ATI RN
foundation of nursing practice questions Questions
Question 1 of 5
A patient with trichomoniasis comes to the walk-in clinic. In developing a care plan for this patient the nurse would know to include what as an important aspect of treating this patient?
Correct Answer: A
Rationale: Trichomoniasis is a sexually transmitted infection caused by the parasite Trichomonas vaginalis. It is important to treat both partners simultaneously to prevent reinfection. Metronidazole (Flagyl) is the first-line treatment for trichomoniasis and is effective in eradicating the parasite. Treating both partners ensures that the infection is fully eliminated and reduces the risk of transmission back and forth between partners. It is crucial for the nurse to include this aspect in the care plan to achieve successful treatment outcomes for the patient and their partner.
Question 2 of 5
A female patient tells the nurse that she thinks she has a vaginal infection because she has noted inflammation of her vulva and the presence of a frothy, yellow-green discharge. The nurse recognizes that the clinical manifestations described are typical of what vaginal infection?
Correct Answer: A
Rationale: The clinical manifestations of inflammation of the vulva and the presence of frothy, yellow-green discharge are indicative of a vaginal infection caused by Trichomonas vaginalis. Trichomoniasis is a sexually transmitted infection caused by a protozoan parasite. It commonly presents with symptoms such as frothy, yellow-green vaginal discharge, vaginal itching, inflammation of the vulva, and sometimes a foul odor. Testing for Trichomonas vaginalis can be done through microscopic examination of the vaginal discharge or through nucleic acid amplification tests. Treatment usually involves the use of antibiotics such as metronidazole or tinidazole. It is important to promptly diagnose and treat trichomoniasis to prevent complications and further transmission.
Question 3 of 5
A patient comes to the clinic complaining of a tender, inflamed vulva. Testing does not reveal the presence of any known causative microorganism. What aspect of this patients current health status may account for the patients symptoms of vulvitis?
Correct Answer: A
Rationale: Morbid obesity is a risk factor for developing a condition known as intertrigo, which is inflammation of the skin folds. In this case, the skin folds of the vulva are affected, leading to vulvitis. The warm and moist environment between the skin folds in obese individuals can promote the growth of microorganisms and the development of inflammation. This can result in symptoms such as tenderness and redness in the vulva. Since testing did not reveal the presence of any known causative microorganism, the patient's morbid obesity may be the underlying factor contributing to the symptoms of vulvitis. Treating the intertrigo and addressing the underlying obesity may help alleviate the symptoms.
Question 4 of 5
A middle-aged female patient has been offered testing for HIV/AIDS upon admission to the hospital for an unrelated health problem. The nurse observes that the patient is visibly surprised and embarrassed by this offer. How should the nurse best respond?
Correct Answer: B
Rationale: Option B is the best response for the nurse to provide in this situation. By stating that the testing is offered to every adolescent and adult regardless of lifestyle, appearance, or history, the nurse conveys that HIV testing is a standard practice and not targeting the patient specifically. This can help reduce the patient's feeling of embarrassment or stigma associated with the offer of testing. It also emphasizes the importance of universal screening for HIV to promote early detection and treatment, regardless of risk factors or demographics. This response helps maintain the patient's dignity and encourages them to consider the testing in a non-judgmental way.
Question 5 of 5
A patient is post-operative day 1 following a vaginal hysterectomy. The nurse notes an increase in the patients abdominal girth and the patient complains of bloating. What is the nurses most appropriate action?
Correct Answer: B
Rationale: The most appropriate action for the nurse to take in this situation is to apply warm compresses to the patient's lower abdomen. Abdominal bloating and an increase in abdominal girth can be common following a vaginal hysterectomy. Applying warm compresses to the lower abdomen can help to relieve bloating and discomfort by promoting relaxation of the abdominal muscles and increasing blood flow to the area. This can provide relief to the patient and support their recovery process. Applying warm compresses is a non-invasive intervention that can be easily implemented and is commonly used in post-operative care to address abdominal discomfort.