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PHYSICAL ASSESSMENT PRACTICE FINAL 1 2025

QUESTIONS AND ANSWERS PLUS

RATIONALES| GUARANTEED PASS | LATEST

UPDATE | CHAMBERLAIN UNIVERSITY

• During a head-to-toe physical assessment, the best position to assess jugular

venous distension (JVD) is:

• Sitting upright at 90 degrees
• Supine with the head of bed at 30-45 degrees
• Lying flat
• Standing upright

Rationale: JVD is best visualized when the patient is at a 30- to 45-degree angle to allow venous pulsation visibility.

• A patient reports pain in the right lower quadrant (RLQ). Which maneuver

helps assess for appendicitis?

• Murphy’s sign 1 / 3

• McBurney’s point tenderness
• Obturator sign
• Cullen’s sign

Rationale: McBurney’s point tenderness is a classic sign of appendicitis, located in the RLQ.

• During lung auscultation, you hear high-pitched, musical sounds during

expiration. What is the most likely finding?

• Crackles
• Wheezes
• Rhonchi
• Pleural friction rub

Rationale: Wheezes are high-pitched and musical, typically heard in obstructive

airway diseases like asthma.

• Which heart sound is heard best with the bell of the stethoscope at the apex

in the left lateral decubitus position?

• S1
• S3
• S2
• Split S2

Rationale: S3 is a low-pitched sound heard best with the bell in the left lateral decubitus position. 2 / 3

5. The Rinne test compares:

• Air conduction with bone conduction
• Right ear to left ear hearing
• Air conduction to bone conduction
• Sensorineural to conductive loss

Rationale: The Rinne test assesses whether air conduction is greater than bone

conduction (normal finding).

• Which cranial nerve is tested by assessing facial symmetry when the patient

smiles?

• Cranial nerve VII (Facial)
• Cranial nerve V (Trigeminal)
• Cranial nerve IX (Glossopharyngeal)
• Cranial nerve XII (Hypoglossal)

Rationale: CN VII controls facial expressions, including smiling.

7. The Allen test is used to assess:

• Deep vein thrombosis
• Patency of the radial and ulnar arteries
• Carotid artery stenosis
• Arterial insufficiency in the legs
• / 3