ATI RN
Foundations and Adult Health Nursing Test Bank Questions
Question 1 of 9
A 22-year-old woman presents with cyclic pelvic pain, dysmenorrhea, and infertility. On pelvic examination, the uterus is retroverted and enlarged. Which of the following conditions is most likely to be responsible for these findings?
Correct Answer: B
Rationale: Adenomyosis is a condition characterized by the presence of endometrial tissue within the myometrium (muscle wall) of the uterus. It can present with symptoms such as cyclic pelvic pain, dysmenorrhea (painful periods), and infertility. On pelvic examination, the uterus may be retroverted (tilted backward) and enlarged due to the presence of adenomyotic nodules within the uterine muscle. Adenomyosis can also cause heavy menstrual bleeding (menorrhagia). Endometriosis, on the other hand, involves the presence of endometrial tissue outside the uterus and can cause similar symptoms but is less likely to result in uterine enlargement or retroversion. Leiomyomas (uterine fibroids) are benign tumors of the uterine muscle and can also cause pelvic pain and abnormal uterine enlargement but are less likely to be associated with dysmenorrhea and infertility
Question 2 of 9
Nurse Rosa is able to know the patterns of occurrence and distribution of diseases in the community . Per record she found out there had been cases of rabies at irregular intervals scattered in particular places. This occurrence rates to ______.
Correct Answer: D
Rationale: The occurrence of rabies at irregular intervals scattered in particular places indicates a sporadic pattern. Sporadic diseases are those that occur infrequently and irregularly in a population. These diseases do not have a consistent pattern of occurrence and are not confined to a specific geographic area or population group. In this case, the cases of rabies being reported at irregular intervals and scattered in particular places suggest a sporadic distribution rather than an endemic (constantly present in a population), epidemic (sudden increase in cases in a specific population), or pandemic (global spread of a disease) pattern.
Question 3 of 9
There are pre operative medications given to the patient. Which of the following drugs are given in order to decrease intra-operative anesthetic requirements and pain?
Correct Answer: D
Rationale: Demerol (meperidine hydrochloride) is an opioid analgesic commonly used as a preoperative medication to decrease intra-operative anesthetic requirements and provide analgesia. Opioids like Demerol act on the central nervous system to reduce pain sensations, making it an effective choice for preoperative pain management. This can help decrease the amount of anesthesia needed during surgery, leading to better pain control and overall patient comfort during and after the procedure. Celebrex, acetaminophen, and ibuprofen are also used for pain management, but they do not have the same potency and mechanism of action as opioids like Demerol for reducing intra-operative anesthetic requirements.
Question 4 of 9
Type I IgE-mediated immediate hypersensitivity reaction is promptly managed with ____.
Correct Answer: B
Rationale: Type I IgE-mediated immediate hypersensitivity reactions, such as anaphylaxis, are promptly managed with epinephrine. Epinephrine is the first-line treatment for anaphylaxis as it helps counteract the severe symptoms by relaxing the muscles in the airways, constricting blood vessels, and decreasing swelling. It acts quickly to reverse the potentially life-threatening effects of the allergic reaction and is crucial in managing anaphylaxis effectively. Other medications like antihistamines (e.g., diphenhydramine) and corticosteroids may be used as adjuncts, but epinephrine remains the primary treatment for immediate hypersensitivity reactions.
Question 5 of 9
One GOOD nursing intervention of the nurse for Almira would be to do which of the following?
Correct Answer: A
Rationale: The correct nursing intervention for Almira would be to advise her to eat her meals. This is important in promoting her health and well-being, especially if she has been neglecting her own nutrition due to stress or caring for her son, Jay. Providing proper nutrition is a basic aspect of nursing care that supports the overall health and recovery of the patient. By encouraging Almira to prioritize her own nutrition, the nurse can help ensure that she has the physical strength and energy needed to take care of herself and her son effectively.
Question 6 of 9
Doing year end performance evaluation of the staff is an example of
Correct Answer: C
Rationale: Conducting a year-end performance evaluation of the staff is an example of a controlling function in management. Controlling involves monitoring and evaluating the performance of employees to ensure that they are working effectively and meeting the set goals and standards. By assessing the staff's performance at the end of the year, managers can identify areas of improvement, provide feedback, and make necessary adjustments to ensure the overall success of the organization. Hence, the process of evaluating staff performance falls under the controlling function of management.
Question 7 of 9
Nursing, as a human science, deals with the critical and fundamental differences in attitude toward their respective phenomena. Which of the following is an aim o: human sciences?
Correct Answer: D
Rationale: The aim of human sciences, including nursing as a human science, is to make meaningful interpretations of the phenomena being studied. Unlike natural sciences that may focus on prediction, control, or seeking causal explanations, the human sciences aim to understand and interpret human experiences, behaviors, and relationships in a meaningful way. In nursing, this involves not only understanding the biological aspects of health and illness but also considering the holistic and humanistic aspects of care, such as emotions, values, beliefs, and perceptions. By making meaningful interpretations, nurses can better understand their patients and provide individualized and patient-centered care.
Question 8 of 9
Which of the following nursing actions should the nurse TEACH the patient's care giver regarding tracheostomy care?
Correct Answer: C
Rationale: Cleaning the inner cannula daily helps prevent the accumulation of secretions and debris, which can lead to blockages and infections. It is an essential aspect of tracheostomy care to maintain the patency of the airway and prevent complications. Caregivers should be taught how to safely remove, clean, and reinsert the inner cannula as part of routine tracheostomy care.
Question 9 of 9
In what way wil1 the nurse handles the situation?
Correct Answer: C
Rationale: In this situation, the most appropriate way for the nurse to handle it would be to encourage the mother to keep calm because the health care team is doing their best to help Ramon recover. This response acknowledges the mother's concerns and reassures her that everything possible is being done for her son's well-being. It also helps to foster trust and rapport between the nurse, mother, and the healthcare team, which is important for effective communication and support during a challenging time. Promoting a sense of calm and trust in the healthcare professionals can help alleviate the mother's anxiety and stress, allowing her to focus on being a supportive presence for her son.