ATI RN
Adult Health Nursing Test Banks Questions
Question 1 of 5
A patient with chronic respiratory failure secondary to severe restrictive lung disease requires long-term oxygen therapy to maintain adequate oxygenation. Which of the following oxygen delivery devices is most appropriate for delivering continuous supplemental oxygen in this patient?
Correct Answer: D
Rationale: The most appropriate oxygen delivery device for a patient with chronic respiratory failure secondary to severe restrictive lung disease requiring continuous supplemental oxygen is a non-rebreather mask. A non-rebreather mask is designed to deliver high-flow oxygen and is typically used for short-term medical treatment in emergency situations or for critically ill patients. It is ideal for providing the highest concentration of oxygen available for inhalation, making it suitable for patients with severe hypoxemia.
Question 2 of 5
Which of the following manifestation should the nurse APPROPRIATELY observe during generalized seizures?
Correct Answer: A
Rationale: Generalized seizures involve both hemispheres of the brain and can present with various manifestations. The typical features of generalized seizures include loss of consciousness, dilated pupils, and muscular stiffening. These seizures may also involve other symptoms such as tonic-clonic movements, convulsions, and postictal confusion. Jerking movements of all extremities (option B) are more characteristic of tonic-clonic seizures, a subtype of generalized seizures. Facial grimace with patting and smacking (option C) may be seen in focal seizures originating from a certain area of the brain. A vacant stare with a brief loss of consciousness (option D) is more typical of absence seizures rather than generalized seizures.
Question 3 of 5
Which of the following is a common complication associated with Dupuytren's contracture?
Correct Answer: B
Rationale: Dupuytren's contracture is a condition characterized by the thickening and tightening of the tissue beneath the skin of the hand, leading to the fingers being pulled into a bent position. One of the common complications associated with Dupuytren's contracture is the development of a Swan-neck deformity. This deformity is characterized by hyperextension of the proximal interphalangeal joint and flexion of the distal interphalangeal joint. It is important to recognize and address complications like Swan-neck deformity in individuals with Dupuytren's contracture to prevent further functional impairment and disability.
Question 4 of 5
Weight loss and Malnutrition are commonly observed among patients with COPD. They should be taught to avoid ______.
Correct Answer: A
Rationale: Patients with COPD often experience dyspnea, which makes it difficult for them to breathe. When they have a full stomach, their diaphragm is compressed, which can further increase difficulty in breathing. Teaching patients with COPD to avoid having a full stomach even when in dyspneic condition is important to prevent exacerbation of breathing problems. It is advisable for them to have small, frequent meals to ensure adequate nutrition without compromising their ability to breathe comfortably.
Question 5 of 5
During the surgical procedure, the nurse notices a break in sterile technique by a member of the surgical team. What should the nurse do?
Correct Answer: C
Rationale: In this situation, it is crucial for the nurse to inform the surgeon immediately and request corrective action. Maintaining a sterile field during surgical procedures is essential to prevent infections and ensure patient safety. Any break in sterile technique should be addressed promptly to prevent any potential harm to the patient. By informing the surgeon immediately, corrective action can be taken promptly to maintain the sterility of the surgical field and minimize the risk of complications. Reporting the incident to the surgeon also allows for immediate intervention and re-education of the team member involved in the break in sterile technique.