jarvis physical assessment test bank

Questions 53

ATI RN

ATI RN Test Bank

jarvis physical assessment test bank Questions

Question 1 of 5

Several years later, Mr. Hunter, who is now 75 years old, seeks additional intervention for his urinary symptoms that have progressed further. He now experiences slow urinary stream, hesitancy, straining, and a feeling of incomplete emptying in addition to the previous urinary urgency and frequency. At times, he has noted blood in his urine. He has had five urinary tract infections (UTIs) in the past 2 years. His current IPSS is 24, with a bother score of 5 indicating severe voiding symptoms with high impact on his quality of life. Mr. Hunter�s updated medical history includes hypertension, coronary artery disease, benign prostatic hyperplasia, cataract surgery 4 years ago, and two falls within the past year while rushing to the bathroom during the night. Current medications are aspirin, metoprolol, finasteride, and tamsulosin. Physical examination reveals an enlarged, nontender prostate, about 50 g in size without discrete nodules. Upon further evaluation, the intermittent hematuria is attributed to BPH. Postvoid residual volume is 110 mL. Uroflowmetry reveals urinary flow rate of 12 mL/s. Which of the following is the best next step in management?

Correct Answer: D

Rationale: Given the severity of his symptoms and the failure of medical therapy, surgical resection of the prostate is the best option.

Question 2 of 5

A patient presents with an elongated head with bony prominence of the forehead, nose, and lower jaw. These facial features could be suggestive of:

Correct Answer: B

Rationale: Acromegaly is characterized by enlargement of bones and soft tissues, leading to features like a prominent jaw and forehead.

Question 3 of 5

When interpreting a complete blood count (CBC) lab report, which of the following results describes the size of the RBCs?

Correct Answer: B

Rationale: MCV measures the average size of red blood cells.

Question 4 of 5

The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30-year-old patient. The Nurse Practitioner should assess the patient's:

Correct Answer: C

Rationale: Enlarged epitrochlear nodes are associated with infections or conditions in the hand or forearm.

Question 5 of 5

Headache warning signs that need prompt investigation include all of the following except:

Correct Answer: D

Rationale: Headaches relieved with mild, infrequent analgesic use typically don�t require urgent investigation.

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