ATI RN
jarvis physical examination and health assessment 9th edition test bank Questions
Question 1 of 5
Why is it important to inquire about the age of the first period when taking a sexual history from female patients?
Correct Answer: B
Rationale: The correct answer is B because knowing the age of the first period can give insight into the patient's reproductive health and potential risks. Early or late onset of menstruation can be indicators of hormonal imbalances, reproductive disorders, or potential fertility issues. This information is crucial for assessing the patient's overall gynecological health and guiding appropriate interventions. Choice A is incorrect because the age of the first period is not directly related to determining the patient's current level of physical fitness. Choice C is incorrect because the age of the first period does not indicate the patient's dietary habits. Choice D is incorrect because the age of the first period is relevant to sexual health assessments as it provides valuable information about the patient's reproductive health.
Question 2 of 5
Upon arriving at a scene where a patient has been involved in a minor car accident, she reports feeling faint and states that she has a history of diabetes. Given this information, what is the primary concern that the patient is expressing?
Correct Answer: A
Rationale: The correct answer is A: Her blood sugar levels are likely unstable. Given the patient's history of diabetes and feeling faint after a minor car accident, the primary concern is hypoglycemia, which can occur due to stress or delayed food intake. Symptoms may include feeling faint, weakness, and confusion. It is important to address this immediately as untreated hypoglycemia can lead to serious complications. Choice B is incorrect as a headache is not typically a primary concern for a diabetic patient feeling faint. Choice C is incorrect as hypertension is not directly related to the symptoms described. Choice D is incorrect as nausea is not a typical symptom of hypoglycemia in this context. It is crucial to focus on the patient's diabetic history and potential hypoglycemia in this scenario.
Question 3 of 5
When applying the SAMPLE mnemonic, which of the following statements from the patient would be classified under the letter 'M' for medications?
Correct Answer: D
Rationale: Step 1: The 'M' in the SAMPLE mnemonic stands for Medications, which focuses on the current and past medications the patient is taking. Step 2: Choice D, "I take Metformin for my diabetes," directly provides information about a medication the patient is currently taking. Step 3: This statement is relevant to the patient's medical history and helps in understanding their current health condition. Summary: Choice D is correct as it specifically addresses the patient's medication (Metformin for diabetes), while the other choices provide information related to headaches (A), allergies (B), and surgical history (C), which do not fall under the 'M' category for medications.
Question 4 of 5
A patient presents with noticeable swelling in the neck area and difficulty breathing. Which key observation should be prioritized during the neck examination to assess the underlying issue?
Correct Answer: D
Rationale: The correct answer is D: Trachea position. This is the key observation to prioritize during the neck examination because in a patient presenting with noticeable swelling in the neck area and difficulty breathing, a deviated trachea indicates a potential emergency situation such as a mediastinal mass or tension pneumothorax. Assessing the trachea position helps in identifying any life-threatening conditions that may be causing the respiratory distress. A: Thyroid fullness may indicate thyroid issues, but in this case, the focus should be on the trachea position due to the acute presentation of difficulty breathing. B: Pulsation may be relevant in other contexts but is not the priority when assessing a patient with difficulty breathing and neck swelling. C: Respiratory difficulty is already mentioned in the patient presentation, and the focus should be on identifying the cause of this difficulty, which is best assessed by evaluating the trachea position.
Question 5 of 5
A 65-year-old patient presents with confusion, tremors, and bradykinesia. What is the most likely diagnosis?
Correct Answer: C
Rationale: The correct diagnosis is C: Parkinson's disease. The symptoms of confusion, tremors, and bradykinesia are classic features of Parkinson's disease, a neurodegenerative disorder affecting movement. The typical onset age aligns with the patient's age. Alzheimer's disease (A) primarily affects memory and cognition, Huntington's disease (B) presents with involuntary movements and cognitive decline, and Multiple sclerosis (D) involves the immune system attacking the central nervous system causing a variety of symptoms. Parkinson's is the most appropriate choice based on the symptom presentation and age of the patient.