ATI RN
Adult Health Nursing Answer Key Questions
Question 1 of 9
Nurse Selma is preparing to administer ofloxacin eardrop on Catherine per Doctor's order. She needs to hold the bottle with her hands to warm up the solution to prevent dizziness for
Correct Answer: B
Rationale: Warming up ofloxacin eardrops before administering is done to prevent dizziness, which can occur if a cold solution is placed in the ear. Holding the bottle with hands for about 1 to 2 minutes is usually sufficient to warm up the solution to a comfortable temperature for the patient. Warming the solution for too long, such as 5-6 minutes, may not be necessary and could potentially waste time. So, the correct duration for warming up ofloxacin eardrops is 1 to 2 minutes.
Question 2 of 9
A patient presents with foul-smelling diarrhea containing cysts upon microscopic examination. Which of the following parasites is most likely responsible for this infection?
Correct Answer: B
Rationale: Entamoeba histolytica is a parasitic protist known to cause amoebiasis, a gastrointestinal infection that can lead to symptoms such as foul-smelling diarrhea containing cysts. Upon microscopic examination of the feces, the presence of Entamoeba histolytica cysts is a key diagnostic feature. This parasite can be transmitted through contaminated food or water, and individuals infected with Entamoeba histolytica may experience abdominal pain, bloody diarrhea, and weight loss. Proper diagnosis and treatment are essential to manage this infection and prevent complications.
Question 3 of 9
To ensure that the staff adheres to their job responsibilities which should be the appropriate toool should Nurse Mae utilize in evaluating staff performance?
Correct Answer: C
Rationale: Nurse Mae should utilize performance evaluations to ensure that the staff adheres to their job responsibilities. Performance evaluations are structured assessments that provide a holistic view of an employee's performance against established standards and job responsibilities. By conducting regular performance evaluations, Nurse Mae can objectively measure staff performance, identify areas of strengths and weaknesses, provide feedback for improvement, and set goals for professional development. This tool is essential for monitoring and managing staff performance effectively in a healthcare setting.
Question 4 of 9
When one has a Cushing disease the focal structure affected is the _______.
Correct Answer: B
Rationale: When one has Cushing's disease, the focal structure affected is the pituitary gland. Cushing's disease is caused by the overproduction of adrenocorticotropic hormone (ACTH) by the pituitary gland. This excess ACTH stimulates the adrenal glands to produce too much cortisol, leading to the symptoms associated with Cushing's disease. Therefore, the primary issue originates in the pituitary gland, not the other structures mentioned in the question.
Question 5 of 9
The newly-hired nurse oriented the caregiver hired by the couple. Which of the following should the nurse encourage the parents to do?
Correct Answer: A
Rationale: The nurse should encourage the parents to relate to each twin individually to enhance the attachment process. Building a strong attachment between the parents and each twin individually is vital for their emotional and psychological development. By spending quality one-on-one time with each twin, the parents can foster a unique bond with them, which can positively impact their relationship and overall development. This approach also helps prevent favoritism and ensures that each twin receives the attention and care they need to thrive.
Question 6 of 9
A client is being prepared for a thoracentesis. The nurse should assist the client to which position for the procedure?
Correct Answer: B
Rationale: The client should be assisted to lie in bed on the unaffected side for a thoracentesis procedure. This position allows for better access to the pleural space for the insertion of a needle to aspirate the fluid or air. Gravity helps to separate the fluid or air, making it closer to the chest wall for easier removal. Additionally, this position reduces the risk of injury to the lung or other structures, as the needle is directed away from these vital structures. Lying on the unaffected side also helps in preventing potential complications and ensures the safety and effectiveness of the procedure.
Question 7 of 9
In utilizing family coping index nurses should be knowledgeable that the focus of this tool is identifying the family's ________.
Correct Answer: A
Rationale: The Family Coping Index is a tool designed to assess the strategies that a family uses to deal with stressful situations. It focuses on how families manage and cope with stress and challenges, rather than solely on their interactions, health management, or health habits. By identifying the family's coping strategies, healthcare professionals can better understand the family dynamics and provide targeted support and interventions to help them navigate difficult circumstances.
Question 8 of 9
A patient presents with scrotal pain, swelling, and erythema. On physical examination, there is a tender, fluctuant mass in the scrotum. What is the most likely diagnosis?
Correct Answer: B
Rationale: The most likely diagnosis in this scenario is epididymitis. Epididymitis is an inflammation of the epididymis, a coiled tube at the back of the testicle that stores and carries sperm. Common symptoms include scrotal pain, swelling, erythema (redness), and a tender, fluctuant mass in the scrotum due to an abscess. Risk factors for epididymitis include urinary tract infections, sexually transmitted infections (such as gonorrhea or chlamydia), and recent urological procedures. It is important to differentiate epididymitis from testicular torsion, which would present with sudden, severe testicular pain, absent cremasteric reflex, and a high-riding testicle. Testicular cancer typically presents as a painless mass or swelling in the scrotum, and hydrocele presents as painless scrotal swelling due to a collection of fluid
Question 9 of 9
In planning the care of the elderly, which should be the important consideration that Nurse Gina has to consider _____.
Correct Answer: B
Rationale: Family support is a crucial consideration when planning the care of the elderly. The availability of family members to provide emotional support, assistance with daily activities, and decision-making can greatly impact the overall well-being of the elderly individual. Family support can help reduce feelings of isolation, ensure that the elderly person's needs are being met, and provide a sense of security and comfort. Additionally, involving family members in the care planning process can help create a collaborative and comprehensive care approach that considers the preferences and values of the elderly person. Considering the level of family support is essential for creating a care plan that meets the unique needs and circumstances of each elderly individual.