ATI RN
Adult Health Med Surg Nursing Test Banks Questions
Question 1 of 5
The best prevention management of contact latex allergy is ______.
Correct Answer: B
Rationale: The best prevention management of contact latex allergy is to avoid latex products entirely. Latex allergies can range from mild skin irritation to severe reactions such as anaphylaxis. This means that even applying lotion before using latex gloves may not be sufficient to prevent an allergic reaction in individuals who are sensitized to latex. It is important for individuals with latex allergy to completely avoid exposure to latex products, including rubberized goods, to prevent triggering an allergic response. Resigning from the job is not a practical solution and should not be necessary if proper precautions are taken to avoid latex exposure.
Question 2 of 5
When a patient develops a temperature of 39.8 degree centigrade after an abdominal surgery with an ongoing blood transfusion, the PACU nurse should notify the surgeon as this may indicate ______.
Correct Answer: B
Rationale: A temperature of 39.8 degrees Celsius (103.6 degrees Fahrenheit) in a patient following abdominal surgery and ongoing blood transfusion may indicate an ongoing potential infection. During surgery, the body is exposed to various microorganisms, and the stress of surgery can weaken the immune system, making the patient more susceptible to infections. Blood transfusions also carry a risk of introducing infections if not properly screened. Therefore, in this situation, an elevated temperature may be a sign that an infection is developing, and prompt notification of the surgeon is important for further evaluation and management.
Question 3 of 5
Nurse Cris received information from some community residents who suspect that a neighbor ls abusing his young child. Which should be the PRIORITY nursing action ?
Correct Answer: A
Rationale: The PRIORITY nursing action when receiving information about suspected child abuse is to report to the police authorities. Child abuse is a serious issue that requires immediate intervention to ensure the safety and well-being of the child. The police are trained to investigate these types of situations and can take the necessary steps to protect the child from harm. It is essential to act swiftly and report any suspicions of child abuse to the proper authorities to prevent further harm and ensure the child's safety.
Question 4 of 5
Which of the following is caused by the markedly distended uterus and intermittent uterine contractions within 2 to 3 days after birth?
Correct Answer: B
Rationale: Uterine atony is caused by the markedly distended uterus and intermittent uterine contractions within 2 to 3 days after birth. It is characterized by the inability of the uterus to contract after delivery, leading to excessive bleeding postpartum. This condition is a significant risk factor for postpartum hemorrhage. Treatment may involve massage of the uterus, administration of uterotonics, and in severe cases, surgical interventions such as a hysterectomy. Retained placenta refers to incomplete expulsion of the placenta after delivery. Afterpains are the discomfort felt by some women as their uterus contracts and returns to its normal size after childbirth. A boggy uterus is another term for a uterus that feels soft, lax, or lack firm tone, which can be a sign of uterine atony.
Question 5 of 5
Evelyn was given iron as supplemental vitamin to prevent maternal anemia. She asks if
Correct Answer: C
Rationale: The correct response would be "Absorption of iron is enhanced with Vitamin C." Iron absorption is increased in the presence of Vitamin C. Therefore, recommending Evelyn to take her iron supplement with a source of Vitamin C such as orange juice or a Vitamin C tablet would optimize the absorption of iron in her body and help prevent maternal anemia more effectively. Taking iron with other vitamins separately, after a full meal, or with milk would not have the same beneficial effect on iron absorption as combining it with Vitamin C.