Osteosarcoma in a pediatric patient is most often diagnosed when there is:- Skildor

ATI RN

ATI RN Test Bank

physical assessment test bank Questions

Question 1 of 5

Osteosarcoma in a pediatric patient is most often diagnosed when there is:

A. Pain in the affected bone B. Pathologic fracture C. Repeat fracture D. Apophyseal avulsion

Correct Answer: B

Rationale: Pathologic fractures, often caused by bone weakness due to osteosarcoma, are common at diagnosis.

Question 2 of 5

What aspects of sleep hygiene may make your facility more conducive for nighttime sleep?

A. Bright lights to illuminate pathways to bathrooms. B. Judicious restraint use to ensure patients remain in bed overnight. C. Allow patients with a greater degree of dementia an opportunity for an afternoon nap to improve their cognitive status. D. Neutralizing antiseptic smells, minimize movement of equipment through halls, maintain quiet hours where staff can speak in areas away from residents, avoid using overhead announcement systems.

Correct Answer: D

Rationale: Improving sleep hygiene by reducing environmental disturbances and creating a calm, quiet environment helps improve sleep quality for residents.

Question 3 of 5

Which group of lymph nodes are located on the medial surface of the arm approximately 3 cm above the elbow?

A. Lateral axillary nodes B. Infraclavicular nodes C. Epitrochlear nodes D. Submental nodes

Correct Answer: C

Rationale: The epitrochlear nodes are located near the elbow.

Question 4 of 5

Which of the following statements concerning advance directives is true?

A. The Supreme Court has established a standard advance directive form. B. The living will is used to appoint a healthcare agent to make medical decisions if an individual loses decision-making capacity. C. A DNR order is not equivalent to a do-not-treat order. D. Periods of acute illness are the most appropriate times to begin discussions with patients about advance directives.

Correct Answer: C

Rationale: A DNR order only addresses resuscitation and does not apply to other treatments.

Question 5 of 5

A 75-year-old client with a history of stroke is being assessed for rehabilitation. Which factor is most important for successful rehabilitation?

A. The client�s level of motivation and engagement B. The client�s age and medical history C. The client�s current level of independence D. The availability of family support

Correct Answer: A

Rationale: Motivation and engagement in rehabilitation are key to achieving the best outcomes for older adults recovering from a stroke.

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You are treating a female patient whose chief complaint is lower abdominal pain and are now taking the SAMPLE history. Which question is BEST for determining the patient's last oral intake?

An 82-year-old man, Mr. A, complains of worsening nocturia, occurring four times per night. His other lower urinary tract symptoms are slow stream, occasional urgency, and urgency-related leakage once weekly. Medical problems include poorly controlled hypertension, diastolic heart failure, hyperlipidemia, osteoarthritis, and prediabetes. His medications include lisinopril 20 mg daily, metoprolol succinate 75 mg daily, atorvastatin 10 mg daily, metformin 500 mg twice daily, hydrocodone-acetaminophen as needed, and aspirin 81 mg daily. Amlodipine 5 mg daily was recently added by his cardiologist. On review of systems, Mr. A complains that nocturia is causing daytime fatigue, and he is more constipated. Physical examination is notable for blood pressure 162/83 mmHg, heart rate 60 beats per minute, clear lungs, soft abdomen, enlarged prostate, and 21 pre-tibial edema.

What anatomical structures can be visualized using a nasal speculum?

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