ATI RN
Adult Health Nursing Test Banks Questions
Question 1 of 9
Nurse Chona saw Patient Noel reading his own chart and question the nurse why (-) smoking and (-) liquor was recorded when he does not smoke and drink alcohol? What is the INITIAL explanation of Nurse Chona on the record?
Correct Answer: B
Rationale: Nurse Chona should explain to Patient Noel that the sign of negative before the word means that he is not drinking alcohol or smoking cigarettes. This is a simple misunderstanding and clarification should help clear up any confusion. It is important to uphold patient confidentiality and respect their autonomy, rather than reprimanding the patient for looking at their own chart. It is also essential to address any discrepancies in the patient's medical record to ensure accurate information is documented for proper treatment and care.
Question 2 of 9
Ramon died at 10:00 PM. His father cried much and refused to move Ramon 's body. What is the APPROPRIATE approach of the nurse?
Correct Answer: A
Rationale: The appropriate approach of the nurse in this situation would be to talk about the reality of death with the father. It is important to provide appropriate and compassionate communication, acknowledging the father's grief while also gently guiding him towards accepting the reality of the situation. By discussing the reality of death and offering support, the nurse can help the father start the grieving process and eventually come to terms with the loss of his son. It is important to provide emotional support and guidance in a sensitive and respectful manner during such a difficult time.
Question 3 of 9
A patient with a history of chronic kidney disease is prescribed a low-phosphorus diet. Which dietary choice indicates understanding of the prescribed diet?
Correct Answer: A
Rationale: Grilled chicken breast is a suitable choice for a low-phosphorus diet because poultry is typically lower in phosphorus compared to dairy products (like cheese), nuts (like almonds), and whole grains (like wheat toast). This option indicates an understanding of the need to restrict phosphorus intake, which is important for individuals with chronic kidney disease to prevent complications.
Question 4 of 9
A 25-year-old woman presents with cyclic pelvic pain, dysmenorrhea, and dyspareunia. On pelvic examination, the uterus is retroverted, and a tender, nodular mass is palpated behind the uterus. Which of the following conditions is most likely to be responsible for these findings?
Correct Answer: A
Rationale: The scenario described, including cyclic pelvic pain, dysmenorrhea, dyspareunia, retroverted uterus, and a nodular mass behind the uterus, is most indicative of endometriosis. Endometriosis is a gynecological condition in which tissue similar to the endometrium (the tissue that lines the uterus) is found outside the uterus, typically on structures within the pelvis. The presence of endometrial tissue in abnormal locations can lead to symptoms such as pelvic pain, especially during menstruation (dysmenorrhea), painful intercourse (dyspareunia), and the formation of nodular masses (endometriomas) that can be felt on pelvic examination. It is important to note that while adenomyosis and uterine fibroids (leiomyomas) can also cause pelvic pain and dysmenorrhea, the specific findings of retroverted uterus and palpable nodular mass behind
Question 5 of 9
The patient has been ordered a regimen to treat a urinary tract infection and notifies the nurse that the patient's urine has turned an orange color. The nurse recognizes that the patient is most likely being treated with which drug?
Correct Answer: D
Rationale: Phenazopyridine HCl (Pyridium) is a medication commonly used to relieve the pain, burning, and discomfort associated with urinary tract infections (UTIs). One of the notable side effects of Phenazopyridine is the discoloration of urine, turning it a rusty-red or orange color. This color change is harmless and temporary, but it can be alarming to patients who are unaware of this side effect. Therefore, if a patient undergoing treatment for a UTI notices their urine has turned orange, it is most likely due to the administration of Phenazopyridine.
Question 6 of 9
After 3 years being assigned in the Operating Room, Merle in interested to actively join which appropriate professional organization?
Correct Answer: A
Rationale: ORNAP stands for Operating Room Nurses Association of the Philippines, which is an appropriate professional organization for Merle to actively join after 3 years of experience in the Operating Room. ORNAP is dedicated to promoting professional growth and development, advancing the standards of perioperative nursing practice, and providing a platform for networking and collaboration among operating room nurses in the Philippines. By becoming a member of ORNAP, Merle can stay updated on the latest trends and best practices in perioperative nursing, participate in continuing education opportunities, and connect with colleagues in the same field to enhance her skills and knowledge.
Question 7 of 9
Which of the following conditions is characterized by an abnormal enlargement of the prostate gland, leading to lower urinary tract symptoms such as urinary hesitancy, weak urinary stream, and incomplete bladder emptying?
Correct Answer: B
Rationale: Benign prostatic hyperplasia (BPH) is a condition characterized by an abnormal enlargement of the prostate gland, which is non-cancerous. This enlargement can lead to lower urinary tract symptoms such as urinary hesitancy (difficulty starting the urine stream), weak urinary stream, incomplete bladder emptying, frequent urination, urgency, and nocturia. BPH is a common condition in aging men and is not usually associated with prostate cancer. Other conditions like prostate cancer, prostatitis, and prostate adenoma may present with similar symptoms, but BPH is specifically characterized by the non-cancerous enlargement of the prostate gland. Treatment for BPH may include medications to improve symptoms or surgical procedures to reduce the size of the prostate gland.
Question 8 of 9
What is the purpose of a tracheostomy. To _______.
Correct Answer: A
Rationale: The purpose of a tracheostomy is to establish an artificial airway in the trachea through a surgical procedure. This is done to bypass obstructions in the upper airway, assist with breathing, or facilitate the removal of secretions from the lungs. A tracheostomy helps in maintaining a clear and secure airway for patients who have difficulty breathing or require long-term mechanical ventilation support.
Question 9 of 9
The BEST position for the patient to assume in case of shock is ______.
Correct Answer: A
Rationale: The BEST position for a patient in shock is the modified Trendelenburg position. In this position, the patient's legs are elevated above the level of the heart to enhance blood flow back to the heart and vital organs. Placing the patient in the modified Trendelenburg position helps increase venous return, improves cardiac output, and promotes perfusion to vital organs, which can be crucial in managing shock. This position can help stabilize the patient's condition while awaiting further medical intervention.