ATI RN
NCLEX Practice Questions Physical Assessment Questions
Question 1 of 5
You are running late after your quarterly quality improvement meeting at the hospital and have just gotten paged from the nurses' station because a family member of one of your patients wants to talk with you about that patient's care. You have clinic this afternoon and are double- booked for the first appointment time; three other patients also have arrived and are sitting in the waiting room. Which of the following demeanors is a behavior consistent with skilled interviewing when you walk into the examination room to speak with your first clinic patient?
Correct Answer: D
Rationale: It is important to maintain a calm demeanor when walking into the examination room to speak with your first clinic patient, especially in a busy and high-pressure situation. Demonstrating calmness will help to build rapport with the patient, create a sense of trust, and promote effective communication. This demeanor will also convey professionalism and confidence, which are essential qualities for a healthcare provider. Displaying irritability, impatience, or boredom can negatively impact the patient-provider relationship and hinder effective communication, potentially compromising the quality of care provided.
Question 2 of 5
You are running late after your quarterly quality improvement meeting at the hospital and have just gotten paged from the nurses' station because a family member of one of your patients wants to talk with you about that patient's care. You have clinic this afternoon and are double- booked for the first appointment time; three other patients also have arrived and are sitting in the waiting room. Which of the following demeanors is a behavior consistent with skilled interviewing when you walk into the examination room to speak with your first clinic patient?
Correct Answer: D
Rationale: It is important to maintain a calm demeanor when walking into the examination room to speak with your first clinic patient, especially in a busy and high-pressure situation. Demonstrating calmness will help to build rapport with the patient, create a sense of trust, and promote effective communication. This demeanor will also convey professionalism and confidence, which are essential qualities for a healthcare provider. Displaying irritability, impatience, or boredom can negatively impact the patient-provider relationship and hinder effective communication, potentially compromising the quality of care provided.
Question 3 of 5
A mother brings her 11 month old to you because her mother-in-law and others have told her that her baby is jaundiced. She is eating and growing well and performing the developmental milestones she should for her age. On examination you indeed notice a yellow tone to her skin from head to toe. Her sclerae are white. To which area should your next questions be related?
Correct Answer: B
Rationale: Since the baby is exhibiting jaundice, which is a condition characterized by the yellowing of the skin, it is important to inquire about the family history of liver diseases. Jaundice can be a sign of liver dysfunction or disease, so understanding the family history of liver diseases can provide valuable insights into potential underlying causes for the baby's jaundice. In this case, it is crucial to explore this area further to determine if there may be any genetic predispositions or familial conditions that could be contributing to the baby's presentation of jaundice.
Question 4 of 5
A 56-year-old homosexual man presents with itching, anorectal pain, and tenesmus of 1 week's duration. Rectal examination reveals generalized tenderness without frank prostate abnormalities. Which of the following is most likely?
Correct Answer: C
Rationale: Given the patient's presentation of itching, anorectal pain, and tenesmus, along with rectal examination findings of generalized tenderness without prostate abnormalities, proctitis is the most likely diagnosis. Proctitis is inflammation of the rectal lining and is commonly associated with symptoms such as rectal pain, itching, tenesmus (feeling of incomplete defecation), and sometimes rectal bleeding. It can have various causes, including sexually transmitted infections (such as gonorrhea, chlamydia), inflammatory bowel disease, radiation therapy, or trauma.
Question 5 of 5
On a very busy day in the office, Mrs. Donelan, who is 81 years old, comes for her usual visit for her blood pressure. She is on a low-dose diuretic chronically and denies any side effects. Her blood pressure is 118/78 today, which is well-controlled. As you are writing her script, she mentions that it is hard not having her husband Bill around anymore. What would you do next?
Correct Answer: C
Rationale: It is important to show empathy and address Mrs. Donelan's feelings about missing her husband. By asking why Bill is not there, you are opening the door for her to talk about her emotions and potentially offer support or resources. This can help build a stronger patient-provider relationship and address any underlying emotional concerns she may have. It is important to prioritize the patient's emotional well-being along with their physical health during the visit.
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