health assessment practice questions

Questions 45

ATI RN

ATI RN Test Bank

health assessment practice questions Questions

Question 1 of 5

A patient says that she has recently noticed a lump in the front of her neck below her"Adam's apple" that seems to be getting bigger. During the assessment, the finding that reassures the nurse that this may not be a cancerous thyroid nodule is that the lump (nodule):

Correct Answer: B

Rationale: The correct answer is B: the lump is mobile and not hard. A cancerous thyroid nodule is typically fixed and hard, whereas a noncancerous nodule is more likely to be mobile and soft. This characteristic suggests it may be a benign condition such as a thyroid cyst rather than a malignant tumor. The other choices are incorrect because A: tenderness does not necessarily indicate benignity or malignancy, C: disappearance when smiling is more related to a salivary gland issue, and D: hardness and fixation are more indicative of a potentially cancerous nodule.

Question 2 of 5

The nurse is preparing to do an otoscopic examination on a 2-year-old child. Which of the following reflects correct procedure?

Correct Answer: C

Rationale: The correct answer is C: Tilt the child's head slightly toward the examiner. This position straightens the ear canal, facilitating visualization. Pulling the pinna down (A) can cause discomfort and obstruct the view. Pulling the pinna up and back (B) is incorrect for a child under 3 years old as it straightens the ear canal in adults. Having the child touch his chin to his chest (D) is unnecessary and may lead to improper examination positioning.

Question 3 of 5

A 60-year-old man is at the clinic for an eye examination. The nurse suspects that he has ptosis of one eye. Ptosis is:

Correct Answer: C

Rationale: The correct answer is C: drooping of the upper eyelid. Ptosis refers to the drooping of the upper eyelid, which may occur due to weakened eyelid muscles or nerve damage. In this case, the nurse suspects ptosis in the 60-year-old man, which is likely due to age-related muscle weakness. Choice A, a cloudy cornea, is incorrect as it refers to a different eye condition. Choice B, an unequal red reflex, is incorrect as it is related to abnormalities in the retina. Choice D, protruding and bulging eyes, is incorrect as it indicates exophthalmos, a condition typically seen in thyroid eye disease.

Question 4 of 5

During ear examination, the patient reports that he is hears a buzzing sound that is"driving me crazy!" The nurse recognizes that this symptom is:

Correct Answer: C

Rationale: The correct answer is C: tinnitus. Tinnitus is the perception of sound without an external source, often described as ringing, buzzing, or hissing. In this case, the patient reporting a buzzing sound aligns with tinnitus. Vertigo (A) is a sensation of spinning or dizziness, not a sound perception. Pruritus (B) is itching, not a sound perception. Cholesteatoma (D) is a benign growth in the middle ear, not specifically related to sound perception. Therefore, tinnitus is the most appropriate choice based on the patient's symptom of hearing a buzzing sound.

Question 5 of 5

When assessing the tongue of an adult, an abnormal finding would be:

Correct Answer: A

Rationale: The correct answer is A because a smooth, glossy dorsal surface of the tongue is abnormal in adults and may indicate glossitis or nutritional deficiencies. B is incorrect as a thin white coating is normal. Raised papillae (choice C) may indicate transient lingual papillitis but are not typically abnormal. Visible venous patterns (choice D) are normal on the ventral surface.

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