bates physical assessment test bank

Questions 54

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bates physical assessment test bank Questions

Question 1 of 5

Randall Johnson, an 80-year-old man with a history of high blood pressure and hypothyroidism, presents with ongoing dizziness. What is the most likely cause of his dizziness?

Correct Answer: A

Rationale: Orthostatic hypotension is the most likely cause of dizziness in this patient with high blood pressure and hypothyroidism.

Question 2 of 5

Risk factors for elder mistreatment include all except:

Correct Answer: E

Rationale: Financial independence of the caregiver is not a recognized risk factor for elder mistreatment.

Question 3 of 5

On admission to the hospital, an 85-year-old woman was found to have a fungating mass on her right breast. The mass is 9 cm in diameter, partially ulcerated, and associated with edema of the arm and obvious pain. The patient has no children and had lived alone until recently, when a neighbor became concerned for what appeared to be a progressive loss of memory and neglect of the house. A nephew living in another city eventually came to take care of the situation and arranged for the admission. The patient appears confused and withdrawn; her appearance is disheveled, but she seems to be independent in her ADLs. The medical history is negative for any serious illnesses. She was able to drive her own car until shortly before this admission. The nephew does not wish to authorize hospice �right now.� A positron-emission tomography scan was negative for metastatic disease. In addition to determining the cause of her delirium, which of the following is the best way to address the breast mass?

Correct Answer: E

Rationale: Given the patient's age and condition, the best approach is to avoid aggressive treatment and focus on symptom management.

Question 4 of 5

A pregnant patient presents for a routine 16-week prenatal visit. Her BP has decreased from 119/78 mmHg at her 12-week visit to 110/69 mmHg. What hemodynamic factor accounts for the decrease in BP?

Correct Answer: D

Rationale: Pregnancy typically leads to a decrease in systemic vascular resistance, which results in a lower blood pressure.

Question 5 of 5

Which antihypertensive would be appropriate to prescribe for a hypertensive patient (B/P 150/95) in her third trimester?

Correct Answer: C

Rationale: Methyldopa is safe for use in pregnancy and is the preferred antihypertensive for hypertension during pregnancy.

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