ATI RN
Adult Health Nursing Test Banks Questions
Question 1 of 9
Which of the following actions is INAPPROPRIATE for a nurse leader to apply in a work setting?
Correct Answer: A
Rationale: While it is important for nurse leaders to seek input and feedback from staff members, the inappropriate aspect of this action lies in the lack of clarity. The option contains a typographical error "natter" instead of "matter," which may lead to confusion and hinder effective communication. Additionally, the word choice of "opinion" instead of a more structured and strategic approach like "feedback" or "input" could be improved for professional communication in the workplace. Therefore, this action may not be considered appropriate in a work setting due to potential misunderstandings that can arise from the lack of clarity in communication.
Question 2 of 9
A patient presents with central obesity, moon face, buffalo hump, and purple striae. Laboratory tests reveal elevated cortisol levels. Which endocrine disorder is most likely responsible for these symptoms?
Correct Answer: D
Rationale: The patient's presentation of central obesity, moon face, buffalo hump, purple striae, and elevated cortisol levels strongly suggest Cushing's syndrome. Cushing's syndrome is a disorder characterized by excessive levels of cortisol, either due to an endogenous (e.g., adrenal tumor) or exogenous (e.g., prolonged steroid use) source. The classic physical features of Cushing's syndrome include central obesity with thin extremities (truncal obesity), moon face (rounding and reddening of the face), buffalo hump (accumulation of fat between the shoulders), and purple striae (stretch marks that are wide and purple in color). In the context of the elevated cortisol levels, these clinical signs are highly indicative of Cushing's syndrome. Hyperthyroidism, hypothyroidism, and diabetes mellitus would not typically present with the specific combination of symptoms described.
Question 3 of 9
A woman in active labor is experiencing intense pain and requests non-pharmacological pain relief measures. What intervention should the nurse prioritize?
Correct Answer: A
Rationale: When a woman in active labor is experiencing intense pain and requests non-pharmacological pain relief measures, the nurse should prioritize providing continuous labor support. Continuous labor support, also known as a doula or labor companion, has been shown to be effective in reducing the perception of pain and improving labor outcomes. The presence of a supportive person can provide physical, emotional, and informational support, helping the woman cope with the pain and navigate through the labor process. This intervention can enhance the woman's overall experience of labor and improve maternal and neonatal outcomes without the need for pharmacological interventions. Administering opioids, performing epidural analgesia, or initiating nitrous oxide inhalation are pharmacological pain relief measures and may not align with the woman's preference for non-pharmacological options.
Question 4 of 9
Which of the following interventions is recommended for managing a patient with a suspected opioid overdose?
Correct Answer: A
Rationale: Naloxone is a medication used to reverse the effects of an opioid overdose by binding to opioid receptors and displacing the opioids. Administering naloxone intravenously is the recommended intervention for managing a patient with a suspected opioid overdose as it can quickly reverse respiratory depression, sedation, and other effects of opioids. This intervention can be life-saving in cases of opioid overdose and is a critical step in the management of such patients. Providing respiratory support with bag-valve-mask ventilation may be necessary in addition to naloxone administration to ensure adequate oxygenation, but naloxone remains the primary intervention to reverse the effects of opioids. Encouraging the patient to drink fluids rapidly or administering benzodiazepines for sedation are not recommended interventions for managing a suspected opioid overdose.
Question 5 of 9
The nurse anticipates that the signs and symptoms of BPH do NOT include_________.
Correct Answer: B
Rationale: One of the signs and symptoms of Benign Prostatic Hyperplasia (BPH) is not pain on urination. BPH is a non-cancerous enlargement of the prostate gland which can cause urinary symptoms such as frequency of urination, dribbling of urine, hesitancy in starting urination, weak urine flow, feeling of incomplete bladder emptying, and increased urination at night (nocturia). Pain on urination is not typically associated with BPH, and it may suggest other urinary tract issues such as a urinary tract infection or a different medical condition.
Question 6 of 9
A nurse administer as extra dose of vaccine to a child and the patient developed adverse reaction and died. She can be sued for _____.
Correct Answer: C
Rationale: In this scenario, the nurse can be sued for malpractice. Malpractice refers to the failure of a professional, in this case, a nurse, to provide the standard of care that a reasonably prudent nurse would have provided in similar circumstances, resulting in harm to the patient. Administering an extra dose of vaccine leading to an adverse reaction and death of the patient is considered a form of medical malpractice as it involves a breach in the standard of care. Generally, malpractice cases involve errors or negligence in the performance of professional duties, which result in harm to the patient.
Question 7 of 9
The BEST position for the patient to assume in case of shock is ______.
Correct Answer: A
Rationale: The BEST position for a patient in shock is the modified Trendelenburg position. In this position, the patient's legs are elevated above the level of the heart to enhance blood flow back to the heart and vital organs. Placing the patient in the modified Trendelenburg position helps increase venous return, improves cardiac output, and promotes perfusion to vital organs, which can be crucial in managing shock. This position can help stabilize the patient's condition while awaiting further medical intervention.
Question 8 of 9
A patient presents with a well-demarcated, hyperpigmented patch with irregular borders and asymmetric color distribution on the face. The lesion has increased in size over the past few months. Which of the following conditions is most concerning for this presentation?
Correct Answer: D
Rationale: The presentation described, including a well-demarcated, hyperpigmented patch with irregular borders, asymmetric color distribution, and increase in size over a short period, is concerning for melanoma. Melanoma is a type of skin cancer that arises from melanocytes, the cells that produce pigment in the skin. The irregular borders, color variation, and growth over time are classic signs of melanoma. Melanomas are potentially dangerous and should be evaluated promptly by a healthcare provider for proper diagnosis and treatment. It is important to distinguish melanoma from other benign lesions like melanocytic nevus (mole), lentigo simplex, and seborrheic keratosis, as early detection and treatment of melanoma can significantly impact patient outcomes.
Question 9 of 9
When the nurse inserts an ordered urinary catheter into the client's urethra after the client has refused the procedure, and then the client suffers an injury, the client may sue the nurse for which type of tort?
Correct Answer: A
Rationale: Battery refers to the intentional touching of another person without consent, resulting in harm or offense. In this scenario, the nurse inserted the urinary catheter into the client's urethra without the client's consent, leading to an injury. This action constitutes battery as the nurse carried out a medical procedure without the client's permission, resulting in harm to the client. The client can sue the nurse for battery in this situation.