ATI RN
Adult Health Nursing Test Bank Questions
Question 1 of 5
There is an outbreak of measles in some areas of the community where Nurse Rona is assigned. Which of the following-steps of an outbreak investigation should Nurse Rona and her team begin ?
Correct Answer: A
Rationale: The correct answer is A: Identify and count cases. In the initial stages of an outbreak investigation, it is crucial to identify and count cases to understand the scope and magnitude of the outbreak. By counting cases, Nurse Rona and her team can track the spread of the disease, identify common characteristics among those affected, and determine the extent of the outbreak. This step helps in guiding further investigation and control measures.
Summary of other choices:
B: Define and identify cases - While defining cases is important, it is not the initial step in outbreak investigation.
C: Verify diagnosis - Verifying diagnosis is important but comes after identifying and counting cases.
D: Prepare for field work - Field work is important in outbreak investigations, but it typically comes after the initial step of identifying and counting cases.
Question 2 of 5
A patient with a history of multiple myeloma demonstrates hypogammaglobulinemia. Which of the following immunoglobulin classes is most likely to be deficient in this patient?
Correct Answer: B
Rationale: The correct answer is B: IgA. In multiple myeloma, there is a proliferation of abnormal plasma cells, leading to a decrease in normal antibody production. IgA is the most abundant immunoglobulin in mucosal secretions and plays a crucial role in mucosal immunity.
Therefore, a deficiency in IgA is common in patients with multiple myeloma. IgG is the most abundant immunoglobulin in the blood and is typically less affected in multiple myeloma. IgM is the first antibody produced in response to an infection and is less likely to be deficient in this case. IgE is primarily involved in allergic responses and is not typically affected in multiple myeloma.
Question 3 of 5
The 1icensure examination which is administered by the Professional Regulation Commission, Board of Nursing is given to ______.
Correct Answer: D
Rationale: The correct answer is D because the licensure examination aims to assess if candidates meet the expected competency standards to practice nursing safely and effectively. This process ensures that only qualified individuals enter the profession, maintaining high standards of care.
Choice A is incorrect because the exam goes beyond applying theory to include practical skills.
Choice B is incorrect as protecting the public is the outcome of ensuring competency.
Choice C is incorrect as the exam evaluates the full scope of nursing practice, not just its application.
Question 4 of 5
1HIV transmission from mother to infant occur at post natal period during ________
Correct Answer: D
Rationale: The correct answer is D: Breastfeeding. HIV transmission from mother to infant can occur through breast milk due to the presence of the virus in breast milk. Other choices such as A: Bathing, B: Bottlefeeding, and C: Washing of vagina do not involve direct contact with potentially infected body fluids like breast milk, making them less likely to transmit the virus. Breastfeeding is a well-documented mode of HIV transmission from mother to infant, hence it is the correct choice in this scenario.
Question 5 of 5
A patient presents with intensely pruritic, linear burrows on the web spaces of the hands and wrists. The patient reports a history of close contact with an individual diagnosed with a similar condition. Which of the following conditions is most likely responsible for this presentation?
Correct Answer: A
Rationale: The correct answer is A: Scabies. This presentation is classic for scabies infestation caused by the Sarcoptes scabiei mite. The intensely pruritic linear burrows are pathognomonic. Close contact with an individual with scabies increases the likelihood of transmission. The other choices, B: Pediculosis, C: Tinea corporis, and D: Contact dermatitis, do not typically present with linear burrows on the hands and wrists. Pediculosis presents with lice infestation, Tinea corporis with circular lesions, and contact dermatitis with erythema and edema.