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 profession is characterized by the following except:
Correct Answer: C
Rationale: A profession is characterized by having a body of knowledge, a code of ethics, and engaging in research. However, being a member of a professional organization is not a defining characteristic of a profession. While many professionals may choose to join professional organizations for networking, support, and career advancement reasons, membership in such organizations is not universally required or exclusive to being considered a professional in a particular field. Hence, the presence or absence of professional organization membership does not determine the professional status of an individual.
Question 3 of 9
In caring for this patient suffering from anorexia nervous, which task can be delegated to the nursing assistant?
Correct Answer: A
Rationale: Task A, obtaining special food for the patient when she requests it, can be delegated to the nursing assistant. This task involves simple assistance with gathering food items and does not require specific medical knowledge or interventions. Tasks B, C, and D involve more direct patient care and assessment, which should be performed by the nursing staff who have the necessary training and expertise to address the complexities of anorexia nervosa.
Question 4 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 5 of 9
The group used an audio recorder to capture what transpired during the interview. After the transcription, which of the following action is APPROPRIATE for the group to do with the audiotape?
Correct Answer: B
Rationale: Submitting the audiotape to their research adviser is the appropriate action for the group to take after transcription. It is important to maintain the audiotape as a research record for verification purposes, especially if any discrepancies arise during the analysis of the transcript. The research adviser can provide guidance on how to securely store or handle the audiotape in compliance with research ethics and data protection guidelines. This ensures the integrity of the research process and supports transparency in the event of any future inquiries or validation requirements. Keeping a record of the audiotape and following proper protocols for its handling is essential in conducting ethical and reliable research.
Question 6 of 9
It a medicine is unavailable and therefore not given to the patient, how is it charted?
Correct Answer: B
Rationale: When a medication is unavailable and therefore not given to the patient, it is important to document this in the Nurses Notes along with an explanation. Leaving it blank (Option A) may lead to confusion or errors as the reason for not administering the medication would not be clear. Using an asterisk or mark as per hospital protocol (Option C) may not provide enough information about why the medication was missed. Writing the letter (Option D) without any explanation would not suffice in terms of documentation and accountability. Therefore, signing and making an explanation in the Nurses Notes (Option B) is the correct way to chart when a medication is unavailable. This ensures proper documentation of the situation and helps in maintaining the continuity of care for the patient.
Question 7 of 9
A patient presents with fatigue, weakness, and jaundice. Laboratory tests reveal elevated indirect bilirubin levels, reticulocytosis, and positive Coombs test. Which of the following conditions is most likely to cause these findings?
Correct Answer: A
Rationale: The patient's presentation of fatigue, weakness, jaundice, elevated indirect bilirubin levels, reticulocytosis, and positive Coombs test is consistent with hemolytic anemia. Among the options provided, hereditary spherocytosis is the most likely condition to cause these findings.
Question 8 of 9
Which of the following can be a MAJOR PROBLEM for a patient with tracheostomy?
Correct Answer: A
Rationale: Having a tracheostomy means that a patient has an artificial opening in their neck to help them breathe. Therefore, any issues related to breathing, such as blockages in the tracheostomy tube or difficulty in clearing secretions, can pose a major problem for a patient with a tracheostomy. It is crucial to monitor the patient's respiratory status closely and intervene promptly if any breathing difficulties arise to prevent potential respiratory distress or complications.
Question 9 of 9
The BEST rationale for the conduct of the program is which of the following?
Correct Answer: D
Rationale: The BEST rationale for the conduct of the program is to deliver safe and quality nursing care to patients on intravenous therapy (IV). This directly ties the purpose of the program to the real-world outcome it seeks to achieve - providing optimal care for patients requiring intravenous therapy. Ensuring safe practice in the hospital (Option A) is important but it is not specific to the focus of the IV therapy program. Improving nursing practice in general (Option B) is a noble goal but the program should have a specific and targeted objective. Providing knowledge and skills to all nursing staff in IV Therapy (Option C) is essential, but the primary aim should be centered on improving patient care outcomes. Therefore, delivering safe and quality nursing care to patients on IV therapy aligns most closely with the core purpose of the program and should be the primary rationale.