ATI RN
Adult Health Nursing Test Bank Questions
Question 1 of 9
A postpartum client who delivered via cesarean section expresses concerns about breastfeeding positions and comfort. What nursing intervention should be prioritized to address the client's concerns?
Correct Answer: A
Rationale: Demonstrating breastfeeding positions that minimize pressure on the incision site should be the nursing intervention prioritized to address the client's concerns. This is important because it ensures that the client can breastfeed comfortably while also protecting the healing incision. By showing the client appropriate positions, such as the football hold or side-lying position, the nurse can help minimize discomfort and promote successful breastfeeding without compromising the cesarean incision's healing process. It is crucial to support the client in establishing a good latch and positioning to encourage proper milk transfer and bonding while being mindful of the incision site.
Question 2 of 9
Informed consent in this study will be obtained by Myra from the
Correct Answer: D
Rationale: The correct answer is D because informed consent should be obtained from both the participants and their parents to ensure full understanding and agreement from all parties involved. This is crucial when working with minors to protect their rights and ensure ethical standards are met. Choice A is incorrect as it excludes parental consent, which is necessary for minors. Choice B is also incorrect as it neglects the participants' direct involvement in consenting to participate. Choice C is incorrect because it only includes available relatives, which may not be legally authorized to provide consent on behalf of the participants.
Question 3 of 9
A patient presents with pruritic, erythematous patches with silvery scales on the elbows, knees, and scalp. Which of the following conditions is most likely responsible for this presentation?
Correct Answer: B
Rationale: The correct answer is B: Psoriasis. Psoriasis is characterized by pruritic, erythematous patches with silvery scales, commonly found on the elbows, knees, and scalp. This presentation matches the patient's symptoms. Eczema (choice A) typically presents with red, inflamed, and itchy skin patches. Pityriasis rosea (choice C) manifests as a herald patch followed by smaller scaly patches in a "Christmas tree" distribution. Seborrheic dermatitis (choice D) involves oily, yellowish, scaly patches mainly on the scalp, face, and ears, and does not typically present with silvery scales.
Question 4 of 9
Nurse Florence was asked by her Headnurse why she requested permission to enroll in the Graduate Program for the second semester. Her reply should be, EXCEPT:
Correct Answer: D
Rationale: The correct answer is D because Nurse Florence was asked why she requested permission to enroll in the Graduate Program for the second semester, not about her interest in Pediatric Nursing. A: Having an impressive resume to be competitive aligns with career advancement. B: Connecting with people professionally can lead to networking opportunities. C: Investing for the future implies long-term career growth. Therefore, D is the least relevant response to the question asked.
Question 5 of 9
Which of the following variables will he likely EXCLUDE in his study?
Correct Answer: A
Rationale: The correct answer is A: Salary of nurses. In a study, the researcher is likely to exclude salary as it is not directly related to the quality of patient care. The focus should be on factors like responsiveness, caring attitude, and competence of nurses, which directly impact patient outcomes. Including salary may introduce bias and distract from the main objective of studying patient care quality. Responsiveness, caring attitude, and competence are crucial aspects of nursing care that directly influence patient satisfaction and health outcomes. Salary, on the other hand, is an external factor that may not directly correlate with the quality of care provided.
Question 6 of 9
In the presentation of results of qualitative research, the nurse researcher uses as a reference in the write-up the
Correct Answer: C
Rationale: The correct answer is C: second. In qualitative research, the nurse researcher typically uses the second person as a reference in the write-up to maintain objectivity and convey findings accurately. Using "first" may introduce bias, "fourth" is irrelevant, and "third" is too far removed from the perspective of the researcher. By referencing the second person, the researcher can present the results in a clear and unbiased manner, enhancing the credibility of the study.
Question 7 of 9
Which of the following interventions is the KEY to increasing the survival rates of clients with lung cancer?
Correct Answer: B
Rationale: The correct answer is B: Smoking cessation. Smoking is the leading cause of lung cancer, so quitting smoking is crucial in preventing and improving survival rates. Smoking cessation reduces the risk of developing lung cancer and improves treatment outcomes. High-dose chemotherapy (A) may be part of the treatment plan, but quitting smoking is more impactful. Early bronchoscopy (C) and early detection (D) are important, but without addressing the root cause (smoking), the survival rates will not significantly increase.
Question 8 of 9
A nurse is preparing to perform a chest tube insertion for a patient with a pneumothorax. What action should the nurse prioritize to ensure proper placement of the chest tube?
Correct Answer: D
Rationale: The correct answer is D because confirming the insertion site and direction using imaging guidance ensures precise placement of the chest tube, minimizing the risk of complications. Imaging guidance allows the nurse to visualize the exact location of the pneumothorax and guide the tube insertion accurately. A: Positioning the patient in a semi-Fowler's position with arms elevated may be beneficial for comfort but does not directly ensure proper chest tube placement. B: Marking the insertion site with a pen may help as a reference point but does not guarantee accurate placement. C: Administering analgesia is important for the patient's comfort but does not impact the placement of the chest tube. In summary, choice D is the most critical step to ensure the chest tube is correctly placed and effectively treats the pneumothorax.
Question 9 of 9
Nurse Victor reviews the medical history of patient Mila. Which of the following conditions is the MOST common cause of cardiogenic shock?
Correct Answer: B
Rationale: The correct answer is B: Acute myocardial infarction (MI) is the most common cause of cardiogenic shock. During an MI, there is significant damage to the heart muscle, leading to a decrease in cardiac output and subsequent shock. This results in inadequate tissue perfusion and oxygen delivery. Choices A, C, and D are incorrect because decreased hemoglobin level (A) may lead to anemia but is not the most common cause of cardiogenic shock. Hypotension (C) is a symptom of shock, not the cause. Coronary artery disease (D) is a risk factor for MI but not the direct cause of cardiogenic shock.