Imaging plays a limited role in diagnoses of PD but is central in making diagnosis of which condition?- Nurselytic

ATI RN

ATI RN Test Bank

physical assessment test bank Questions

Question 1 of 5

Imaging plays a limited role in diagnoses of PD but is central in making diagnosis of which condition?

A. Multiple system atrophy (MSA) B. Progressive supranuclear palsy C. Dementia of Lewy body type D. Normal pressure hydrocephalus

Correct Answer: A

Rationale: Imaging plays a key role in diagnosing MSA, unlike PD where it is less useful.

Question 2 of 5

When performing a visual acuity test, the nurse practitioner notes 20/30 in the left eye and 20/40 in the right eye using the Snellen eye chart. This means:

A. Have the patient return in two weeks for a follow-up vision screen B. Dilate the eye and retest C. Refer the patient to an ophthalmologist D. Document this as a normal finding

Correct Answer: A

Rationale: 20/30 and 20/40 visual acuity are borderline, and follow-up is appropriate.

Question 3 of 5

A 70-year-old woman reports sexual pain with deep penetration only. What is the most likely cause of her problem?

A. Vaginal atrophy B. Provoked vulvar vestibulodynia C. High-tone pelvic floor dysfunction D. Endometriosis

Correct Answer: A

Rationale: Vaginal atrophy due to hormonal changes is the most common cause of sexual pain in postmenopausal women.

Question 4 of 5

A 75-year-old client with a history of stroke is being assessed for rehabilitation. Which factor is most important for successful rehabilitation?

A. The client’s level of motivation and engagement B. The client’s age and medical history C. The client’s current level of independence D. The availability of family support

Correct Answer: A

Rationale: Motivation and engagement in rehabilitation are key to achieving the best outcomes for older adults recovering from a stroke.

Question 5 of 5

Anticholinergics are indicated for the treatment of:

A. Asymptomatic bacteriuria B. Renal insufficiency C. Urge incontinence D. Overflow incontinence

Correct Answer: C

Rationale: Anticholinergics are used to treat urge incontinence by blocking acetylcholine.

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Which of the following best describes the role of manipulators in early X-ray technology?

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.

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