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  1. The technique of applying pressure from your palm and fingers to check for edema in the lower extremities is known as:

    1. Inspection

    2. Palpation

    3. Percussion

    4. Auscultation

  2. Sometimes called rales, this sound can be described as intermittent, crinkling, or rattling that is typical of air movement through fluid indicating inflammation, infection, or edema.

    1. Crackles

    2. Rhonchi

    3. Stridor

    4. Wheezes

  3. Mainly heard during expiration, this high-pitched, continuous whistling sound indicates air movement through narrow spaces as heard in chronic obstructive pulmonary disease (COPD) or asthma.

    1. Crackles

    2. Rhonchi

    3. Stridor

    4. Wheezes

  4. To listen to the apex of the heart and the tricuspid valve, you would use auscultation methods at which space:

    1. 2nd intercostal

    2. 3rd intercostal

    3. 4th intercostal

    4. 5th intercostal

  5. While normal in children, this abnormal heart sound in adults often indicates heart failure in patients greater than 40 years of age:

    1. S1

    2. S2

    3. S3

    4. S4

  6. One of your regular patients comes into your pharmacy complaining of nausea, vomiting, and anorexia. You notice that he is clutching the area of his body containing his appendix, and advise him to go to the emergency department. What area of his body was he guarding?

    1. Left upper quadrant

    2. Right upper quadrant

    3. Left lower quadrant

    4. Right lower quadrant

  7. One of your elderly patients who suffered from a hip fracture has been complaining of severe pain and as a result has been given scheduled opioid agent, Norco (hydrocodone/APAP). Due to this opioid intake, the doctor is concerned for what type of bowel sounds on auscultation:

    1. Normal

    2. Hyperactive

    3. Hypoactive

    4. Bruits

  8. Which one of the following is NOT a category in pain assessment as evaluated through the “PRQST” method?

    1. Precipitating factors

    2. Quantity of pain

    3. Region and radiation

    4. Severity of pain

    5. Time-related nature of pain

  9. You are listening to a medical resident speak with a patient about the pain she is currently experiencing. When asking about her precipitating factors for the pain, the medical resident is looking for:

    1. What aggravates the pain

    2. Adjectives to describe the pain

    3. Where the pain is located

    4. Other symptoms

    5. How long the pain lasts

  10. While looking at a pediatric patient’s chart, you notice that she is on several different pain medications. What would be the easiest way for you to determine if the current pain regimen is working for the patient?

    1. Vitals measurements

    2. Nurse notes

    3. Medication orders

    4. Wong-Baker FACES scale

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