ATI RN
NCLEX Practice Questions Physical Assessment Questions
Question 1 of 5
On a very busy day in the office, Mrs. Donelan, who is 81 years old, comes for her usual visit for her blood pressure. She is on a low-dose diuretic chronically and denies any side effects. Her blood pressure is 118/78 today, which is well-controlled. As you are writing her script, she mentions that it is hard not having her husband Bill around anymore. What would you do next?
Correct Answer: C
Rationale: It is important to show empathy and address Mrs. Donelan's feelings about missing her husband. By asking why Bill is not there, you are opening the door for her to talk about her emotions and potentially offer support or resources. This can help build a stronger patient-provider relationship and address any underlying emotional concerns she may have. It is important to prioritize the patient's emotional well-being along with their physical health during the visit.
Question 2 of 5
Which of the following conditions would produce a hyperresonant percussion note?
Correct Answer: A
Rationale: A hyperresonant percussion note is a more intense and booming sound heard during percussion of the thorax. This can occur when there is an increased amount of air present in the chest cavity. In the case of a large pneumothorax, which is the presence of air in the pleural space causing partial or complete collapse of the lung, the percussion note would be hyperresonant due to the increased air content in the thoracic cavity. Lobar pneumonia, pleural effusion, and empyema would typically produce dull or flat percussion notes due to the presence of fluid or solid material in the pleural space.
Question 3 of 5
Which of the following lymph node groups is most commonly involved in breast cancer?
Correct Answer: C
Rationale: The pectoral lymph node group, also known as the Level III lymph nodes, is the most commonly involved in breast cancer metastasis. These lymph nodes are located along the lower border of the pectoralis minor muscle and are an important regional drainage site for breast tissue. Therefore, in cases of breast cancer, the pectoral lymph nodes are frequently affected due to their proximity to the breast tissue.
Question 4 of 5
She is concerned about her risk for developing heart disease. Which of the following factors is used to estimate the 10-year risk of developing coronary heart disease?
Correct Answer: A
Rationale: Ethnicity is one of the factors used to estimate the 10-year risk of developing coronary heart disease. Different ethnic groups may have varying risks for heart disease based on genetic predisposition, lifestyle factors, and cultural practices. For example, individuals of South Asian descent have been found to have a higher risk of heart disease compared to other ethnic groups. Therefore, considering ethnicity is essential when assessing the overall risk of developing heart disease in an individual.
Question 5 of 5
A mother brings her 11 month old to you because her mother-in-law and others have told her that her baby is jaundiced. She is eating and growing well and performing the developmental milestones she should for her age. On examination you indeed notice a yellow tone to her skin from head to toe. Her sclerae are white. To which area should your next questions be related?
Correct Answer: B
Rationale: Since the baby is exhibiting jaundice, which is a condition characterized by the yellowing of the skin, it is important to inquire about the family history of liver diseases. Jaundice can be a sign of liver dysfunction or disease, so understanding the family history of liver diseases can provide valuable insights into potential underlying causes for the baby's jaundice. In this case, it is crucial to explore this area further to determine if there may be any genetic predispositions or familial conditions that could be contributing to the baby's presentation of jaundice.