Which of the following is NOT a common symptom of Vitamin B12 deficiency?

Questions 53

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physical assessment test bank Questions

Question 1 of 9

Which of the following is NOT a common symptom of Vitamin B12 deficiency?

Correct Answer: D

Rationale: Vomiting is not a common symptom of Vitamin B12 deficiency.

Question 2 of 9

When ordering an oral diabetes medication for a 72-year-old patient with a recent history of decreased appetite and ongoing risk of hypoglycemia, the NP should prescribe:

Correct Answer: C

Rationale: Metformin is preferred in older adults and those with a risk of hypoglycemia.

Question 3 of 9

Which one of the following is most true about psychological aging?

Correct Answer: D

Rationale: Ageism is a significant factor in mental health decline, leading to isolation and depression.

Question 4 of 9

Which of the following is true about the primary functions and duties of the skilled nursing facility medical director?

Correct Answer: C

Rationale: The medical director participates in overseeing and improving medical care within the facility.

Question 5 of 9

Which of these is true regarding the relationship of frailty with cognition?

Correct Answer: C

Rationale: Neither frailty index nor Fried frailty criteria includes cognition assessment, as frailty is primarily a physical condition.

Question 6 of 9

5-alpha reductase inhibitors work to improve symptoms of benign prostatic hyperplasia by:

Correct Answer: A

Rationale: 5-alpha reductase inhibitors, such as finasteride, decrease the size of the prostate by inhibiting dihydrotestosterone production.

Question 7 of 9

Ms. Greta Thornberg is an 88-year-old woman with squamous cell carcinoma. What should you do after her stroke, considering her POLST?

Correct Answer: B

Rationale: A change in the patient’s condition, such as a stroke, requires a review of the POLST with the healthcare agent.

Question 8 of 9

What is the recommended action if a specific test yields the same results multiple times during patient evaluations?

Correct Answer: D

Rationale: If a test consistently yields the same result, it should be used when suspicion for the relevant condition is high.

Question 9 of 9

An 80-year-old woman has no weight loss, no pain, and no distention but over 2 years increasingly complains of constipation despite adequate medical treatment. A colonoscopy is negative. An abdominal CT is performed. It reveals well-circumscribed pelvic masses, the largest adherent to the ovarian ligament. The best first step is:

Correct Answer: A

Rationale: Referral to a gynecological oncologist is appropriate given the concerns of pelvic masses and possible malignancy.

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