower it further.
:ANSWER2:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>test for apical-radical deficit</span>
:REASON2:T
This is not an indicator for apical-radial deficit.
:ANSWER3:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>check their blood pressure frequently</span>
:REASON3:T
This is not an indication for checking the blood pressure more frequently.
:ANSWER4:100:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>assist them when they attempt to stand from a lying or sitting position</span>
:REASON4:T
Correct.
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question MC #17
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Which statement is NOT true about high blood pressure?</div>
:LAYOUT:vertical
:ANSWER1:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>It can lead to serious conditions such as heart attack and stroke.</span>
:REASON1:T
Uncontrolled high blood pressure can increase the chances of heart attack and stroke.
:ANSWER2:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>It usually has no symptoms.</span>
:REASON2:T
High blood pressure is called the silent killer because it rarely has any symptoms.
:ANSWER3:100:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>It does not require treatment if the individual is under age 65.</span>
:REASON3:T
Correct.
:ANSWER4:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>It affects more than one-half of the U.S. population who are over age 65.</span>
:REASON4:T
This is true.
:CAT:Mitchell_Examviewch20

:TYPE:MC:1:0:C
:TITLE:Question MC #18
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>When taking a blood pressure, at what point should you stop inflating the arm cuff?</div>
:LAYOUT:vertical
:ANSWER1:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>when you can no longer feel the pulse</span>
:REASON1:T
This is stopping too soon.
:ANSWER2:100:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>at 30 mm Hg higher than when you last feel the pulse</span>
:REASON2:T
Correct.
:ANSWER3:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>when the dial reads 120 mm Hg</span>
:REASON3:T
It is not a set number, but based on the individual patient.
:ANSWER4:0:H
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>when it becomes uncomfortable for the patient</span>
:REASON4:T
It is not based on level of comfort, but on the point which is 30 mm Hg higher than when the pulse disappears.
:CAT:Mitchell_Examviewch20

:TYPE:M:long:long:E:1
:TITLE:Question MA #1-7
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'><i>Match each term with the correct definition below.</i></div>
:L1
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Physician who recommends a second physician or other health care specialist</span>
:R1
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Source of referral</span>
:L2
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Using hands on the outside of the body to detect evidence of internal abnormalities</span>
:R2
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Palpation</span>
:L3
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Using a stethoscope to listen to sounds inside the body</span>
:R3
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Auscultation</span>
:L4
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Using the fingertips to tap the body to determine the characteristics of internal structures</span>
:R4
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Percussion</span>
:L5
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Complete physical assessment, including height, weight, and vital signs</span>
:R5
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Review of all systems</span>
:L6
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Using the senses to determine aspects of a patient&#8217;s condition</span>
:R6
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Inspection</span>
:L7
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Family and friends, conditions in the home</span>
:R7
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Psychosocial history</span>
:CAT:Mitchell_Examviewch20

:TYPE:M:long:long:E:1
:TITLE:Question MA #8-17
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'><i>Match each term with the correct statement below.</i></div>
:L1
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Measured with a stethoscope placed over the highest point of the heart</span>
:R1
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Apical pulse</span>
:L2
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Action of air being expelled out of the lungs</span>
:R2
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Exhalation</span>
:L3
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Breathing pattern characterized by absence of respirations for 10 to 60 seconds</span>
:R3
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Cheyne-Stokes</span>
:L4
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Pulse rate of more than 100 beats per minute</span>
:R4
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Tachycardia</span>
:L5
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Activities regularly performed to meet one&#8217;s physical needs</span>
:R5
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>ADLs</span>
:L6
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Respiratory rate below normal range</span>
:R6
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Bradypnea</span>
:L7
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Instrument used to measure blood pressure</span>
:R7
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Sphygmomanometer</span>
:L8
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Difficulty breathing</span>
:R8
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Dyspnea</span>
:L9
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Temperature within the normal range</span>
:R9
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Afebrile</span>
:L10
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Blood pressure above the normal range</span>
:R10
<span style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Hypertension</span>
:CAT:Mitchell_Examviewch20

:TYPE:S
:TITLE:Question CO #1
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Two basic ways for the health care worker to obtain essential information about patients are observation and ______________________________.</div>
:ANSWERS:1
:CASE:0
:ANSWER1:asking appropriate questions:100:0:60:0
:ANSWER2:appropriate questions:100:0:60:0
:ANSWER3:questioning:100:0:60:0
:CAT:Mitchell_Examviewch20

:TYPE:S
:TITLE:Question CO #2
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Body temperature readings are typically ____________________ during early morning hours.</div>
:ANSWERS:1
:CASE:0
:ANSWER1:lowest:100:0:60:0
:ANSWER2:lower:100:0:60:0
:CAT:Mitchell_Examviewch20

:TYPE:S
:TITLE:Question CO #3
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>The four vital signs commonly measured by the health care worker are ____________________, ____________________, ____________________, and ____________________.</div>
:ANSWERS:1
:CASE:0
:ANSWER1:temperature; pulse; respirations; blood pressure:100:0:60:0
:CAT:Mitchell_Examviewch20

:TYPE:S
:TITLE:Question CO #4
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>The pulse deficit assessment check requires the coordination of ____________________ health care workers and must be conducted for ____________________ minute(s).</div>
:ANSWERS:1
:CASE:0
:ANSWER1:2; 1:100:0:60:0
:ANSWER2:two; one:100:0:60:0
:ANSWER3:two; 1:100:0:60:0
:CAT:Mitchell_Examviewch20

:TYPE:S
:TITLE:Question CO #5
:QUESTION:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Tracking the weight of patients with kidney problems is important for monitoring the amount of ____________________ being retained by the body.</div>
:ANSWERS:1
:CASE:0
:ANSWER1:fluid:100:0:60:0
:CAT:Mitchell_Examviewch20

:TYPE:P
:TITLE:Question SA #1
:QUESTION:H:60:5
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Explain why health care workers can provide physicians with valuable information about the conditions of patients.</div>
:ANSWER:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>They have opportunities to observe and interact with patients over periods of time; they can see changes over time.</div>
:CAT:Mitchell_Examviewch20

:TYPE:P
:TITLE:Question SA #2
:QUESTION:H:60:5
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>List six components that make up the initial History and Physical filled out for new patients.</div>
:ANSWER:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Date, demographic data, source of referral, chief complaint, history of present illness, past history, current health status, family history of illness, psychosocial history, review of all systems</div>
:CAT:Mitchell_Examviewch20

:TYPE:P
:TITLE:Question SA #3
:QUESTION:H:60:5
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>List at least five physical and two psychosocial aspects that should be observed when doing a general survey of a patient.</div>
:ANSWER:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Physical&#058; strength, wellness or illness, posture, signs of distress, body size and proportion, skin color, odors, speech, vital signs, level of consciousness, motor response. <br>Psychosocial&#058; emotional responses, appropriate expressions, appropriate behavior, appropriate appearance and clothing.</div>
:CAT:Mitchell_Examviewch20

:TYPE:P
:TITLE:Question SA #4
:QUESTION:H:60:5
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>List two significant factors to be included when performing a physical assessment of each the following systems&#058;<br>a. Musculoskeletal<br>b. Integumentary<br>c. Circulatory<br>d. Respiratory<br>e. Digestive<br>f. Urinary<br>g. Nervous<br>h. Sensory<br>i. Reproductive</div>
:ANSWER:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>a. Discomfort with movement, manner of walking, muscle strength<br>b. Color, temperature, dryness or moisture, cuts, rashes, bruises<br>c. Vital signs, weight, weight changes, pain in arms and legs, peripheral pulses, capillary refill, neck vein distention, activity intolerance<br>d. Respiratory rate and rhythm, color of skin and mucous membranes, breathing problems, chest pain, cough, cyanosis<br>e. Condition of abdomen, change in bowel habits or nature of stools, abdominal discomfort, changes in weight and/or appetite<br>f. Appearance of urine, problems with urination, changes in urination habits, need to urinate during the night, unable to hold urine<br>g. Numbness or tingling, emotional changes, mental changes <br>h. Discomfort or pain, visual disturbances, eye difficulties when reading, drainage from ear, sounds or sensations in ears, difficulty hearing<br>i. Menstruation, pain or discharge from genitalia, surgeries</div>
:CAT:Mitchell_Examviewch20

:TYPE:P
:TITLE:Question SA #5
:QUESTION:H:60:5
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>List the three observations to make when taking a pulse.</div>
:ANSWER:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Rate or number of beats per minute, rhythm or regularity, volume or strength of beat</div>
:CAT:Mitchell_Examviewch20

:TYPE:P
:TITLE:Question SA #6
:QUESTION:H:60:5
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Explain why a diagnosis of high blood pressure is never made after just one reading.</div>
:ANSWER:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Many variables affect blood pressure, including the stress of visiting the physician&#8217;s office.</div>
:CAT:Mitchell_Examviewch20

:TYPE:P
:TITLE:Question ES #1
:QUESTION:H:60:5
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>Discuss the meaning of the following statement&#058; &#8220;A critical function of the health care worker is to be able to discriminate between normal and abnormal conditions and situations.&#8221; Include knowledge and skills that students should acquire.</div>
:ANSWER:H
<div style='font-size:12pt; font-family:"Times New Roman"; color:#000000;'>(<i>Answers should include the importance of understanding normal A&amp;P so the health care worker has a baseline for recognizing unusual conditions that may indicate health problems.</i>)</div>
:CAT:Mitchell_Examviewch20

