ATI RN
physical examination and health assessment test bank Questions
Question 1 of 5
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 5
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 3 of 5
A 79-year-old woman with a 1.5-cm breast cancer underwent lumpectomy. Pathology revealed ductal carcinoma that is hormone receptor negative (estrogen receptor 0%, progesterone receptor 1%) and HER2/neu negative. Surgical margins were adequate and uninvolved with cancer. Sentinel lymph node sampling was negative for lymph node involvement. She has good performance status and no activities of daily living (ADL) or instrumental (IADL) dependencies. What treatment would you recommend?
Correct Answer: E
Rationale: No further treatment is necessary given the patient's good prognosis and lack of lymph node involvement or metastasis.
Question 4 of 5
Which medication is indicated for patients with generalized anxiety disorder?
Correct Answer: A
Rationale: Buspirone is specifically indicated for the treatment of generalized anxiety disorder.
Question 5 of 5
Healthcare providers should recommend that older adults engage in which one of the following?
Correct Answer: A
Rationale: The recommendation is 150 minutes of moderate intensity physical activity per week for older adults.
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