ATI RN
Adult Health Nursing Test Bank Questions
Question 1 of 5
What a patient has bleeding after surgery the PACU nurse, expects which color if coming from the arterial source?
Correct Answer: B
Rationale: The correct answer is B: Bright red and spurts with the heartbeat. This type of bleeding indicates arterial bleeding, which is oxygen-rich blood coming directly from the arteries. Arterial bleeding is bright red in color due to the high oxygen content and spurts with the heartbeat as it is under higher pressure. This rapid spurting is characteristic of arterial bleeding and requires immediate attention to control the bleeding source.
Choices A, C, and D are incorrect because they describe characteristics of venous bleeding, not arterial bleeding. Venous bleeding is dark in color, flows slowly, and generally oozes as it is oxygen-depleted blood returning to the heart.
Therefore, the correct answer is B based on the specific characteristics of arterial bleeding.
Question 2 of 5
Which of the following structures is responsible for the initial mechanical breakdown of food during mastication?
Correct Answer: D
Rationale: The correct answer is D: Teeth. Teeth are responsible for the initial mechanical breakdown of food during mastication.
Step 1: Teeth use their hard surfaces to chew and grind food into smaller pieces.
Step 2: This process increases the surface area of the food, making it easier for digestive enzymes to break down.
Step 3: The tongue aids in moving the food around the mouth but does not break down the food mechanically. Pharynx is responsible for swallowing, not mastication. Salivary glands produce saliva that helps in the lubrication and digestion of food, but they do not directly participate in the mechanical breakdown of food.
Question 3 of 5
Nurse Rica, would like to start a conversation, which comunication technique she should use?
Correct Answer: D
Rationale: The correct answer is D, Broad opening. Nurse Rica should use this communication technique to encourage the patient to freely express themselves without leading or interrupting. This technique helps build rapport and trust, setting a positive tone for the conversation.
A: Clarifying may be too direct and might make the patient feel pressured.
B: Challenging can create defensiveness and hinder open communication.
C: Restating may not be as effective in initiating a conversation as broad opening.
In summary, broad opening allows for a more open and relaxed conversation, fostering a conducive environment for effective communication with the patient.
Question 4 of 5
Lillian complains of unbearable pain. Which of the following characteristics axe EMPHASIZED in a culturally sensitive nursing Care? (Select all that apply) I The expression of pain is affected by learned behavior II. Physiologically, all individuals experience pain in a similar manner, III.. Some Asian people has high response to pain medications IV. Patients should be assessed for pain regardless of overt symptomatology.
Correct Answer: C
Rationale:
Step-by-step rationale for the correct answer (C: I and II):
1.
Choice I (The expression of pain is affected by learned behavior) is correct because cultural beliefs and upbringing influence how individuals express and perceive pain.
2.
Choice II (Physiologically, all individuals experience pain in a similar manner) is correct because pain perception is largely influenced by biological factors that are universal.
3.
Choice III (Some Asian people have a high response to pain medications) is incorrect as it focuses on a specific cultural group, which is not a general characteristic emphasized in culturally sensitive care.
4.
Choice IV (Patients should be assessed for pain regardless of overt symptomatology) is incorrect as it is not specifically related to cultural sensitivity in pain management.
Question 5 of 5
At which stage of Lewin ' s planned change indicates the nurse identifying, planning, and implementing appropriate strategies ensuring that driving forces exceed restraining forces?
Correct Answer: C
Rationale: The correct answer is C: unfreezing. Unfreezing is the initial stage in Lewin's planned change model where individuals become open to change by recognizing the need for it. During this stage, the nurse identifies the need for change, plans strategies to implement it, and works on overcoming resistance by ensuring that the driving forces (reasons for change) outweigh the restraining forces (barriers to change). Refreezing (
A) is the final stage where the changes are reinforced and integrated into the organization. Movement (
B) is the stage where actual change occurs, and in activism (
D) is not a recognized stage in Lewin's model.