ATI RN
physical assessment test bank Questions
Question 1 of 5
When performing a visual acuity test, the nurse practitioner notes 20/30 in the left eye and 20/40 in the right eye using the Snellen eye chart. This means:
Correct Answer: A
Rationale: 20/30 and 20/40 visual acuity are borderline, and follow-up is appropriate.
Question 2 of 5
Which one of the following is most true about psychological aging?
Correct Answer: D
Rationale: Ageism is a significant factor in mental health decline, leading to isolation and depression.
Question 3 of 5
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.
Correct Answer: D
Rationale: Tamsulosin is an alpha-1 blocker that helps relieve urinary symptoms associated with BPH.
Question 4 of 5
Explain the procedure for measuring vibratory sense using a tuning fork. What anatomical location is commonly used for this assessment?
Correct Answer: B
Rationale: Vibratory sense is assessed by placing a vibrating tuning fork on bony prominences, commonly the big toe.
Question 5 of 5
A 38-year-old patient with a history of abdominal pain presents to the nurse practitioner. Findings reveal superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus. Hemorrhagic pancreatitis is suspected because of which finding?
Correct Answer: B
Rationale: Cullen�s sign, which involves bruising around the umbilicus, is associated with hemorrhagic pancreatitis.
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