ATI RN
Adult Health Nursing Test Bank Questions
Question 1 of 5
In as much as Almira complained of vaginal spotting and abdominal cramps, which among the following will the nurse anticipate as the MOST likely diagnosis of the physician after a vaginal examination?
Correct Answer: B
Rationale: The correct answer is B: Threatened abortion. Vaginal spotting and abdominal cramps are common symptoms of a threatened abortion, which occurs when there is a risk of miscarriage but the pregnancy remains viable. This diagnosis is likely after a vaginal examination to assess the cervix and presence of fetal heartbeat. A: Eclampsia is characterized by seizures in pregnancy due to high blood pressure, not typically presenting with vaginal spotting and cramps. C: Placenta previa involves the placenta covering the cervix, leading to painless vaginal bleeding, not associated with cramps. D: Abruptio placenta is premature separation of the placenta from the uterus, manifesting as painful bleeding, not typically with vaginal spotting and cramps.
Question 2 of 5
A biphasic anti-ovulatory medication of combined progestin and estrogen is prescribed for a female patient. What should the nurse include when teaching about this oral contraceptive?
Correct Answer: B
Rationale: The correct answer is B: Report any irregular vaginal bleeding. This is important because irregular vaginal bleeding can indicate potential issues such as breakthrough bleeding or hormonal imbalances, which may require adjustments to the contraceptive regimen. Other choices are incorrect because: A) Restricting sexual activity is not necessary with this medication, C) Increasing calcium intake is not directly related to taking biphasic anti-ovulatory medication, and D) Bi-monthly Pap smears are not specifically required due to this type of contraception.
Question 3 of 5
During admission, the nurse needs to take the patient`s obstetric Al data. Which of the following the Most important?
Correct Answer: C
Rationale: Step 1: Previous pregnancy experience is crucial for understanding the patient's obstetric history and potential risks. Step 2: It helps in identifying any complications or issues that may arise during the current pregnancy. Step 3: Laboratory results, prenatal check-up records, and diagnostic test results provide additional information but do not offer insights into the patient's past pregnancy experiences. Summary: Choice C is the most important as it directly relates to the patient's obstetric history, while the other options focus on current data that may not provide the same level of context.
Question 4 of 5
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 5
When the lecture presentation was finished, the CI proceeded with the _______.
Correct Answer: C
Rationale: The correct answer is C because an open forum to solicit questions related to the topic under discussion is a common practice after a lecture presentation. This allows for clarification and deeper understanding. Choice A is incorrect as evaluation usually comes after the lecture. Choice B is incorrect because the Q&A portion typically focuses on the lecture content only. Choice D is incorrect as cracking humorous anecdotes is not a standard practice after a lecture.