ATI RN
Adult Health Nursing Test Banks Questions
Question 1 of 5
Nurse Chona saw Patient Noel reading his own chart and question the nurse why (-) smoking and (-) liquor was recorded when he does not smoke and drink alcohol? What is the INITIAL explanation of Nurse Chona on the record?
Correct Answer: B
Rationale: Nurse Chona should explain to Patient Noel that the sign of negative before the word means that he is not drinking alcohol or smoking cigarettes. This is a simple misunderstanding and clarification should help clear up any confusion. It is important to uphold patient confidentiality and respect their autonomy, rather than reprimanding the patient for looking at their own chart. It is also essential to address any discrepancies in the patient's medical record to ensure accurate information is documented for proper treatment and care.
Question 2 of 5
A patient presents with episodic throbbing headache associated with nausea, vomiting, and sensitivity to light and sound. Symptoms are often preceded by an aura. Which of the following neurological conditions is most likely responsible for these symptoms?
Correct Answer: A
Rationale: The patient's presentation of episodic throbbing headache associated with nausea, vomiting, sensitivity to light and sound, and aura suggests a diagnosis of migraine headache. Migraines are a common neurological condition characterized by recurrent moderate to severe headaches that are often unilateral, pulsating, and aggravated by physical activity. The presence of premonitory symptoms (aura) before the headache is a key feature commonly seen in migraines. Additionally, nausea, vomiting, and sensitivity to light and sound are also common features associated with migraines.
Question 3 of 5
Which BEST advice the nurse should give in case of dog bite
Correct Answer: D
Rationale: When someone is bitten by a dog, the most important first aid step is to wash the wound thoroughly with running water. This helps to remove any dirt or bacteria from the wound, reducing the risk of infection. Washing the wound with garlic (choice
A) is not recommended as it can irritate the skin and may not effectively clean the wound. Feeding the dog (choice
B) is not relevant to treating the bite wound. Bleeding the bitten area (choice
C) is also not necessary and can actually increase the risk of infection.
Therefore, the best advice the nurse should give in case of a dog bite is to wash the wound thoroughly with running water.
Question 4 of 5
A postpartum client who delivered a macrosomic infant expresses concerns about breastfeeding difficulties due to the baby's size. What nursing intervention should be prioritized to support successful breastfeeding in this situation?
Correct Answer: A
Rationale: Providing education on techniques to improve latch and milk transfer should be prioritized to support successful breastfeeding in this situation. Newborns who are macrosomic (large for gestational age) may have difficulties latching due to their size and may require additional support to effectively breastfeed. By educating the postpartum client on proper latch techniques and milk transfer, the nurse can help optimize the breastfeeding experience for both the mother and baby. This intervention focuses on addressing the specific concerns related to the infant's size and aims to promote successful breastfeeding despite potential challenges. As such, recommending supplemental formula feedings, encouraging the client to avoid breastfeeding, or immediately referring to a lactation consultant may not directly address the immediate need for support in improving breastfeeding in this situation.
Question 5 of 5
A patient with a history of angina pectoris is prescribed nitroglycerin sublingual tablets for chest pain relief. Which instruction should the nurse provide to the patient regarding nitroglycerin administration?
Correct Answer: C
Rationale: Nitroglycerin sublingual tablets are meant to be dissolved under the tongue to allow for rapid absorption into the bloodstream. Placing the tablet under the tongue helps to bypass the first-pass metabolism in the liver, leading to a quicker onset of action and chest pain relief. Chewing, swallowing, or applying the tablet to the skin will result in decreased effectiveness or delayed onset of action.
Therefore, it is important for the patient to be instructed to place the nitroglycerin tablet under the tongue and allow it to dissolve for optimal therapeutic benefit.