A 70-year-old woman reports sexual pain with deep penetration only. What is the most likely cause of her problem?

Questions 53

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physical assessment test bank Questions

Question 1 of 9

A 70-year-old woman reports sexual pain with deep penetration only. What is the most likely cause of her problem?

Correct Answer: A

Rationale: Vaginal atrophy due to hormonal changes is the most common cause of sexual pain in postmenopausal women.

Question 2 of 9

Which group of lymph nodes are located on the medial surface of the arm approximately 3 cm above the elbow?

Correct Answer: C

Rationale: The epitrochlear nodes are located near the elbow.

Question 3 of 9

Which agent is NOT useful in prophylactic treatment of migraine headaches?

Correct Answer: A

Rationale: Sumatriptan is used to treat acute migraines, not for prevention.

Question 4 of 9

What aspects of sleep hygiene may make your facility more conducive for nighttime sleep?

Correct Answer: D

Rationale: Improving sleep hygiene by reducing environmental disturbances and creating a calm, quiet environment helps improve sleep quality for residents.

Question 5 of 9

A patient develops a cough secondary to an angiotensin-converting-enzyme (ACE) inhibitor. The most appropriate statement related to ACE-I cough is that the cough typically:

Correct Answer: A

Rationale: ACE inhibitor-related cough resolves after discontinuing the medication, typically within a few days to weeks.

Question 6 of 9

When ordering an oral diabetes medication for a 72-year-old patient with a recent history of decreased appetite and ongoing risk of hypoglycemia, the NP should prescribe:

Correct Answer: C

Rationale: Metformin is preferred in older adults and those with a risk of hypoglycemia.

Question 7 of 9

The US Advisory Committee on Immunization Practices and the Centers for Disease Control currently recommend which one of the following?

Correct Answer: D

Rationale: The CDC and ACIP recommend all older adults be immunized as described, including influenza and pneumococcal vaccines.

Question 8 of 9

Which of the following condition is NOT associated with the symptoms of hemoptysis?

Correct Answer: C

Rationale: Hemoptysis can be caused by pulmonary emboli, chronic bronchitis, or lung neoplasms but is not commonly associated with viral pneumonia.

Question 9 of 9

Alpha-adrenergic blockers increase urine outflow in males by:

Correct Answer: C

Rationale: Alpha-adrenergic blockers relax prostate smooth muscle to ease urination.

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