physical examination and health assessment test bank

Questions 53

ATI RN

ATI RN Test Bank

physical examination and health assessment test bank Questions

Question 1 of 5

The nurse practitioner diagnoses a female patient with trichomoniasis. A common chief complaint of a patient with trichomoniasis is:

Correct Answer: C

Rationale: Vaginal discharge is a hallmark symptom of trichomoniasis.

Question 2 of 5

Key neurotransmitter-based therapeutic strategies for PD include all the following except:

Correct Answer: A

Rationale: PD treatment aims to increase dopaminergic activity and reduce cholinergic activity, not increase glutamatergic stimulation.

Question 3 of 5

The daughter of a 79-year-old woman notes that her mother, who has dementia and lives with her, is wetting herself when she attends her new day program. Program staff have requested that �something be done� as she is requiring a clothes change nearly every time she is there. She cannot describe the circumstances of leakage, saying �it just comes.� Leakage is uncommon at home. Her medications include donepezil and acetaminophen. Physical examination is normal. Initial treatment approach will require intervention by which of the following?

Correct Answer: A

Rationale: Given the complexity of dementia and incontinence, the physician should be involved in assessing the cause and recommending treatment.

Question 4 of 5

In a patient who has a history of migraine headaches, which characteristic is most common?

Correct Answer: B

Rationale: Family history is a significant risk factor for migraines.

Question 5 of 5

Mr. Quince is a 68-year-old patient who describes several months of urinary frequency and a sensation of incomplete emptying with no associated dysuria, hematuria, or fever. Physical examination reveals a slightly enlarged but nontender prostate, a postvoid residual urine volume of 20 mL, and a urinalysis with 15 white blood cells (WBCs) and 5 red blood cells (RBCs). Urine culture reveals 30,000 colony-forming units of Escherichia coli. You see a report from last year that shows urinalysis with 10 WBCs and 4 RBCs that was obtained as part of a routine evaluation. What is the most appropriate next step in the management of Mr. Quince�s symptoms?

Correct Answer: D

Rationale: A 4-week course of ciprofloxacin is appropriate to treat the urinary tract infection and resolve symptoms.

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