ATI RN
jarvis physical examination and health assessment test bank Questions
Question 1 of 5
Disorders in the kidneys and the ureters may cause pain in all of the following areas except the:
Correct Answer: D
Rationale: The correct answer is D: Suprapubic. Disorders in the kidneys and ureters typically cause pain in the flank, abdomen, and back due to the location of these organs. The kidneys are located in the flank region, so kidney issues may cause flank pain. Ureters run down towards the bladder, so issues in this area can cause pain in the abdomen and back. Suprapubic pain usually indicates issues with the bladder or lower urinary tract, not the kidneys or ureters. Therefore, suprapubic pain is not typically associated with disorders in the kidneys and ureters.
Question 2 of 5
A 20-year-old male living in a college dorm complains of a dry cough for the past month. Assessment findings associated with atypical, community-acquired pneumonia would include:
Correct Answer: A
Rationale: The correct answer is A because atypical, community-acquired pneumonia often presents with subtle symptoms like a low-grade fever and malaise. Clear lung fields on auscultation are typical as atypical pneumonia affects the interstitium rather than the alveoli. Choice B is incorrect as crackles throughout the lung fields are indicative of typical pneumonia affecting the alveoli. Choice C is incorrect because a sore throat is not a typical symptom of atypical pneumonia, and diminished breath sounds are not typically associated with atypical pneumonia. Choice D is incorrect because a temperature of 102°F and dyspnea are more indicative of a more severe pneumonia, and diminished lung sounds are not typically associated with atypical pneumonia.
Question 3 of 5
When assessing temperature of the skin, which portion of your hand should be used?
Correct Answer: A
Rationale: The correct answer is A: Fingertips. Fingertips are the most sensitive part of the hand, allowing for accurate temperature assessment. They provide better tactile discrimination and are more sensitive to changes in temperature compared to other parts of the hand. Palms have thicker skin and are less sensitive, making them less ideal for temperature assessment. Backs of fingers and ulnar aspect of the hand are also less sensitive than fingertips and lack the precision needed for accurate temperature detection.
Question 4 of 5
A 32-year-old warehouse worker presents for evaluation of low back pain. He notes a sudden onset of pain after lifting a set of boxes that were heavier than usual. He also states that he has numbness and tingling in the left leg. He wants to know if he needs to be off of work. What test should you perform to assess for a herniated disc?
Correct Answer: B
Rationale: The correct answer is B: Straight-leg raise. This test is used to assess for herniated disc by stretching the sciatic nerve. A positive test is indicated by reproduction of leg pain when the leg is raised between 30 to 70 degrees. This suggests nerve root irritation, common in herniated disc. A: Leg-length test - This test is used to assess for leg length discrepancy, not herniated disc. C: Tinel's test - This test is used to assess for nerve compression, typically in carpal tunnel syndrome, not specifically for herniated disc. D: Phalen's test - This test is used to assess for carpal tunnel syndrome, not herniated disc.
Question 5 of 5
Estrogen-progestin contraceptives should be avoided in women with:
Correct Answer: B
Rationale: The correct answer is B: Migraines with aura. Estrogen in contraceptives can increase the risk of stroke in patients with migraines with aura due to its effect on blood clotting. Estrogen-progestin contraceptives should be avoided in these patients to reduce the risk of adverse cardiovascular events. Choices A, C, and D do not have a direct contraindication to estrogen-progestin contraceptives based on current guidelines.
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