ATI RN
Adult Health Nursing Answer Key Questions
Question 1 of 5
A pregnant woman presents with severe lower abdominal pain and vaginal bleeding. On examination, cervical motion tenderness and unilateral adnexal tenderness are noted, along with an adnexal mass on the affected side. Which of the following conditions is the most likely cause of these symptoms?
Correct Answer: A
Rationale: The clinical presentation of severe lower abdominal pain and vaginal bleeding in a pregnant woman, along with cervical motion tenderness, unilateral adnexal tenderness, and an adnexal mass on the affected side, is highly concerning for an ectopic pregnancy. Ectopic pregnancy occurs when a fertilized egg implants outside the uterus, most commonly in the fallopian tube. The presence of an adnexal mass and tenderness on one side is indicative of potential tubal involvement and can mimic symptoms of pelvic inflammatory disease. Prompt evaluation and management are crucial in ectopic pregnancy to prevent life-threatening complications associated with rupture of the fallopian tube.
Question 2 of 5
A 45-year-old woman presents with heavy menstrual bleeding and iron deficiency anemia. On pelvic examination, the uterus is enlarged, and multiple irregularly shaped masses are palpated. Which condition is most likely to be responsible for these findings?
Correct Answer: A
Rationale: The clinical presentation of heavy menstrual bleeding, iron deficiency anemia, an enlarged uterus, and irregularly shaped masses palpated on pelvic examination is most indicative of leiomyomas, also known as uterine fibroids. Leiomyomas are benign smooth muscle tumors that commonly occur in women of reproductive age. They can lead to heavy menstrual bleeding and iron deficiency anemia due to their size and location within the uterus. On pelvic examination, leiomyomas can be felt as irregularly shaped masses within the uterine wall. This presentation is classic for leiomyomas and distinguishes them from conditions such as endometrial polyps, endometrial hyperplasia, and adenomyosis.
Question 3 of 5
Deductive Reasoning process is applied in:
Correct Answer: C
Rationale: Deductive reasoning is a logical process in which conclusions are drawn from a set of premises or given information. In quantitative research, this type of reasoning is commonly used to test hypotheses and make predictions based on theories and existing knowledge. Researchers start with established theories or hypotheses and then collect data to either support or refute them. This structured approach aligns with the principles of deductive reasoning and is a key characteristic of quantitative research methodology.
Question 4 of 5
The nurse closely monitors the work she delegated to the barangay health worker. She is legally guided by this principle
Correct Answer: A
Rationale: Respondent superior is a legal doctrine that holds an employer (such as a nurse) responsible for the actions of their employees (such as a barangay health worker) performed within the scope of their employment. In the scenario provided, the nurse delegated tasks to the barangay health worker, making the health worker an agent of the nurse. By closely monitoring the delegated work, the nurse is fulfilling her legal responsibility under the principle of respondent superior to ensure that the health worker performs their duties properly and in accordance with professional standards.
Question 5 of 5
In utilizing family coping index nurses should be knowledgeable that the focus of this tool is identifying the family's ________.
Correct Answer: A
Rationale: The Family Coping Index is a tool designed to assess the strategies that a family uses to deal with stressful situations. It focuses on how families manage and cope with stress and challenges, rather than solely on their interactions, health management, or health habits. By identifying the family's coping strategies, healthcare professionals can better understand the family dynamics and provide targeted support and interventions to help them navigate difficult circumstances.