Upon assessment, the nurse notes the patient has an enlarged thyroid. Which action is most appropriate?- Skildor

ATI RN

ATI RN Test Bank

physical examination and health assessment test bank Questions

Question 1 of 5

Upon assessment, the nurse notes the patient has an enlarged thyroid. Which action is most appropriate?

A. Document the finding and observe for a few weeks B. Order a thyroid function test and ultrasound C. Advise the patient to take iodine supplements D. Schedule a follow-up appointment in six months

Correct Answer: B

Rationale: An enlarged thyroid warrants further investigation, such as thyroid function tests and imaging (ultrasound).

Question 2 of 5

Since passage of the ACA in 2010, the following are true about payments changes except:

A. Beneficiaries no longer have cost sharing for preventive services B. Providers in Medicare Advantage will be paid higher fees C. The coverage gap known as the donut hole in Part D will be reduced over time D. Hospitals have incentives to prevent readmission and coordinate care more effectively

Correct Answer: B

Rationale: Medicare Advantage providers are paid lower fees compared to traditional Medicare.

Question 3 of 5

Which of these clinical vignettes are not part of the Fried frailty paradigms?

A. Mrs. P has a caregiver comb her hair now because of inability to hold her arm up long enough to brush it herself. B. Mr. J has just been diagnosed with congestive heart failure after a recent admission to the hospital for a myocardial infarction. C. Mr. K has been losing weight for the last year despite family support of bringing food and negative workup for a more insidious cause. D. Mrs. T tells you she spends the majority of her time in her chair and only walks to the bathroom now because she gets too fatigued for minor home care tasks.

Correct Answer: B

Rationale: The Fried frailty criteria do not involve recent diagnoses like congestive heart failure but focus on physical symptoms like weight loss and fatigue.

Question 4 of 5

Which of the following factors is NOT typically assessed during a nail evaluation?

A. Condition B. Length C. Moisture D. Clubbing

Correct Answer: C

Rationale: Moisture is not typically a factor in nail evaluation; the focus is more on condition, length, and clubbing.

Question 5 of 5

Conductive and sensorineural phases are necessary for hearing to take place. The sensorineural phase of hearing pathways involves the:

A. Cochlea and the cochlear nerve B. External ear canal and the middle ear C. Ossicles and the inner ear D. Transfer of sounds from the external environment into the external auditory canal

Correct Answer: A

Rationale: The cochlea and cochlear nerve are involved in the sensorineural phase of hearing.

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