health assessment practice questions

Questions 45

ATI RN

Home > ATI RN > Health Assessment > health assessment practice questions
ATI RN Test Bank

health assessment practice questions Questions

Question 1 of 5

A patient comes into the emergency department after an accident at work. He had not been wearing safety glasses, and a machine had blown dust into his eyes. The nurse examines his corneas by shining a light from the side across the cornea. What findings would suggest that he has suffered corneal abrasion?

Correct Answer: D

Rationale: The correct answer is D. A shattered look to the light rays reflecting off the cornea indicates corneal abrasion. When the cornea is scratched or abraded, light rays reflecting off it appear shattered due to irregularities on the corneal surface. This is a classic sign of corneal abrasion. A: Smooth and clear corneas (incorrect) - This would not indicate corneal abrasion as abrasions cause irregularities on the corneal surface. B: Opacity of the lens behind the cornea (incorrect) - This suggests a different issue related to the lens, not corneal abrasion. C: Bleeding from the areas across the cornea (incorrect) - This suggests a more severe injury like a corneal laceration, not a simple abrasion. In summary, choice D is correct as the shattered look of light rays is a characteristic finding in corneal abrasion, while the other choices do not

Question 2 of 5

When examining a patient's eyes, the nurse knows that stimulation of the sympathetic branch of the autonomic nervous system:

Correct Answer: C

Rationale: The correct answer is C because stimulation of the sympathetic branch of the autonomic nervous system results in the elevation of the eyelid (ptosis) and dilation of the pupil (mydriasis). This is due to the action of the dilator pupillae muscle and the superior tarsal muscle. Pupillary constriction (choice A) is controlled by the parasympathetic branch via the sphincter pupillae muscle. Adjusting the eye for near vision (choice B) is controlled by the ciliary muscle, which is under parasympathetic control, not sympathetic. Contraction of the ciliary body (choice D) is also controlled by the parasympathetic system for accommodation of near vision, not the sympathetic system.

Question 3 of 5

A 32-year-old woman is at the clinic for a checkup, and she states,"I have little white bumps in my mouth." During the assessment, the nurse notes that she has a 5-cm white, nontender papule under her tongue and one on the mucosa of her right cheek. Which of the following would the nurse tell the patient?

Correct Answer: D

Rationale: The correct answer is D because Fordyce's granules are small, yellow-white or flesh-colored spots that are sebaceous glands and commonly found on the oral mucosa. They are benign and do not require treatment. In this case, the patient's description matches the characteristics of Fordyce's granules. Option A is incorrect because strep throat typically presents with other symptoms like sore throat and fever, not white bumps in the mouth. Option B is incorrect as there is no indication of a serious lesion based on the description given. Option C is incorrect as leukoplakia is a condition associated with chronic irritation, not Fordyce's granules.

Question 4 of 5

A colleague is assessing an 80-year-old patient who has ear pain and asks him to hold his nose and swallow. Which of the following about this technique is true?

Correct Answer: D

Rationale: The correct answer is D because asking the patient to hold his nose and swallow causes the eustachian tube to open, equalizing pressure in the middle ear. This action will cause the eardrum to bulge slightly outward, making landmarks more visible. Choice A is incorrect as age alone does not preclude the use of this technique. Choice B is incorrect because this technique is not primarily used for assessing otitis media. Choice C is incorrect as it is not specific to upper respiratory infections.

Question 5 of 5

During the examination of a patient in her third trimester of pregnancy, the nurse notices that the patient's thyroid gland is slightly enlarged. No enlargement had been noted previously. The nurse suspects that:

Correct Answer: C

Rationale: Step-by-step rationale for why choice C is correct: 1. Enlargement of the thyroid gland during pregnancy is a normal finding due to hormonal changes. 2. The thyroid gland enlarges to meet the increased demands of thyroid hormone production. 3. This condition is known as gestational thyrotoxicosis and is usually benign. 4. No further testing is needed for thyroid cancer unless other concerning symptoms are present. Summary: A: Not relevant as iodine deficiency is not typically associated with thyroid enlargement in pregnancy. B: Incorrect as early signs of goitre would involve more pronounced symptoms than just slight enlargement. D: Unnecessary as thyroid cancer is not a common concern in this scenario of a slightly enlarged thyroid in the third trimester of pregnancy.

Similar Questions

During the examination of a patient in her third trimester of pregnancy, the nurse notices that the patient's thyroid gland is slightly enlarged. No enlargement had been noted previously. The nurse suspects that:
A mother who has brought her newborn infant for assessment tells the nurse that she has noticed that whenever her newborn's head is turned to the right side, the baby straightens out the arm and leg on the same side and flexes the opposite arm and leg. After confirming this on examination, the nurse would tell the mother that this is:
The nurse suspects that a patient has hyperthyroidism, and laboratory data also indicate that the patient's T and T hormone levels are elevated. Which of the following would the nurse most likely find on 4 3 examination?
When examining the face, the nurse is aware that the two pairs of salivary glands that are accessible to examination are the _____ glands.
During a well-baby checkup, the nurse notices that a 1-week-old infant's face looks small, compared with an enlarged cranium. On further examination, the nurse also notes dilated scalp veins and downcast, or"setting sun," eyes. What condition does the nurse suspect?

Join Our Community Today!

Join Over 10,000+ nursing students using Nurselytic. Access Comprehensive study Guides curriculum for ATI-RN and 3000+ practice questions to help you pass your ATI-RN exam.

Call to Action Image