ATI RN
Adult Health Nursing Study Guide Answers Questions
Question 1 of 9
A patient presents with fever, chills, and costovertebral angle tenderness. Urinalysis reveals pyuria and bacteriuria. Which of the following conditions is most likely?
Correct Answer: A
Rationale: Acute pyelonephritis is the most likely condition based on the patient presentation and urinalysis findings described. Acute pyelonephritis is an infection of the renal parenchyma and pelvis, typically caused by ascending bacteria from the lower urinary tract. The classic symptoms include fever, chills, flank pain, and costovertebral angle tenderness (tenderness over the kidneys). The presence of pyuria (pus in the urine) and bacteriuria (bacteria in the urine) on urinalysis further supports the diagnosis of acute pyelonephritis. It is crucial to diagnose and treat acute pyelonephritis promptly to prevent complications and recurrent infections.
Question 2 of 9
A patient presents with weight loss, fatigue, nausea, vomiting, and abdominal pain. Laboratory tests reveal hypoglycemia and elevated insulin levels. Which endocrine disorder is most likely responsible for these symptoms?
Correct Answer: D
Rationale: Insulinoma is a rare neuroendocrine tumor that arises from pancreatic beta cells, leading to excessive production and secretion of insulin. The symptoms described in the patient, such as weight loss, fatigue, nausea, vomiting, abdominal pain, hypoglycemia, and elevated insulin levels, are characteristic of insulinoma.
Question 3 of 9
Nurse Bea reviewed the elements of nursing as a profession. Which of the following is an IMPORTANT element that characterizes Nursing as a profession ?
Correct Answer: B
Rationale: Possessing a body of knowledge is an important element that characterizes nursing as a profession. Nursing is a field that requires specialized education, training, and expertise in various areas of healthcare. Nurses are expected to have a comprehensive understanding of anatomy, physiology, pharmacology, and various nursing theories and practices to effectively care for patients. This body of knowledge distinguishes nursing as a profession and supports the delivery of high-quality, evidence-based patient care. While the other options (having members, being service-oriented, and a calling) are also important aspects of nursing, possessing a body of knowledge is fundamental to the profession's identity and practice.
Question 4 of 9
The false statement about physiologic jaundice in the statements below is _____
Correct Answer: A
Rationale: Physiologic jaundice in newborns is a common and typically benign condition caused by the immaturity of the newborn's liver. The correct statement about physiologic jaundice is that it occurs due to an imbalance between the production and elimination of bilirubin. In contrast, Option A is the false statement because it incorrectly states that physiologic jaundice is caused by impairment in the removal of bilirubin deficiency in the production of glucuronide transferase. This statement is inaccurate as physiologic jaundice results from the immature liver's reduced ability to conjugate bilirubin.
Question 5 of 9
A confused client who fell out of bed because side rails were not used is an example of which type of liability?
Correct Answer: D
Rationale: Negligence is the failure to take proper care in doing something, which results in harm or injury to someone else. In this scenario, the client falling out of bed because side rails were not used indicates a lack of proper care or attention by the staff or caregiver responsible for the client. It shows a failure to protect the client from harm, which aligns with the definition of negligence. This situation does not fit the definitions of a felony, battery, or assault.
Question 6 of 9
Where should the nurse dispose used wet diaper and gloves?
Correct Answer: C
Rationale: Used wet diapers and gloves should be disposed of in a black waste bin. Black waste bins are designated for general waste, which includes non-infectious materials that do not pose a risk of infection to others. Wet diapers and gloves fall under this category as they are considered non-infectious waste. Proper disposal in the black bin helps in maintaining cleanliness and hygiene in the healthcare setting.
Question 7 of 9
A nurse is preparing to assist with a cardiopulmonary exercise stress test for a patient. What action should the nurse prioritize to ensure patient safety during the test?
Correct Answer: B
Rationale: The most critical action to prioritize for ensuring patient safety during a cardiopulmonary exercise stress test is to monitor the patient's electrocardiogram (ECG) rhythm continuously during the test (Option B). This monitoring allows the healthcare team to promptly detect any abnormal heart rhythms or signs of cardiac distress, enabling timely intervention if necessary. Continuous ECG monitoring is essential during exercise testing as it helps in assessing the heart's response to physical activity and identifying any potential cardiac abnormalities or complications that may arise during the test. By closely monitoring the ECG rhythm, the nurse can ensure the patient's safety and well-being throughout the procedure. Administering a beta-blocker medication before the test (Option A) may be indicated in some cases but is not as crucial as continuous ECG monitoring during the test. Encouraging the patient to consume a heavy meal before the test (Option C) is contraindicated as it can interfere with the accuracy of the results
Question 8 of 9
Which of the following is an example of a barrier to successful negotiation?
Correct Answer: B
Rationale: Becoming emotional is an example of a barrier to successful negotiation because emotions can cloud judgment, lead to irrational decision-making, and hinder effective communication. When negotiating, it is important to remain calm, composed, and rational to navigate the discussion effectively. Emotions can derail the negotiation process, making it challenging to find common ground and reach a mutually beneficial agreement.
Question 9 of 9
A patient presents with recurrent episodes of fever, sore throat, and cervical lymphadenopathy. Laboratory tests reveal leukocytosis with atypical lymphocytes on peripheral blood smear and positive heterophile antibody test (Monospot test). Which of the following conditions is most likely to cause these findings?
Correct Answer: A
Rationale: The clinical presentation of recurrent fever, sore throat, cervical lymphadenopathy, leukocytosis with atypical lymphocytes, and positive heterophile antibody test (Monospot test) is highly indicative of infectious mononucleosis caused by the Epstein-Barr virus (EBV). EBV is a member of the herpesvirus family and is a common cause of infectious mononucleosis. The atypical lymphocytes seen on peripheral blood smear are reactive T lymphocytes responding to the EBV infection. The Monospot test detects heterophile antibodies produced in response to EBV infection.