ATI RN
Adult Health Nursing Quizlet Final Questions
Question 1 of 9
Ella states'I will hang my self' this is a manifestation of:
Correct Answer: B
Rationale: Ella's statement "I will hang myself" directly indicates a desire and intent to commit suicide. This is classified as a suicidal intent, which is a serious concern that requires immediate attention and intervention. It is crucial to take any mention or indication of suicide seriously and seek help from mental health professionals or crisis intervention services.
Question 2 of 9
Ms. Cruz is the supervisor of a hospital on night shift. Several nurses did not report due to Jeepney strike. When the supervisor is executing proper allocation of nurses to the PRIORITY wards to address this concern, she is observing what type of principle?
Correct Answer: B
Rationale: When the supervisor allocates nurses to the priority wards in response to the situation of several nurses not reporting due to the Jeepney strike, she is practicing the ethical principle of justice. Justice in healthcare pertains to the fair distribution of resources and the equitable treatment of individuals. By ensuring that nurses are allocated fairly and appropriately to address the urgent needs of the hospital and its patients, the supervisor is upholding the principle of justice. This decision aims to ensure that all patients receive the care they need despite the unexpected staffing shortage.
Question 3 of 9
A patient presents with tremors, rigidity, bradykinesia, and postural instability. On examination, the patient demonstrates a shuffling gait, stooped posture, and a masked facies. Which of the following neurological conditions is most likely responsible for these symptoms?
Correct Answer: B
Rationale: The symptoms described in the patient, such as tremors, rigidity, bradykinesia (slow movement), and postural instability, along with the presence of a shuffling gait, stooped posture, and masked facies, are classic features of Parkinson's disease. These motor symptoms are primarily caused by the degeneration of dopamine-producing neurons in the substantia nigra region of the brain. This results in an imbalance of neurotransmitters, particularly dopamine, leading to motor dysfunction and characteristic movement abnormalities seen in Parkinson's disease.
Question 4 of 9
The client has been "pesky," seeking the attention of nurses in the nurses' station much of the day. Now the nurse escorts the client to the room and tells the client to stay there or be put into seclusion. The nurse is threatening to give the client an injection in order to restrain the client for inappropriate behavior. This is an example of
Correct Answer: C
Rationale: False imprisonment is the act of improperly restraining another individual against their will. In this scenario, the nurse's threat of putting the client into seclusion and administering an injection to restrain them for inappropriate behavior constitutes false imprisonment. The client is being restricted in their movement without valid reason or proper procedure. This type of action is not acceptable in healthcare settings and violates the client's rights. It is important for healthcare professionals to use appropriate de-escalation techniques and interventions to manage challenging behaviors without resorting to threats of physical restraint.
Question 5 of 9
Patient Haydee comes to the perinatal unit of Hospital DEE. Nurse Arcee does through SCREENING assessment. Which is the Least screening assessment to be used by the nurse/
Correct Answer: B
Rationale: Radiologic procedures are typically not used as the least screening assessment by nurses in a perinatal unit. The nurse's initial screening assessments usually focus on gathering information through techniques such as physical examination, interviews, and reviewing laboratory results. Radiologic procedures, such as X-rays or CT scans, are usually ordered by physicians once a more specific diagnostic need has been identified, based on the initial screening assessments performed by the nurse. Therefore, in this scenario, the least screening assessment to be used by the nurse would be radiologic procedures.
Question 6 of 9
A pregnant woman presents with fever, chills, and abdominal pain localized to the right lower quadrant. On examination, she has rebound tenderness and guarding. Which of the following conditions is the most likely cause of these symptoms?
Correct Answer: C
Rationale: Acute appendicitis is the most likely cause of the symptoms described in the pregnant woman. The classic presentation of acute appendicitis includes fever, chills, abdominal pain localized to the right lower quadrant, rebound tenderness, and guarding. Pregnant women are at a slightly higher risk of developing appendicitis due to anatomic changes and increased abdominal pressure during pregnancy, which can lead to an atypical presentation of symptoms. Prompt diagnosis and surgical intervention are crucial to prevent complications such as perforation, which can be detrimental for both the mother and the fetus.
Question 7 of 9
Who should Nurse Sandra consider as a priority for home visitation?
Correct Answer: C
Rationale: Nurse Sandra should consider Cindy, 7 years old who has been absent due to skin lesions, as a priority for home visitation. Skin lesions can indicate potential health issues that need to be addressed promptly. Cindy's frequent absences could be a sign that her condition is affecting her school attendance and overall well-being. By conducting a home visit, Nurse Sandra can assess Cindy's living environment, provide appropriate care recommendations, and ensure that she receives necessary medical attention. This proactive approach can help address Cindy's health concerns and support her academic performance.
Question 8 of 9
A patient presents with acute knee pain and swelling following a twisting injury during sports activity. Physical examination reveals joint effusion and tenderness along the joint line. Which structure is most likely injured in this scenario?
Correct Answer: C
Rationale: The scenario described is suggestive of a meniscus injury. A twisting injury during sports activity leading to acute knee pain and swelling, accompanied by joint effusion and tenderness along the joint line, is commonly associated with meniscus tears. The meniscus is a C-shaped cartilage structure located between the femur and tibia in the knee joint, providing cushioning and stability. The symptoms of a meniscus tear typically include pain, swelling, joint line tenderness, and sometimes mechanical symptoms like locking or clicking. Treatment may involve rest, physical therapy, or in some cases, surgery to repair or remove the torn meniscus.
Question 9 of 9
A nurse is caring for a patient with limited mobility and is planning interventions to prevent pressure injuries. What action by the nurse demonstrates evidence-based practice in pressure injury prevention?
Correct Answer: C
Rationale: Placing the patient on an alternating pressure mattress demonstrates evidence-based practice in pressure injury prevention. Alternating pressure mattresses are designed to change pressure points by alternating pressure across different parts of the body, reducing the risk of pressure injuries. Regularly turning and repositioning the patient (Choice B) is also important in preventing pressure injuries, but an alternating pressure mattress provides additional support and prevention measures. Applying moisturizing lotion (Choice A) and massaging bony prominences (Choice D) may be beneficial for skin care, but they are not proven strategies for pressure injury prevention.