ATI RN
foundations of nursing test bank Questions
Question 1 of 5
The nurse notes that a patient has a history of fibroids and is aware that this term refers to a benign tumor of the uterus. What is a more appropriate term for a fibroid?
Correct Answer: D
Rationale: The correct answer is D: Leiomyoma. A leiomyoma is the medical term for a fibroid, which is a benign tumor of the uterus composed of smooth muscle tissue. This term is more appropriate as it specifically refers to fibroids. A: Bartholins cyst is a fluid-filled swelling in the Bartholin's gland, not related to fibroids. B: Dermoid cyst is a type of ovarian cyst containing tissues like hair, teeth, and skin, not related to fibroids. C: Hydatidiform mole is an abnormal growth of tissue in the uterus that forms during pregnancy, not related to fibroids.
Question 2 of 5
A public health nurse is teaching a health promotion workshop that focuses on vision and eye health. What should this nurse cite as the most common causes of blindness and visual impairment among adults over the age of 40? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Diabetic retinopathy. This is because diabetic retinopathy is a leading cause of blindness in adults over 40, resulting from diabetes affecting blood vessels in the retina. Trauma (B) is a common cause of visual impairment but not as prevalent as diabetic retinopathy in this age group. Macular degeneration (C) primarily affects older individuals, typically over 50, rather than those over 40. Cytomegalovirus (D) is a cause of blindness in immunocompromised individuals, not specific to the age group mentioned. Glaucoma (E) is a leading cause of blindness worldwide but is more common in older adults and not specifically over 40.
Question 3 of 5
A patient on the medical unit is dying and the nurse has determined that the familys psychosocial needs during the dying process need to be addressed. What is a cause of many patient care dilemmas at the end of life?
Correct Answer: B
Rationale: The correct answer is B: Denial of imminent death on the part of the family or the patient. This is a common cause of patient care dilemmas at the end of life because denial can lead to unrealistic expectations, difficulty in making important decisions, and inadequate planning for end-of-life care. This can result in unnecessary suffering for the patient and added stress for the family. Incorrect choices: A: Poor communication between the family and the care team can contribute to challenges in providing appropriate care but may not be the primary cause of patient care dilemmas at the end of life. C: Limited visitation opportunities for friends and family, while important for psychosocial support, may not directly cause patient care dilemmas. D: Conflict between family members can complicate decision-making processes, but it is not necessarily a primary cause of patient care dilemmas at the end of life.
Question 4 of 5
A nurse is teaching a patient about the urinarysystem. In which order will the nurse present the structures, following the flow of urine?
Correct Answer: B
Rationale: The correct order is B: Kidney, ureters, bladder, urethra. 1. Kidneys filter blood and produce urine. 2. Ureters transport urine from kidneys to bladder. 3. Bladder stores urine until expelled. 4. Urethra carries urine from bladder out of the body. Other choices are incorrect because they do not follow the anatomical flow of urine through the urinary system.
Question 5 of 5
A patient with mastoiditis is admitted to the post-surgical unit after undergoing a radical mastoidectomy. The nurse should identify what priority of postoperative care?
Correct Answer: A
Rationale: The correct answer is A: Assessing for mouth droop and decreased lateral eye gaze. After a radical mastoidectomy, the nurse should prioritize assessing for signs of facial nerve damage, such as mouth droop and decreased lateral eye gaze, which can indicate injury to the facial nerve during surgery. This is crucial as immediate intervention may be needed to prevent long-term complications. Choices B, C, and D are incorrect: B: Assessing for increased middle ear pressure and perforated ear drum is not the priority postoperative care for a radical mastoidectomy patient. C: Assessing for gradual onset of conductive hearing loss and nystagmus is not the priority as these are not immediate concerns postoperatively. D: Assessing for scar tissue and cerumen obstructing the auditory canal is not the priority as these are not immediate postoperative complications that require urgent attention.