ATI RN
physical assessment test bank Questions
Question 1 of 9
During a routine skin examination, a patient presents with a new lesion that has irregular borders and varied pigmentation. What should be your next step based on your observations?
Correct Answer: B
Rationale: Irregular borders and varied pigmentation are concerning features for malignancy, so a biopsy is needed for confirmation.
Question 2 of 9
An 82-year-old man, Mr. A, complains of worsening nocturia, occurring four times per night. His other lower urinary tract symptoms are slow stream, occasional urgency, and urgency-related leakage once weekly. Medical problems include poorly controlled hypertension, diastolic heart failure, hyperlipidemia, osteoarthritis, and prediabetes. His medications include lisinopril 20 mg daily, metoprolol succinate 75 mg daily, atorvastatin 10 mg daily, metformin 500 mg twice daily, hydrocodone-acetaminophen as needed, and aspirin 81 mg daily. Amlodipine 5 mg daily was recently added by his cardiologist. On review of systems, Mr. A complains that nocturia is causing daytime fatigue, and he is more constipated. Physical examination is notable for blood pressure 162/83 mmHg, heart rate 60 beats per minute, clear lungs, soft abdomen, enlarged prostate, and 21 pre-tibial edema.
Correct Answer: D
Rationale: Tamsulosin is an alpha-1 blocker that helps relieve urinary symptoms associated with BPH.
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
Explain the significance of displacing the sternocleidomastoid (SCM) muscle during a thyroid examination.
Correct Answer: C
Rationale: Displacing the SCM muscle gives better access to palpate the thyroid lobes during an examination.
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
Serotonin Syndrome is a potentially life-threatening condition associated with:
Correct Answer: C
Rationale: Serotonin syndrome occurs due to excessive serotonin levels.
Question 7 of 9
What medication should be avoided when prescribing prophylactic therapy for headaches?
Correct Answer: C
Rationale: Venlafaxine has serious side effects and requires a drug-free period after 6 months of use.
Question 8 of 9
Which of the following statements concerning advance directives is true?
Correct Answer: C
Rationale: A DNR order only addresses resuscitation and does not apply to other treatments.
Question 9 of 9
An older client with heart failure presents with weight gain and edema. Which nursing intervention should be prioritized?
Correct Answer: D
Rationale: Daily weight monitoring helps assess fluid retention, a critical component of managing heart failure.