ATI RN
Foundations and Adult Health Nursing Study Guide Answers Questions
Question 1 of 5
A patient presents with a palpable, non-tender mass in the right neck, just below the angle of the mandible. Ultrasound imaging demonstrates a well-defined, hypoechoic lesion with cystic components. Which of the following conditions is most likely responsible for this presentation?
Correct Answer: A
Rationale: The presentation of a palpable, non-tender mass in the right neck, just below the angle of the mandible, along with ultrasound imaging findings of a well-defined, hypoechoic lesion with cystic components, is classic for a branchial cleft cyst. Branchial cleft cysts are congenital anomalies that arise from remnants of the branchial clefts or pouches during embryonic development. They are typically located along the anterior border of the sternocleidomastoid muscle, just below the mandible. Ultrasound imaging often shows a cystic lesion with well-defined borders and hypoechoic content, which is consistent with the described findings. Thyroglossal duct cysts usually present as midline neck masses that move with swallowing or tongue protrusion, not in the location described in the scenario. Lymphadenopathy would present as enlarged lymph nodes that may be tender and associated with systemic symptoms.
Question 2 of 5
A nurse is caring for a patient who is expressing concerns about their upcoming surgical procedure. What action demonstrates therapeutic communication by the nurse?
Correct Answer: B
Rationale: Offering reassurance and encouragement to the patient demonstrates therapeutic communication by the nurse. In this situation, the nurse shows empathy and understanding towards the patient's concerns about the upcoming surgical procedure, which can help alleviate anxiety and build trust. Providing reassurance and encouragement can help the patient feel supported and understood, creating a positive and therapeutic interaction between the nurse and the patient. This approach fosters open communication and helps establish a therapeutic nurse-patient relationship, which is essential for effective patient care.
Question 3 of 5
It is 10 o'clock of your watch. The client asks, "What time is it?" The nurse's appropriate response is:
Correct Answer: B
Rationale: The nurse's appropriate response is to provide the requested information clearly and directly. In this case, the client asked for the time, so the best response is to say "It is 10 o'clock" to answer their question promptly. Options A, C, and D do not address the client's question and may be perceived as dismissive or unhelpful.
Question 4 of 5
The 5's strategy to prevent dengue infection includes the following, EXCEPT
Correct Answer: B
Rationale: The 5's strategy to prevent dengue infection includes Search and Destroy mosquito breeding places, seek early consultation at the nearest health care facility, say no to fogging spraying, and misting in hot spot areas. While using mosquito repellent on exposed skin is a common preventive measure against mosquito bites, applying it all over your body is not included in the official 5's strategy for dengue prevention. The focus of the 5's strategy is on eliminating mosquito breeding sites, seeking medical advice early in case of symptoms, and avoiding certain mosquito control methods like fogging in hot spot areas.
Question 5 of 5
Which of the following is NOT covered in Patient's Bill of Rights?
Correct Answer: D
Rationale: The Patient's Bill of Rights typically focuses on ensuring patients have the right to certain aspects of their healthcare, such as the right to refuse treatment, the right to informed consent, and the right to receive treatment. Civil commitment, on the other hand, refers to the legal process through which an individual is involuntarily placed in a psychiatric facility for evaluation and treatment. This issue is not typically addressed in the Patient's Bill of Rights, as it involves specific legal procedures rather than general patient rights.
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