An 85-year-old man with chronic obstructive pulmonary disease presents to your office with his daughter with the complaint of new onset chest pain, shortness of breath, and cough. He is clearly tachypneic and has tactile fremitus and egophony and crackles heard at the right lung base. His daughter just wants you to give him an antibiotic pill so that she can take him home. You are concerned that he might need to be hospitalized and require IV antibiotics. What statement is true?

Questions 53

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ATI RN Test Bank

physical examination and health assessment test bank Questions

Question 1 of 9

An 85-year-old man with chronic obstructive pulmonary disease presents to your office with his daughter with the complaint of new onset chest pain, shortness of breath, and cough. He is clearly tachypneic and has tactile fremitus and egophony and crackles heard at the right lung base. His daughter just wants you to give him an antibiotic pill so that she can take him home. You are concerned that he might need to be hospitalized and require IV antibiotics. What statement is true?

Correct Answer: B

Rationale: Pneumonia management in older adults is influenced by severity and comorbidities.

Question 2 of 9

What is the primary purpose of calipers in a physical assessment?

Correct Answer: B

Rationale: Calipers are used to measure skinfold thickness as part of an assessment of body fat.

Question 3 of 9

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

Correct Answer: B

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

Question 4 of 9

An 84-year-old woman complains of nausea and vomiting for the past 3 days. She is at high risk for delirium. Which of the following interventions may prevent the onset of delirium?

Correct Answer: D

Rationale: Anxiety treatment with lorazepam may not help in preventing delirium and could worsen cognitive decline in some cases.

Question 5 of 9

Which condition is best treated using alpha-adrenergic antagonist?

Correct Answer: D

Rationale: Alpha-adrenergic antagonists are often used for overflow incontinence due to benign prostatic hyperplasia (BPH).

Question 6 of 9

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

Correct Answer: B

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

Question 7 of 9

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

Correct Answer: C

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

Question 8 of 9

Which one of the following is most true of the capacity to make medical decisions?

Correct Answer: B

Rationale: Decision-making capacity includes the ability to express a choice and to weigh options.

Question 9 of 9

The right lymph duct drains lymphatic fluid from all the following except the:

Correct Answer: D

Rationale: The right lymphatic duct does not drain the right leg.

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