Questions 9

ATI RN

ATI RN Test Bank

Physical Assessment Practice Questions Questions

Question 1 of 5

The following information is recorded in the health history: "The patient completed 8th grade. He currently lives with his wife and two children. He works on old cars on the weekend. He works in a glass factory during the week." Which category does it belong to?

Correct Answer: C

Rationale: The information provided pertains to the patient's educational background, living situation, family status, and work activities. This type of information falls under the personal and social history category, as it provides important context about the patient's lifestyle, living conditions, and social support network. Personal and social history is essential for understanding the patient's overall well-being and can impact their health and healthcare needs.

Question 2 of 5

A 55-year-old bookkeeper comes to your office for a routine visit. You note that on a previous visit for treatment of contact dermatitis, her blood pressure was elevated. She does not have prior elevated readings and her family history is negative for hypertension. You measure her blood pressure in your office today. Which of the following factors can result in a false high reading?

Correct Answer: A

Rationale: A tightly fitted blood pressure cuff can result in a false high reading by compressing the underlying artery too much, causing an inaccurate measurement. It is important to ensure that the blood pressure cuff is appropriately sized for the patient's arm to obtain an accurate reading. The other factors listed, such as the patient being seated quietly, measuring on a bare arm, and supporting the patient's arm at the correct level, all contribute to obtaining an accurate measurement of blood pressure.

Question 3 of 5

A 19-year-old college sophomore comes to the clinic for evaluation of joint pains. The student has been back from spring break for 2 weeks; during her holiday, she went camping. She notes that she had a red spot, shaped like a target, but then it started spreading, and then the joint pains started. She used insect repellant but was in an area known to have ticks. She has never been sick and takes no medications routinely; she has never been sexually active. What is the most likely cause of her joint pain?

Correct Answer: D

Rationale: The most likely cause of the 19-year-old college sophomore's joint pain is Lyme disease. The presentation of a red spot shaped like a target (erythema migrans) that spreads, along with joint pain, is classic for Lyme disease. Additionally, the history of camping in an area known to have ticks and the history of using insect repellent support the likelihood of a tick-borne illness like Lyme disease.

Question 4 of 5

How often, according to American Cancer Society recommendations, should a woman undergo a screening breast examination by a skilled clinician?

Correct Answer: A

Rationale: According to American Cancer Society recommendations, a woman should undergo a screening breast examination by a skilled clinician every year. Regular breast exams help in early detection of breast cancer, which can significantly improve outcomes and treatment options. Annual screenings are crucial in monitoring changes in breast health and detecting any abnormalities at the earliest stage possible. Therefore, it is advised that women follow this guideline to prioritize their breast health and well-being.

Question 5 of 5

A 50-year-old body builder is upset by a letter of denial from his life insurance company. He is very lean but has gained 2 pounds over the past 6 months. You personally performed his health assessment and found no problems whatsoever. He says he is classified as "high risk" because of obesity. What should you do next?

Correct Answer: D

Rationale: Since the life insurance company is classifying the body builder as "high risk" due to obesity, it is important to assess whether his weight gain is primarily fat accumulation around the waist. Measuring his waist circumference can provide valuable information about the distribution of body fat. Abdominal obesity, indicated by an increased waist measurement, is a significant risk factor for health issues such as heart disease, diabetes, and metabolic syndrome. By measuring his waist, you can determine if his weight gain is indeed a cause for concern in terms of health risks, rather than just considering the overall weight gain. This information can help you provide more targeted advice on how to address any potential health concerns related to the weight gain.

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