ATI RN
Foundations and Adult Health Nursing Test Bank Questions
Question 1 of 9
Should the investigation of the fall go further, which of the following is the best source of factual information ?
Correct Answer: A
Rationale: The incident report is the best source of factual information to investigate the fall further. Incident reports are official documents that provide a detailed account of what happened leading up to and during an incident. They include factual information such as the date, time, location, individuals involved, and details of the event. By reviewing the incident report, investigators can gather accurate information to determine the cause of the fall and any contributing factors. This document serves as an essential tool in conducting a thorough investigation into the fall and helps in identifying preventive measures to avoid similar incidents in the future.
Question 2 of 9
A patient with a severe bacterial infection has elevated levels of C-reactive protein (CRP) in their blood. Which of the following functions does CRP primarily serve during the acute phase response?
Correct Answer: B
Rationale: During the acute phase response, C-reactive protein (CRP) primarily serves to activate the complement system. CRP binds to phosphocholine on the surface of pathogens, allowing for the activation of the classical pathway of the complement system. This leads to the recruitment of immune cells, opsonization of pathogens, and enhancement of phagocytosis. The activation of the complement system by CRP plays a crucial role in the host defense against infections, aiding in the elimination of pathogens and the resolution of inflammation.
Question 3 of 9
Should the investigation of the fall go further, which of the following is the best source of factual information ?
Correct Answer: A
Rationale: The incident report is the best source of factual information to investigate the fall further. Incident reports are official documents that provide a detailed account of what happened leading up to and during an incident. They include factual information such as the date, time, location, individuals involved, and details of the event. By reviewing the incident report, investigators can gather accurate information to determine the cause of the fall and any contributing factors. This document serves as an essential tool in conducting a thorough investigation into the fall and helps in identifying preventive measures to avoid similar incidents in the future.
Question 4 of 9
Choose from the following the primary goals of TPN? I. promote weight gain II. improve nutritional status III. maintain muscle mass IV. establish nitrogen balance! V. enhance healing process
Correct Answer: C
Rationale: Total Parenteral Nutrition (TPN) is a method of providing nutrition to patients who cannot or should not obtain their nutrition through regular oral intake. The primary goals of TPN include promoting weight gain, improving nutritional status, maintaining muscle mass, and establishing nitrogen balance. These goals are crucial to support the overall health and well-being of the patient receiving TPN. Enhancing the healing process is an important aspect of TPN as well, but it is not considered one of the primary goals as weight gain, nutritional status, muscle mass, and nitrogen balance are typically the immediate priorities when administering TPN.
Question 5 of 9
Nurse Rica is in charge of the animal bite program of the health center, which of the following is the causative agent of rabies?
Correct Answer: C
Rationale: Rabies is a viral disease that affects the central nervous system. It is primarily transmitted through the bite of an infected animal, such as dogs, bats, raccoons, and foxes. The causative agent of rabies is the rabies virus, specifically from the genus Lyssavirus. Once the virus enters the body, it spreads through the nervous system to the brain, leading to severe neurological symptoms and, if left untreated, is almost always fatal. This is why prompt medical attention and vaccination following an animal bite are crucial in preventing the development of rabies in humans.
Question 6 of 9
A nurse is preparing to perform a tracheostomy tube change for a patient. What action should the nurse prioritize to ensure patient safety during the procedure?
Correct Answer: A
Rationale: The nurse should prioritize using sterile technique during the tracheostomy tube change to ensure patient safety. Tracheostomy procedures involve a direct entry into the airway, making it crucial to prevent infection and reduce the risk of complications. Sterile technique, including proper hand hygiene, wearing sterile gloves, and using sterile equipment, helps minimize the introduction of pathogens into the patient's airway, reducing the risk of infection. By maintaining a sterile field, the nurse can protect the patient from potential harm and promote a successful outcome of the tracheostomy tube change.
Question 7 of 9
A patient became seriously ill after a nurse gave him the wrong medication. After his recovery , he filed a lawsuit. Who is MOST likely to be held liable?
Correct Answer: D
Rationale: In cases where a patient becomes seriously ill or is harmed due to receiving the wrong medication, both the nurse and the hospital are likely to be held liable. The nurse is responsible for administering the correct medication to the patient, and any error in this process can lead to harm. The hospital may also be held liable for the actions of its employees, including nurses, under the legal principle of vicarious liability. Additionally, the hospital has a duty to ensure that proper protocols are in place to prevent medication errors, and failure to do so can lead to liability. Therefore, in this scenario, both the nurse and the hospital are likely to share liability for the patient's harm.
Question 8 of 9
The first standard-step-in oxygen therapy that the nurse should do is which of the following?
Correct Answer: D
Rationale: Before initiating any oxygen therapy, it is crucial for the nurse to first assess the patient's condition. This step allows the nurse to determine the patient's oxygen saturation levels, respiratory rate, lung sounds, and overall respiratory status. Understanding the patient's baseline condition helps in selecting the appropriate oxygen delivery method and flow rate that will best meet the patient's needs. Additionally, assessing the patient's condition allows the nurse to monitor the effectiveness of the oxygen therapy and make any necessary adjustments throughout the treatment process. Therefore, assessing the patient's condition is the necessary first step in providing safe and effective oxygen therapy.
Question 9 of 9
A patient is prescribed a nonsteroidal anti-inflammatory drug (NSAID) for the management of osteoarthritis. Which adverse effect should the nurse monitor closely in the patient?
Correct Answer: C
Rationale: NSAIDs are known to increase the risk of gastrointestinal complications, particularly gastrointestinal bleeding, ulcers, and perforation. This risk is higher in patients who are elderly, have a history of peptic ulcer disease, are taking high doses of NSAIDs, or are using them for a prolonged period. It is important for the nurse to closely monitor the patient for signs and symptoms of gastrointestinal bleeding, such as abdominal pain, black or tarry stools, vomiting blood, and anemia. Prompt identification and management of these complications are essential to prevent serious consequences. Monitoring for gastrointestinal adverse effects is crucial when a patient is prescribed NSAIDs for managing conditions like osteoarthritis.