In obtaining a history, you note that a patient uses the word "largely" repeatedly, to the point of being a distraction to your task. Which word best describes this speech pattern?- Skildor

Question 1 of 5

In obtaining a history, you note that a patient uses the word "largely" repeatedly, to the point of being a distraction to your task. Which word best describes this speech pattern?

A. Clanging B. Echolalia C. Confabulation D. Perseveration

Correct Answer: D

Rationale: Perseveration is a speech pattern characterized by repeating a particular word, phrase, or topic excessively, even when it is no longer relevant to the conversation. In this scenario, the patient's repetitive use of the word "largely" to the point of distraction is indicative of perseveration. This can be a symptom of various neurological or psychiatric conditions, highlighting the importance of recognizing and addressing this speech pattern during the patient interview.

Question 2 of 5

Which of the following regarding jugular venous pulsations is a systolic phenomenon?

A. The "y" descent B. The "x" descent C. The upstroke of the "a" wave D. The downstroke of the "v" wave

Correct Answer: C

Rationale: The upstroke of the "a" wave in the jugular venous pulsations coincides with systole. The "a" wave is caused by atrial contraction, which occurs during ventricular systole. In contrast, the "x" descent is a diastolic phenomenon representing the atrial relaxation, the "y" descent follows atrial emptying in early diastole, and the "v" wave corresponds to venous filling during late diastole.

Question 3 of 5

Dakota is a 14-year-old boy who just noticed a rash at his ankles. There is no history of exposure to ill people or other agents in the environment. He has a slight fever in the office. The rash consists of small, bright red marks. When they are pressed, the red color remains. What should you do?

A. Prescribe a steroid cream to decrease inflammation. B. Consider admitting the patient to the hospital. C. Reassure the parents and the patient that this should resolve within a week. D. Tell him not to scratch them, and follow up in 3 days.

Correct Answer: B

Rationale: Dakota's presentation of a rash with small, bright red marks that do not fade when pressed (non-blanching) along with a slight fever raises concern for a serious condition such as meningococcal infection. Non-blanching rashes, especially when associated with fever, can be a sign of meningococcal sepsis, a life-threatening condition that requires urgent medical attention. Admission to the hospital is warranted for close monitoring, further evaluation, and initiation of appropriate treatment if needed. It is important to err on the side of caution in such cases to ensure the best possible outcome for the patient.

Question 4 of 5

A young woman undergoes cranial nerve testing. On touching the soft palate, her uvula deviates to the left. Which of the following is likely?

A. CN IX lesion on the left B. CN IX lesion on the right C. CN X lesion on the left D. CN X lesion on the right

Correct Answer: C

Rationale: When the uvula deviates to one side upon touching the soft palate, it indicates a dysfunction of the vagus nerve (CN X) on the side toward which the uvula deviates. In this case, the uvula deviates to the left, suggesting a lesion affecting the left CN X. This is because the palate and uvula are innervated by the vagus nerve (cranial nerve X), and damage to this nerve may result in an asymmetric elevation or deviation of the uvula upon stimulation. Therefore, a CN X lesion on the left side is the most likely explanation for the observed deviation of the uvula in this scenario.

Question 5 of 5

Francis is a middle-aged man who noted right-sided lower abdominal pain after straining with yard work. Which of the following would make a hernia more likely?

A. Absence of pain with straining B. Absence of bowel sounds in the scrotum C. Absence of a varicocele D. Absence of symmetry of the inguinal areas with straining

Correct Answer: D

Rationale: Inguinal hernias are common types of hernias that occur in the groin area. When a person strains, the hernia may become more noticeable as the abdominal contents push through a weak spot in the abdominal wall. The absence of symmetry of the inguinal areas with straining indicates that there is a hernia present, as the bulge or protrusion in the groin area becomes more prominent with straining. This makes a hernia more likely in this case. Therefore, option D is the correct choice in this scenario. The other options do not directly point to the presence of a hernia.

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Physical Assessment Nursing Practice Questions

Skildor

ATI RN