ATI RN
Adult Health Nursing Test Banks Questions
Question 1 of 9
A patient becomes emotional while discussing their recent diagnosis. What is the nurse's most appropriate response?
Correct Answer: B
Rationale: Acknowledging the patient's emotions and offering empathy and support is the most appropriate response in this situation. It is important for the nurse to show understanding and compassion towards the patient, especially when they are feeling emotional about a recent diagnosis. By acknowledging the patient's emotions, the nurse can create a supportive environment that facilitates open communication and helps the patient feel heard and valued. This approach can also help build trust between the patient and the nurse, leading to better outcomes in terms of patient care and overall well-being. Ignoring the patient's emotions, telling them to stop being emotional, or changing the subject may make the patient feel dismissed or isolated, which could negatively impact their mental and emotional state. Thus, offering empathy and support is key in helping the patient cope with their emotions and navigate through their diagnosis.
Question 2 of 9
A pregnant woman presents with recurrent episodes of severe abdominal pain, bloating, and constipation. On examination, an abdominal mass is palpable, and bowel sounds are diminished. Which of the following conditions is the most likely cause of these symptoms?
Correct Answer: D
Rationale: Ovarian torsion is the most likely cause of the pregnant woman's symptoms as described. Ovarian torsion occurs when the ovary twists on its pedicle, leading to compromised blood flow to the ovary. This can cause severe abdominal pain, bloating, and constipation. On examination, an abdominal mass may be palpable due to an enlarged, twisted ovary. Bowel sounds may be diminished due to the effect of the torsion on surrounding structures. Ectopic pregnancy, threatened abortion, and placenta previa are less likely to present with an abdominal mass and diminished bowel sounds.
Question 3 of 9
Three hours postpartum, a primiparous patient's fundus is firm and midline. On perineal inspection by Nurse Kayla, she observes a small constant trickle of blood. What will thee nurse suspect for the patient to have?
Correct Answer: B
Rationale: In this scenario, the firm and midline fundus at three hours postpartum indicates that the uterus is contracting well. The presence of a small constant trickle of blood on perineal inspection suggests ongoing bleeding. This combination of findings is concerning for retained placenta, where a portion of the placenta remains attached to the uterine wall and prevents proper contraction and closure of the blood vessels at the placental site. Retained placenta can lead to postpartum hemorrhage and requires prompt evaluation and intervention to prevent complications. Nurse Kayla should escalate this finding to the healthcare provider for further assessment and management.
Question 4 of 9
A patient is prescribed a loop diuretic for the management of edema. Which electrolyte imbalance is most commonly associated with loop diuretic therapy?
Correct Answer: B
Rationale: Loop diuretics, such as furosemide, are potent diuretics commonly used to manage conditions like edema, heart failure, and hypertension. Loop diuretics work by inhibiting the reabsorption of sodium and chloride in the loop of Henle in the kidney, leading to increased diuresis. However, this mechanism of action can also lead to increased excretion of other electrolytes, such as magnesium.
Question 5 of 9
Physiologic jaundice among newborn babies usually occur on, which of the following? It occurs ________.
Correct Answer: D
Rationale: Physiologic jaundice among newborn babies typically occurs between the 2nd and the 3rd day after birth. This type of jaundice is considered normal and harmless and is caused by the breakdown of red blood cells and the immaturity of the newborn baby's liver in processing bilirubin. The bilirubin levels rise in the blood, leading to a yellowish discoloration of the skin and eyes. This type of jaundice usually peaks around the 3rd to 4th day after birth and then gradually resolves without treatment within the first week of life. It is important for healthcare providers to monitor bilirubin levels and ensure that they do not reach dangerous levels that could potentially harm the newborn.
Question 6 of 9
After positioning the patient for surgery, the nurse notices signs of pressure injury on the patient's heels. What should the nurse do?
Correct Answer: A
Rationale: Pressure injuries on the heels are a concern as they can develop quickly and lead to serious complications, especially in surgical patients who are immobile for extended periods. Applying pressure-relieving devices, such as heel protectors or foam dressings, can help alleviate the pressure on the affected areas and prevent further damage. These devices are designed to distribute pressure evenly and reduce the risk of pressure injuries. It is important for the nurse to address the issue promptly to prevent additional harm to the patient's skin integrity.
Question 7 of 9
Nurses should have knowledge about professional organization. Which of t he following is the accredited professional organization of nurses?
Correct Answer: B
Rationale: The Philippine Nurses Association, Inc. (PNA) is the accredited professional organization of nurses in the Philippines. PNA is recognized as the official organization of all registered nurses in the country, dedicated to fostering high standards of nursing practice, education, and professional growth. It plays a key role in advocating for the rights and welfare of nurses, as well as promoting the advancement of the nursing profession in the Philippines. Membership in the PNA provides nurses with access to valuable resources, networking opportunities, and support for continuous professional development.
Question 8 of 9
A postpartum client presents with persistent, severe abdominal pain, tenderness, and rigidity. Which nursing action is most appropriate?
Correct Answer: C
Rationale: Persistent, severe abdominal pain, tenderness, and rigidity in a postpartum client can be indicative of serious conditions such as uterine rupture, hemorrhage, or infection, which require urgent medical attention. As a nurse, the priority action in this situation is to notify the healthcare provider immediately so that appropriate interventions can be initiated promptly to ensure the safety and well-being of the client. Administering analgesics or providing emotional support may not address the underlying cause of the symptoms and could potentially delay necessary medical treatment. Assisting the client to a comfortable position can be considered once the healthcare provider has been informed and appropriate assessments and interventions have been initiated.
Question 9 of 9
Ramon died at 10:00 PM. His father cried much and refused to move Ramon 's body. What is the APPROPRIATE approach of the nurse?
Correct Answer: A
Rationale: The appropriate approach of the nurse in this situation would be to talk about the reality of death with the father. It is important to provide appropriate and compassionate communication, acknowledging the father's grief while also gently guiding him towards accepting the reality of the situation. By discussing the reality of death and offering support, the nurse can help the father start the grieving process and eventually come to terms with the loss of his son. It is important to provide emotional support and guidance in a sensitive and respectful manner during such a difficult time.