ATI RN
Adult Health Nursing Test Bank Questions
Question 1 of 9
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 9
A patient is prescribed a selective serotonin reuptake inhibitor (SSRI) for the treatment of depression. Which adverse effect should the nurse monitor closely in the patient?
Correct Answer: C
Rationale: The correct answer is C: Hyponatremia. SSRI medications can lead to the syndrome of inappropriate antidiuretic hormone secretion (SIADH), causing hyponatremia. This occurs due to increased levels of serotonin affecting the hypothalamus, leading to excessive ADH release. Hyponatremia can result in neurological symptoms and must be closely monitored. A: Bradycardia is not a common adverse effect of SSRIs. B: Hyperkalemia is not typically associated with SSRIs. D: Hypertension is not a common adverse effect of SSRIs; they may actually lower blood pressure.
Question 3 of 9
To assist them enhance their performance at work, the nurse manager should review regularly pertaining to the staff's
Correct Answer: C
Rationale: Step 1: Job description is crucial for clarifying roles and responsibilities, ensuring staff understand their duties. Step 2: Regular review of job descriptions helps align staff performance with organizational goals and expectations. Step 3: It allows for identifying areas of improvement and providing necessary support and resources. Step 4: Academic performance in college, family dynamics, and number of incident reports are not directly related to work performance. Summary: Regularly reviewing staff job descriptions is essential for enhancing performance by clarifying roles, aligning expectations, and identifying areas for improvement. Other choices lack direct relevance to work performance.
Question 4 of 9
A nurse is conducting a discharge planning assessment for a patient preparing to transition home. What action by the nurse demonstrates continuity of care?
Correct Answer: C
Rationale: The correct answer is C because communicating with the patient's primary care provider and community resources demonstrates continuity of care. This action ensures a seamless transition from the hospital to home by keeping all involved parties informed and involved in the patient's care. Option A (written discharge instructions only) may provide information but lacks coordination with other healthcare providers. Option B (discharging without follow-up care coordination) can lead to gaps in care. Option D (disregarding patient concerns) goes against patient-centered care and can disrupt the continuity of care.
Question 5 of 9
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.
Question 6 of 9
A patient presents with acute onset of shoulder pain and limited range of motion after a fall onto an outstretched hand. Physical examination reveals tenderness over the greater tuberosity of the humerus and pain with passive abduction and external rotation of the shoulder. Which of the following conditions is most likely?
Correct Answer: A
Rationale: The correct answer is A: Rotator cuff tear. The presentation of acute shoulder pain and limited range of motion after a fall onto an outstretched hand, along with tenderness over the greater tuberosity and pain with passive abduction and external rotation, is classic for a rotator cuff tear. The mechanism of injury and physical exam findings are consistent with this condition. B: Glenohumeral dislocation typically presents with a visibly deformed shoulder and loss of normal shoulder contour. C: Acromioclavicular joint separation would present with tenderness over the AC joint rather than the greater tuberosity, and typically involves a history of direct trauma to the shoulder. D: Proximal humerus fracture would present with more diffuse shoulder pain and swelling, and not specific tenderness over the greater tuberosity.
Question 7 of 9
Latex allergy can be a type I IgE-mediated immediate hypersensitivity to plant proteins from the latex of rubber. It can manifest in its MOST severe form as _____.
Correct Answer: C
Rationale: The correct answer is C: Anaphylaxis. Anaphylaxis is the MOST severe form of an allergic reaction, including latex allergy. It is a systemic, potentially life-threatening reaction that can involve multiple organ systems. Symptoms can include difficulty breathing, swelling of the throat, a rapid drop in blood pressure, and cardiovascular collapse. Pruritus, erythema, and swelling (choice A) are common symptoms of allergic reactions but not specific to anaphylaxis. Asthma (choice B) can be a manifestation of latex allergy but is not the most severe form. Blisters and other skin lesions (choice D) are not typical of anaphylaxis but can occur in some cases of contact dermatitis from latex exposure.
Question 8 of 9
To families and individual in the community, which is the MOST important goal of health education?
Correct Answer: D
Rationale: The correct answer is D because health education aims to empower individuals and families to develop skills and literacy in health. This enables them to make informed decisions and take control of their health. By improving their health literacy, they can better understand health information and navigate the healthcare system effectively. This goal aligns with promoting health behavior change and long-term wellness. A: Studying life history is not a primary goal of health education and does not directly contribute to improving health outcomes. B: Identifying weaknesses may be a part of health assessment, but the main goal is to empower individuals with skills and knowledge to improve their health. C: While lifestyle changes may be necessary for better health, the goal of health education is to provide individuals with the tools to make these changes, not to impose drastic transformations.
Question 9 of 9
A woman in active labor demonstrates signs of uterine inertia, with weak and irregular contractions contributing to slow cervical dilation. What nursing intervention should be implemented to address this abnormal labor pattern?
Correct Answer: A
Rationale: In cases of uterine inertia, where weak and irregular contractions are causing slow cervical dilation during labor, administering intravenous oxytocin can help augment contractions and stimulate more effective progress. Oxytocin is a hormone that naturally stimulates uterine contractions and is commonly used in clinical settings to induce or enhance labor. By increasing the strength and frequency of contractions, oxytocin can help address uterine inertia and promote efficient cervical dilation to facilitate the progress of labor. It is important to monitor the response to oxytocin carefully to avoid complications such as hyperstimulation of the uterus, which can lead to fetal distress.