ATI RN
Physical Examination and Health Assessment 8th Edition Test Bank Questions
Question 1 of 5
You are performing a thorough cardiac examination. Which of the following chambers of the heart can you assess by palpation?
Correct Answer: C
Rationale: The right ventricle is the only chamber of the heart that can be assessed by palpation during a cardiac examination. The right ventricle is located close to the sternum on the anterior chest wall, making it accessible for palpation. By palpating the area near the lower left sternal border, just beside the sternum, a healthcare provider can assess the size and function of the right ventricle. It is important to note that the other chambers of the heart (left atrium and right atrium) are not typically assessed by palpation due to their deeper location within the chest cavity. The sinus node, which is responsible for generating the heart's electrical impulses, is also not directly palpable during a cardiac examination.
Question 2 of 5
A 15-year-old high school sophomore presents to the emergency room with his mother for evaluation of an area of blood in the left eye. He denies trauma or injury but has been coughing forcefully with a recent cold. He denies visual disturbances, eye pain, or discharge from the eye. On physical examination, the pupils are equal, round, and reactive to light, with a visual acuity of 20/20 in each eye and 20/20 bilaterally. There is a homogeneous, sharply demarcated area at the lateral aspect of the base of the left eye. The cornea is clear. Based on this description, what is the most likely diagnosis?
Correct Answer: D
Rationale: A subconjunctival hemorrhage is a common and benign condition characterized by blood in the space between the conjunctiva and sclera of the eye. The condition often presents as a painless, sharply demarcated area of redness on the white part of the eye, typically without associated discharge or visual disturbances. In this case, the absence of eye pain, discharge, visual disturbances, and clear cornea make subconjunctival hemorrhage the most likely diagnosis. The history of forceful coughing with a recent cold is also consistent with the increased intraocular pressure leading to a rupture of a small blood vessel, resulting in the hemorrhage. Treatment is not usually required as the condition is self-limiting and resolves on its own over time.
Question 3 of 5
What heart rate should she achieve?
Correct Answer: C
Rationale: The target heart rate during physical activity is typically calculated as a percentage of maximum heart rate, which is estimated using the formula: 220 - age. For a 30-year-old individual, the estimated maximum heart rate would be 190 beats per minute. Exercising at 60-70% of the maximum heart rate is usually recommended for moderate-intensity physical activity. For this individual, the target heart rate zone would be approximately 114-133 beats per minute. Therefore, achieving a heart rate of 120 beats per minute would fall within the target range and indicate an appropriate level of exertion for effective physical activity.
Question 4 of 5
Which is true of women who have had a unilateral mastectomy?
Correct Answer: B
Rationale: Even after a unilateral mastectomy, women should continue to self-examine and have regular clinical examinations for any signs of recurrence or new masses. It is important to closely monitor the surgical scar area for any changes or abnormalities, as breast cancer can still occur in the remaining breast tissue. Regular breast examinations remain important in the early detection of any potential issues, even after mastectomy.
Question 5 of 5
Mrs. Anderson presents with an itchy rash which is raised and appears and disappears in various locations. Each lesion lasts for many minutes. What most likely accounts for this rash?
Correct Answer: B
Rationale: Urticaria, commonly known as hives, typically presents as raised, red, and itchy welts or wheals that can appear and disappear in various locations on the skin. Each lesion tends to last for many minutes before resolving and may be associated with itching or a burning sensation. Urticaria is often triggered by an allergic reaction to food, medications, insect bites, or other substances. The clinical presentation described in the question, involving an itchy rash that appears and disappears in different areas, is consistent with urticaria.
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