ATI RN
Adult Health Nursing Test Bank Questions
Question 1 of 9
Which of the following interventions is recommended for managing a patient with suspected pelvic inflammatory disease (PID)?
Correct Answer: A
Rationale: The correct answer is A: Empiric antibiotic therapy directed against common pathogens. This is recommended for managing PID because it helps treat the infection and prevent complications. Antibiotics target the underlying bacterial infection causing PID. Surgical exploration (B) is not the initial treatment for PID. Hormonal therapy (C) is not indicated for PID management. Symptomatic treatment with NSAIDs (D) can help with pain but does not address the infection itself.
Question 2 of 9
A patient with a history of stroke is prescribed aspirin and clopidogrel for dual antiplatelet therapy. Which nursing intervention is essential for preventing bleeding complications in this patient?
Correct Answer: A
Rationale: The correct answer is A: Administering proton pump inhibitors (PPIs) concomitantly. Aspirin and clopidogrel can increase the risk of gastrointestinal bleeding. PPIs help reduce this risk by decreasing gastric acid production. Therefore, administering PPIs with dual antiplatelet therapy is essential for preventing bleeding complications. Encouraging increased fluid intake (B) may not directly address the risk of bleeding. Monitoring for signs of thrombocytopenia (C) is important but may not directly prevent bleeding in this case. Providing education on fall prevention measures (D) is important for overall safety but does not directly address bleeding risks associated with dual antiplatelet therapy.
Question 3 of 9
Which of the following is the best predictor of adolescents attempting suicide?
Correct Answer: D
Rationale: The correct answer is D: Feeling of hopelessness. Adolescents who feel hopeless are at a higher risk of attempting suicide due to a lack of belief in positive outcomes. This feeling can lead to a sense of being trapped and unable to see a way out. Depressed mood (A) can contribute to suicide risk, but specifically feeling hopeless is a more direct predictor. Feeling of euphoria (B) and joyful mood (C) are actually less likely to be associated with suicide attempts, as they may temporarily mask underlying issues or provide a sense of distraction. Hopelessness is a key psychological factor that can lead to suicidal thoughts and behaviors in adolescents.
Question 4 of 9
While performing the admission assessment of a new client, the nurse observed that the client brought a bottle of over-the-counter pain medication to the hospital. The nurse failed to document this or remove the medication from the room. Subsequently, the client experienced a serious adverse drug reaction as a result of the interaction between this drug and one of the drugs that the client was prescribed in the hospital. This nurse may be guilty of what?
Correct Answer: A
Rationale: The correct answer is A: Malpractice. The nurse's failure to document and remove the over-the-counter medication, which led to a serious adverse drug reaction, constitutes malpractice. Malpractice refers to negligence or failure to provide the standard of care expected in a professional setting. In this case, the nurse's actions directly resulted in harm to the client, which is a clear example of malpractice. Incorrect Choices: B: Failure of duty to warn - This choice implies that the nurse had a duty to warn the client about the potential drug interaction, which may not necessarily be the case. The primary issue here is the nurse's failure to document and remove the medication, not a failure to warn. C: Assault - Assault involves intentional harm or threat of harm, which is not applicable in this scenario where the harm was due to negligence. D: Incompetence - While the nurse's actions may demonstrate incompetence, the more specific legal term for this situation would be malpractice, as it directly
Question 5 of 9
A patient presents with recurrent episodes of brief, severe, stabbing pain in the distribution of the trigeminal nerve. Episodes are triggered by touch, chewing, or cold exposure. Which of the following neurological conditions is most likely responsible for these symptoms?
Correct Answer: D
Rationale: The correct answer is D: Trigeminal neuralgia. This condition is characterized by recurrent, severe, stabbing pain in the trigeminal nerve distribution triggered by touch, chewing, or cold exposure. The key feature is the characteristic lancinating pain, which is not typical of migraine (choice A), cluster headache (choice B), or tension-type headache (choice C). Migraine typically presents with pulsating, moderate to severe headache associated with nausea and sensitivity to light and sound. Cluster headache is characterized by severe, unilateral pain around the eye associated with autonomic symptoms. Tension-type headache presents with bilateral, pressing or tightening pain without specific triggers. Therefore, based on the description of the symptoms in the question, trigeminal neuralgia is the most likely diagnosis.
Question 6 of 9
A pregnant woman presents with severe abdominal pain and passage of tissue at 12 weeks gestation. On examination, the cervix is partially dilated, and products of conception are protruding through the cervical os. Which of the following conditions is the most likely cause of these symptoms?
Correct Answer: B
Rationale: In this scenario, the pregnant woman is presenting with severe abdominal pain, passage of tissue, and cervical dilation with products of conception protruding through the cervical os at 12 weeks gestation. These are classic signs and symptoms of an incomplete abortion. Incomplete abortion occurs when not all of the products of conception are expelled from the uterus. It can present with vaginal bleeding, abdominal pain, cervical dilation, and passage of tissue. The management of incomplete abortion may involve expectant, medical, or surgical options depending on the clinical context and the patient's condition.
Question 7 of 9
Which of the following is a characteristic of qualitative research?
Correct Answer: D
Rationale: The correct answer is D: Inductive process. Qualitative research typically involves an inductive approach, where researchers gather data, analyze patterns, and develop theories or hypotheses based on the observed data. This allows for exploration and discovery of new insights. A) Deductive process is not a characteristic of qualitative research, as deductive reasoning involves starting with a hypothesis and testing it with data. B) Fixed research design is not common in qualitative research, which often uses flexible and adaptive designs to accommodate emergent findings. C) Control over the context is not a key characteristic of qualitative research, as it often involves studying real-world settings with natural contexts rather than controlled environments. In summary, the inductive process is a key characteristic of qualitative research as it allows for exploration and theory development based on observed data, distinguishing it from deductive approaches, fixed designs, and controlled contexts.
Question 8 of 9
A patient presents with severe sore throat, fever, and enlarged tonsils with exudate. Rapid antigen testing confirms group A beta-hemolytic Streptococcus (GAS) infection. Which of the following medications is the first-line treatment for this condition?
Correct Answer: A
Rationale: The correct answer is A: Amoxicillin. Amoxicillin is the first-line treatment for GAS pharyngitis due to its effectiveness against Streptococcus bacteria. It is a penicillin-class antibiotic recommended by guidelines. Azithromycin is an alternative for patients allergic to penicillin. Cephalexin is not the first-line choice for GAS. Clindamycin is reserved for patients allergic to both penicillin and macrolides.
Question 9 of 9
A nurse is conducting an admission assessment for a newly admitted patient. What aspect of cultural competence should the nurse prioritize during the assessment?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Asking the patient about their cultural background and preferences shows respect for their individuality and acknowledges the importance of cultural competence in providing person-centered care. 2. It allows the nurse to gain valuable insights into the patient's beliefs, values, and practices, enabling them to deliver culturally appropriate care. 3. By prioritizing this aspect, the nurse can establish rapport, build trust, and enhance communication with the patient, leading to better outcomes. 4. Choices A, C, and D are incorrect as they either involve assumptions, avoidance, or disregard for the patient's cultural background, which can lead to misunderstandings, discomfort, and ineffective care.