ATI RN
Midwifery Practice Questions Questions
Question 1 of 5
M. T. is a 71-year-old female who presents for evaluation of a lump on her chest. She denies any symptomsthere is no pain, erythema, edema, ecchymosis, or open areasit is just a lump. She has no idea how long it has been there and just noticed it a few weeks ago. Physical examination reveals a round, smooth, flesh-colored tumor. It is firm but not hard it has smooth borders. It measures 6 cm in diameter and is non-tender to palpation. The AGACNP suspects that this is a classic presentation of the most common chest wall tumor known as a
Correct Answer: B
Rationale: The correct answer is B: Lipoma. A lipoma is a common benign tumor made of fat cells. In this case, the patient's presentation of a painless, soft, round, flesh-colored lump with smooth borders is consistent with a lipoma. The absence of symptoms like pain, erythema, or tenderness further supports this diagnosis. Lipomas are usually non-tender to palpation and can grow to a significant size. The other choices (A, C, D) are not the correct answers because they do not align with the characteristics described in the patient's presentation. Neurolemma is associated with nerve sheath tumors, hemangioma with blood vessel tumors, and lymphangioma with lymphatic vessel tumors, none of which match the clinical findings in this case.
Question 2 of 5
Justin F. is seen in the emergency department with an 8-cm jagged laceration on the dorsal surface of his right forearm. He says he was working with his brother-in-law yesterday morning building a deck on the back of his home. A pile of wooden planks fell on top of him, and he sustained a variety of cuts and superficial injuries. He cleaned the wound with soap and water but didnt want to go to the emergency room because he didnt want to risk being in the waiting room for hours. He wrapped up his arm and went back to work, and then took a normal shower and went to bed last night. This morning the cut on his arm was still flapping open, and he realized he needed sutures. The appropriate management of this patient includes
Correct Answer: C
Rationale: The correct answer is C: Local anesthesia, cleansing, and suture repair. 1. Local anesthesia is needed to minimize pain during the procedure. 2. Cleansing is crucial to remove contaminants and reduce the risk of infection. 3. Suture repair is necessary for a jagged laceration of this size to promote proper wound healing and minimize scarring. Summary of other choices: A: Antibiotic therapy is not routinely needed for clean lacerations, and covering alone may not provide adequate wound closure. B: While wound exploration for foreign bodies is important, it is not the immediate priority for this patient with an open, flapping laceration. D: While cleansing, covering, and tetanus prophylaxis are important, antibiotic therapy is not routinely needed for clean lacerations.
Question 3 of 5
Jake is a 32-year-old patient who is recovering from major abdominal surgery and organ resection following a catastrophic motor vehicle accident. Due to the nature of his injuries, a large portion of his jejunum had to be resected. In planning for his recovery and nutritional needs, the AGACNP considers that
Correct Answer: B
Rationale: The correct answer is B: His procedure has put him at significant risk for B12 absorption problems. Rationale: 1. Jejunum is primarily responsible for nutrient absorption, including B12. 2. Resection of a large portion of the jejunum can lead to malabsorption of B12. 3. B12 is essential for neurological function and red blood cell production. 4. Patients with significant jejunum resection are at high risk for B12 deficiency. 5. Monitoring B12 levels and potentially requiring supplementation is crucial for patients like Jake. Summary of other choices: A: Incorrect. Lifetime issues with diarrhea are not necessarily expected following jejunum resection. C: Incorrect. The ileum may assume some functions of the jejunum but cannot fully compensate. D: Incorrect. Enteral nutrition should not be delayed for months as it is essential for Jake's recovery and nutritional needs.
Question 4 of 5
Kleihauer-Betke acid-elution test is recommended in the management of
Correct Answer: B
Rationale: The Kleihauer-Betke acid-elution test is recommended in the management of hemolytic jaundice prenatally because it helps determine the amount of fetal-maternal hemorrhage, which is crucial for assessing the need for Rh immune globulin administration to prevent Rh sensitization in Rh-negative mothers carrying Rh-positive fetuses. This test helps quantify the amount of fetal red blood cells in the maternal circulation, guiding appropriate management to prevent hemolytic disease of the newborn. The other choices (A, C, D) do not specifically require the Kleihauer-Betke test for management and are not directly related to fetal-maternal hemorrhage assessment.
Question 5 of 5
In the management of a low birth weight baby, a thermal controlled environment is aimed at
Correct Answer: B
Rationale: The correct answer is B: Facilitation of weight gain. A thermal controlled environment for a low birth weight baby helps in maintaining the baby's body temperature, reducing energy expenditure, and promoting weight gain. This is crucial for the baby's growth and development. Incorrect choices: A: Prevention of infection - While a thermal controlled environment can indirectly help prevent infections by maintaining the baby's health, it is not the primary aim. C: Provision of quality care - Quality care involves multiple aspects beyond just thermal control, so this is not the primary aim. D: Provision of nutrition - Nutrition is important for weight gain, but the thermal controlled environment specifically focuses on regulating the baby's body temperature to support weight gain.