ATI RN
Varneys Midwifery Test Bank Questions
Question 1 of 5
Vasa praevia occurs when there is a
Correct Answer: A
Rationale: Vasa praevia occurs with a velamentous insertion of the umbilical cord.
Question 2 of 5
The AGACNP recognizes that which of the following diagnostic studies is essential in all cases of acute abdomen?
Correct Answer: C
Rationale: Ultrasonography is considered essential in all cases of acute abdomen because it is a valuable tool in evaluating various abdominal organs non-invasively. It can quickly identify common causes of acute abdomen such as cholecystitis, pancreatitis, appendicitis, and other intra-abdominal pathologies. Ultrasonography also has the advantage of being radiation-free and can be performed rapidly at the bedside, making it a preferred initial diagnostic modality in the evaluation of acute abdominal pain. Abdominal radiograph, contrast radiography, and chest radiography may have limited utility in the evaluation of acute abdomen compared to ultrasonography.
Question 3 of 5
Melanie is a 31-year-old patient who is being evaluated following a routine urinalysis that revealed microscopic hematuria. She was between menses and has no other identifiable explanation for hematuria. She has no significant medical history and otherwise is without complaint. The AGACNP knows that workup for Melanie should include
Correct Answer: D
Rationale: Upper urinary imaging is the appropriate next step in the workup for Melanie based on the presentation of microscopic hematuria with no other identifiable explanation. Upper urinary imaging, such as an ultrasound or CT scan, can help evaluate the upper urinary tract, including the kidneys and ureters, to investigate potential causes of hematuria. This step is commonly recommended before proceeding to invasive procedures like cystoscopy or consultation with a urologist. It allows for a non-invasive assessment of the upper urinary system to identify any potential abnormalities that may be causing the hematuria in the patient.
Question 4 of 5
The diagnostic factor of polyhydramnious, based on percussion, is
Correct Answer: D
Rationale: Fluid thrill is a key diagnostic sign of polyhydramnious.
Question 5 of 5
The AGACNP is going over preoperative information and instructions with a patient who is having a major transverse abdominal procedure tomorrow morning. The patient is very nervous and is asking a lot of questions. The AGACNP prescribes a sleeping agent because he knows that anxiety and sleeplessness may
Correct Answer: C
Rationale: Anxiety and sleeplessness can contribute to the risk of delirium and prolonged length of stay for the patient undergoing a major transverse abdominal procedure. Delirium is a common complication seen in patients who are anxious and sleep-deprived, especially postoperatively. It is important to address these issues preoperatively to help prevent delirium and ensure a smoother recovery process for the patient. By prescribing a sleeping agent, the AGACNP aims to reduce anxiety and promote a good night's sleep, which can ultimately decrease the risk of delirium and lead to better outcomes for the patient.