ATI RN
Adult Health Nursing Test Bank Questions
Question 1 of 5
Outbreak of cases of typhoid fever occurs in the community. Nurse Keena should inform the residents that the transmission of the disease is through _______.
Correct Answer: C
Rationale: The correct answer is C: Food and water. Typhoid fever is primarily transmitted through contaminated food and water by the bacterium Salmonella typhi. The bacteria are shed in the feces of infected individuals and can contaminate water sources or food prepared with contaminated water. This transmission route aligns with the typical epidemiology of typhoid fever outbreaks. Now, let's discuss why the other choices are incorrect: A: A vector - Typhoid fever is not transmitted by a vector such as mosquitoes or ticks. B: Blood and body fluids - Typhoid fever is not typically spread through blood or body fluids but rather through ingestion of contaminated food or water. D: Air - Typhoid fever is not an airborne disease and is not transmitted through the air.
Question 2 of 5
This law allows every Filipino to avail of affordable medicines
Correct Answer: C
Rationale: Step 1: The Universal Health Care law aims to provide all Filipinos access to quality and affordable healthcare services, including medicines. Step 2: This law covers a broader scope compared to the other choices. Step 3: The Local Government Code focuses on local governance, not specifically on healthcare. Step 4: Primary Health Care is a concept rather than a specific law targeting affordable medicines. Step 5: The Generic Drug Act promotes the use of generic drugs but does not guarantee affordability for all Filipinos.
Question 3 of 5
A patient with a history of stroke is prescribed clopidogrel (Plavix) for secondary prevention of thrombotic events. Which laboratory test should the nurse monitor closely during clopidogrel therapy?
Correct Answer: C
Rationale: The correct answer is C: Platelet count. Platelet count should be monitored closely during clopidogrel therapy because it works by inhibiting platelet aggregation, reducing the risk of clot formation. Monitoring platelet count helps assess the drug's effectiveness and prevent potential complications like bleeding or clotting events. Prothrombin time (A), activated partial thromboplastin time (B), and international normalized ratio (D) are tests that primarily assess the coagulation factors and are not directly affected by clopidogrel therapy, making them less relevant for monitoring this specific medication.
Question 4 of 5
A patient with a history of congestive heart failure is prescribed furosemide. Which electrolyte imbalance is the patient at risk for developing with furosemide therapy?
Correct Answer: B
Rationale: Step 1: Furosemide is a loop diuretic that works in the ascending loop of Henle to inhibit sodium and chloride reabsorption. Step 2: Inhibition of sodium reabsorption leads to increased water and electrolyte excretion, including potassium. Step 3: Increased potassium excretion can lead to hypokalemia, which is a common side effect of loop diuretics like furosemide. Step 4: Hypokalemia can be dangerous, especially in patients with congestive heart failure, as it can worsen cardiac function and lead to arrhythmias. Step 5: Therefore, patients with a history of congestive heart failure prescribed furosemide are at risk for developing hypokalemia due to increased potassium excretion.
Question 5 of 5
Patient Ximena sought referral to an abort ion clinic from the nurse. She reasons out that her pregnancy a burden to her work and daily routines. What should be the BEST RESPONSE of the nurse?
Correct Answer: A
Rationale: The correct response is A because it addresses the patient's concerns about potential discrimination. This shows empathy and understanding towards the patient's emotional well-being. Choices B, C, and D are incorrect because they do not directly address the patient's reasons for seeking an abortion. Choice B imposes moral and legal judgments, which can be insensitive. Choice C is not relevant to the patient's stated reason. Choice D imposes religious beliefs, which may not align with the patient's own beliefs.