Questions 9

ATI RN

ATI RN Test Bank

nclex practice questions 2023 health assessment Questions

Question 1 of 5

An assessment of a 23-year-old patient reveals the following: an auricle that is tender and reddish blue in colour and has small vesicles. What additional information would the nurse need to know?

Correct Answer: B

Rationale: The correct answer is B: Any recent drainage from the ear. This is crucial because drainage could indicate an infection or other underlying issue causing the auricle symptoms. Hearing changes (option A) may not be directly related to the auricle findings. Recent trauma (option C) would be more evident on inspection. Prolonged cold exposure (option D) is less likely to cause the described symptoms.

Question 2 of 5

Which of the following statements regarding visual pathways and visual fields is true?

Correct Answer: B

Rationale: The correct answer is B because the image formed on the retina is indeed upside down and reversed from its actual appearance in the outside world due to the way light rays are refracted and focused by the cornea and lens. This phenomenon is known as the inverted retinal image. Choice A is incorrect as visual pathways cross at the optic chiasm, so the right side of the brain interprets vision for the left visual field from both eyes. Choice C is incorrect as light rays are refracted at the cornea and lens, not through the transparent media of the eye before striking the pupil. Choice D is incorrect as light impulses are conducted through the optic nerve to the occipital lobes, not the temporal lobes, where the primary visual cortex is located.

Question 3 of 5

A 2-week-old infant can fixate on an object but not follow a light or bright toy. The nurse would:

Correct Answer: A

Rationale: The correct answer is A because fixating on an object at 2 weeks is within the expected developmental range. Infants typically develop the ability to follow objects later on. Choice B is incorrect as absence of following light doesn't indicate blindness. Choice C is unnecessary and premature. Choice D is incorrect as the ability to follow objects typically develops around 6-8 weeks.

Question 4 of 5

The salivary gland that is located in the cheek in front of the ear is the:

Correct Answer: A

Rationale: The correct answer is A: parotid gland. This gland is located in the cheek in front of the ear. It is the largest salivary gland in the human body. The parotid gland secretes saliva into the mouth through Stenson's duct. The other choices are incorrect because Stenson's gland does not exist, the sublingual gland is located under the tongue, and the submandibular gland is located under the mandible. Therefore, the parotid gland is the only gland that fits the description given in the question.

Question 5 of 5

When examining an older adult, which of the following findings would the nurse recognize as related to the aging process?

Correct Answer: A

Rationale: The correct answer is A: Teeth that appear shorter. As people age, teeth naturally wear down and may appear shorter due to years of use. This is a normal part of the aging process. B: A smoother tongue is not a typical age-related change. C: Beefy red buccal mucosa may be indicative of an underlying health issue, not solely related to aging. D: A painless lump on the tongue could be a sign of a more serious condition and should be investigated further.

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