physical examination and health assessment test bank

Questions 53

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physical examination and health assessment test bank Questions

Question 1 of 5

A patient presents with signs of chest pain, the nurse practitioner observes jugular venous distention. Their finding is consistent with:

Correct Answer: B

Rationale: Jugular venous distention is a sign of heart failure due to fluid retention.

Question 2 of 5

Which of the following is not a risk factor for late-life depression?

Correct Answer: D

Rationale: While family history, disability, and stroke are common risk factors, a history of myocardial infarction is less commonly associated with late-life depression.

Question 3 of 5

The nurse is caring for an older adult client with a history of falls. Which intervention is most likely to reduce the risk of future falls?

Correct Answer: B

Rationale: Exercise that improves balance and strength is a proven intervention to prevent falls in older adults.

Question 4 of 5

Mr. Quince is a 68-year-old patient who describes several months of urinary frequency and a sensation of incomplete emptying with no associated dysuria, hematuria, or fever. Physical examination reveals a slightly enlarged but nontender prostate, a postvoid residual urine volume of 20 mL, and a urinalysis with 15 white blood cells (WBCs) and 5 red blood cells (RBCs). Urine culture reveals 30,000 colony-forming units of Escherichia coli. You see a report from last year that shows urinalysis with 10 WBCs and 4 RBCs that was obtained as part of a routine evaluation. What is the most appropriate next step in the management of Mr. Quince�s symptoms?

Correct Answer: D

Rationale: A 4-week course of ciprofloxacin is appropriate to treat the urinary tract infection and resolve symptoms.

Question 5 of 5

Upon assessment, the nurse notes the patient has an enlarged thyroid. Which action is most appropriate?

Correct Answer: B

Rationale: An enlarged thyroid warrants further investigation, such as thyroid function tests and imaging (ultrasound).

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