ATI RN
physical examination and health assessment test bank Questions
Question 1 of 9
What is the most critical diagnosis to consider for a patient experiencing the worst headache of her life and presenting with a blood pressure of 200/110?
Correct Answer: B
Rationale: The worst headache of life with high blood pressure suggests a subarachnoid hemorrhage.
Question 2 of 9
The right lymph duct drains lymphatic fluid from all the following except the:
Correct Answer: D
Rationale: The right lymphatic duct does not drain the right leg.
Question 3 of 9
A 57-year-old post-menopausal female presents with a complaint of vaginal burning, pruritus, and painful intercourse. On examination, the nurse practitioner would be most concerned with the findings:
Correct Answer: A
Rationale: Atrophic vaginitis is common in post-menopausal women, with symptoms including thin, dry vaginal mucosa.
Question 4 of 9
Mr. Quince is a 68-year-old patient who describes several months of urinary frequency and a sensation of incomplete emptying with no associated dysuria, hematuria, or fever. Physical examination reveals a slightly enlarged but nontender prostate, a postvoid residual urine volume of 20 mL, and a urinalysis with 15 white blood cells (WBCs) and 5 red blood cells (RBCs). Urine culture reveals 30,000 colony-forming units of Escherichia coli. You see a report from last year that shows urinalysis with 10 WBCs and 4 RBCs that was obtained as part of a routine evaluation. What is the most appropriate next step in the management of Mr. Quince’s symptoms?
Correct Answer: D
Rationale: A 4-week course of ciprofloxacin is appropriate to treat the urinary tract infection and resolve symptoms.
Question 5 of 9
Asking a patient, "What were you doing when this problem began?" represents what part of the OPQRST question format?
Correct Answer: O
Rationale: "O" stands for Onset, asking about the activity when the problem began refers to the onset of the problem.
Question 6 of 9
What is a patient's chief complaint?
Correct Answer: B
Rationale: The chief complaint is the main reason the patient seeks care, focusing on their immediate concern.
Question 7 of 9
An elderly patient has been diagnosed with a cataract. What structure in the eye has become diseased?
Correct Answer: C
Rationale: Cataracts cause clouding of the lens.
Question 8 of 9
A patient with a diagnosis of giardiasis is being treated with metronidazole (Flagyl). What information would be important to obtain before prescribing this medication?
Correct Answer: D
Rationale: Metronidazole interacts with alcohol, causing a disulfiram-like reaction, so patients should be advised to avoid alcohol.
Question 9 of 9
A patient presents with signs of chest pain, the nurse practitioner observes jugular venous distention. Their finding is consistent with:
Correct Answer: B
Rationale: Jugular venous distention is a sign of heart failure due to fluid retention.