ATI RN
Adult Health Med Surg Nursing Test Banks Questions
Question 1 of 5
Which infection control measure should Nurse Emma observe during her visit to the family.
Correct Answer: A
Rationale: Wearing a mask is an essential infection control measure to prevent the spread of respiratory illnesses, including COVID-19. By wearing a mask, Nurse Emma can reduce the risk of inhaling or exhaling respiratory droplets that may contain infectious particles, thus helping to protect herself and the family members she is visiting. Masks are particularly crucial when interacting with individuals who are sick or when physical distancing may be challenging. While using gloves, face shields, and gowns are also important infection control measures in certain situations, wearing a mask is the most relevant and effective measure during a home visit to prevent respiratory transmission of infections.
Question 2 of 5
The nurse, as the community organizer, immerses self by joining local folks in their usual everyday activities in ordwwer to ______.
Correct Answer: A
Rationale: Immersing oneself in the local community and participating in their everyday activities allows the nurse, as a community organizer, to establish trust and build rapport with the people. By actively engaging with the community members, the nurse can show genuine interest and commitment to their well-being, which fosters a sense of connection and mutual understanding. This approach is crucial for gaining the trust of the community, as it demonstrates that the nurse is invested in listening to their needs and working together to address health concerns effectively.
Question 3 of 5
Who among the following is the BEST to sign an informed consent during a surgical procedure of a child at the health center?
Correct Answer: D
Rationale: In this scenario, the mother, who is 35 years old and illiterate but with on and off seizure, is the best candidate to sign the informed consent for a surgical procedure for the child. The mother is the primary caregiver and decision-maker for the child in most cases, and her relationship to the child is most crucial in this situation. Despite her illiteracy, she can still comprehend the importance of the procedure for her child's well-being. Additionally, accommodations can be made for an illiterate person to sign the consent form by using an "X" as a signature. It is important that the person signing the consent form has a clear understanding of the risks and benefits involved, as well as the ability to make decisions in the best interest of the child.
Question 4 of 5
The assessment of the patient with ingested poison must include________. I. determining the poison ingested and the amount II the time from ingestion and the signs and symptoms III. weight of the patient IV. Patient's immunization history
Correct Answer: B
Rationale: The assessment of a patient who has ingested poison must include determining the poison ingested and the amount (I), the time from ingestion and the signs and symptoms (II), as well as the weight of the patient (III). These factors are essential in evaluating the severity of the poisoning and determining the appropriate treatment plan. However, the patient's immunization history (IV) is not directly relevant to the assessment of ingested poison and thus is not essential in this context.
Question 5 of 5
Right after endorsement and during the rounds, the incoming nurse observes that the IV fluid is at 800 cc level and not 400cc, as endorsed. What is the CORRECT information that she will chart?
Correct Answer: C
Rationale: The correct information that the incoming nurse should chart is that she received 800 cc of IV fluid. It is crucial for the charting to accurately reflect the actual situation to provide an accurate record for the patient's care. In this scenario, the discrepancy between the endorsed amount (400 cc) and the observed amount (800 cc) should be documented to ensure transparency and continuity of care. This deviation from the expected amount should be clearly recorded for proper monitoring and evaluation of the patient's condition.