Questions 9

ATI RN

ATI RN Test Bank

Adult Health Nursing Study Guide Answers Questions

Question 1 of 5

A woman in active labor is diagnosed with an amniotic fluid embolism. What is the priority nursing intervention?

Correct Answer: C

Rationale: An amniotic fluid embolism is a rare and life-threatening complication during labor and delivery. It occurs when amniotic fluid or fetal cells enter the maternal circulation, triggering a rapid immune response that can lead to cardiovascular collapse and respiratory failure. The priority nursing intervention for a woman in active labor diagnosed with an amniotic fluid embolism is to initiate cardiopulmonary resuscitation (CPR) to support her vital functions and circulation. Providing immediate CPR can help sustain her until further medical interventions can be implemented. Administering oxygen and preparing for a cesarean section may be necessary but should occur after CPR is initiated to stabilize the woman's condition. Inserting an indwelling urinary catheter is not the priority in this emergency situation, as maintaining adequate cardiac and respiratory function takes precedence.

Question 2 of 5

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 3 of 5

A patient presents with a yellowish-white spot on the cornea, surrounded by a ring of inflammation. Slit-lamp examination reveals branching, filamentous opacities extending from the corneal lesion. Which of the following conditions is most likely responsible for this presentation?

Correct Answer: C

Rationale: The presentation described is consistent with fungal keratitis. Fungal keratitis typically presents with a yellowish-white spot on the cornea, surrounded by a ring of inflammation. The filamentous opacities seen on slit-lamp examination are characteristic of fungal hyphae extending from the corneal lesion. This condition is often associated with risk factors such as trauma with vegetable matter, contact lens wear, or topical corticosteroid use. Prompt diagnosis and treatment with antifungal medications are essential to prevent complications and preserve vision.

Question 4 of 5

Which of the following conditions is characterized by the presence of abnormal cervical cells that are classified as low-grade squamous intraepithelial lesions (LSIL) on cytology?

Correct Answer: B

Rationale: Cervical intraepithelial neoplasia (CIN) is a precancerous condition of the cervix characterized by the presence of abnormal cells on the surface of the cervix. These abnormal cells are often classified as low-grade squamous intraepithelial lesions (LSIL) on cytology. CIN is not yet cervical cancer but can progress to invasive cancer if left untreated. LSIL is indicative of mild dysplasia or cervical intraepithelial neoplasia 1 (CIN 1), which is considered a precancerous lesion. Therefore, the presence of abnormal cervical cells classified as LSIL is more likely to be associated with CIN rather than cervical cancer, cervicitis, or cervical polyps.

Question 5 of 5

The nurse must include in the education plan, which of the following components? (Select all that apply.) I. Objectives II. Content and time allotment III. Teaching and learning resources IV. Evaluation parameters

Correct Answer: B

Rationale: In order to create a comprehensive education plan, the nurse must include all of the listed components.

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