ATI RN
Adult Health Nursing Quizlet Final Questions
Question 1 of 9
Which of the following structures is responsible for absorbing water and electrolytes from undigested food residue, forming feces?
Correct Answer: D
Rationale: The large intestine, also known as the colon, is responsible for absorbing water and electrolytes from undigested food residue that passes through the digestive system after it has been processed in the small intestine. As the waste material moves through the colon, water is absorbed, and the remaining material forms feces. The feces are then stored until they are eliminated from the body through the rectum and anus. The liver, stomach, and pancreas play important roles in digestion and nutrient absorption, but the specific function of absorbing water and forming feces is carried out by the large intestine.
Question 2 of 9
To grow as a person, the student nurse can attend lecture-demonstration on which of the following procedures?
Correct Answer: B
Rationale: Attending a lecture-demonstration on doing first aid is essential for the growth of a student nurse as it equips them with crucial knowledge and skills to respond effectively in emergency situations. First aid training teaches basic life-saving techniques and how to provide immediate care until medical professionals arrive. This knowledge is vital in the healthcare field, allowing the student nurse to provide immediate assistance and potentially save lives. By learning first aid procedures, the student nurse can enhance their skills, confidence, and overall capability to care for patients in various settings. This continuous learning and improvement are key to personal growth and professional development in the healthcare industry.
Question 3 of 9
A patient in the ICU develops acute respiratory distress syndrome (ARDS) secondary to sepsis. What intervention should the healthcare team prioritize to manage the patient's respiratory failure?
Correct Answer: A
Rationale: ** In a patient with ARDS, the priority intervention to manage respiratory failure is to initiate lung-protective mechanical ventilation with low tidal volume. ARDS is characterized by widespread inflammation and injury to the alveoli, leading to impaired gas exchange and severe hypoxemia. Lung-protective ventilation strategies aim to minimize ventilator-induced lung injury by using lower tidal volumes (around 6 mL/kg of predicted body weight) to reduce barotrauma and volutrauma.
Question 4 of 9
A postpartum client exhibits signs of anxiety, restlessness, and palpitations. Which nursing intervention should be prioritized?
Correct Answer: C
Rationale: In a postpartum client exhibiting signs of anxiety, restlessness, and palpitations, it is essential to prioritize notifying the healthcare provider immediately. These symptoms could indicate a serious condition such as postpartum preeclampsia, postpartum hemorrhage, or postpartum cardiomyopathy, which require urgent medical attention. It is crucial to rule out any life-threatening conditions and ensure the client receives appropriate treatment promptly. While relaxation techniques and deep breathing exercises can be helpful for anxiety management in some cases, in this situation, the priority is to ensure the client's safety and well-being by seeking medical evaluation and intervention. Administering a benzodiazepine without consulting the healthcare provider first could potentially mask symptoms or interact with other medications the client may be taking, making it unsafe to proceed without professional guidance.
Question 5 of 9
A pregnant woman presents with vaginal bleeding and passage of tissue at 10 weeks gestation. On examination, the cervix is dilated, and products of conception are visualized in the cervical os. Which of the following conditions is the most likely cause of these symptoms?
Correct Answer: D
Rationale: Complete abortion is the most likely cause of the symptoms described. In a complete abortion, all products of conception are expelled from the uterus. Symptoms include vaginal bleeding, passage of tissue, and dilation of the cervix. In this scenario, the presentation of a dilated cervix with visualized products of conception is classic for a complete abortion at 10 weeks gestation.
Question 6 of 9
A patient with a history of heart failure presents with dependent edema in the lower extremities. Which nursing action is most appropriate for managing the patient's edema?
Correct Answer: C
Rationale: The most appropriate nursing action for managing a patient with dependent edema in the lower extremities is to administer diuretics as prescribed. Diuretics help the body remove excess fluid, reducing swelling and edema in the extremities. It is important to follow the healthcare provider's orders for administering diuretics to ensure the patient's fluid balance is managed effectively. While elevating the legs above heart level and applying compression stockings may provide temporary relief, addressing the underlying cause of fluid retention with diuretics is essential for long-term management of the edema in a patient with heart failure. Encouraging increased fluid intake would not be appropriate in this case, as the focus should be on reducing fluid overload rather than increasing fluid intake.
Question 7 of 9
Which is a common verbalization of the patient with GBS regarding the EARLY ONSET of symptoms?
Correct Answer: B
Rationale: Guillain-Barré Syndrome (GBS) is characterized by ascending motor weakness, starting typically in the lower extremities and progressing upwards. Patients with GBS often verbalize the early onset of symptoms as weakness starting in the legs and potentially spreading to involve the arms and sometimes the face. Therefore, the common verbalization of the patient with GBS regarding the early onset of symptoms is ascending motor weakness. Acute hemiplegia (choice A) and acute hemiparesis (choice D) involve weakness or paralysis typically limited to one side of the body, which is not a characteristic presentation of GBS. Weakness of the four lower extremities (choice C) is also not a typical description in GBS as the weakness usually starts distally and progresses proximally.
Question 8 of 9
There are pre operative medications given to the patient. Which of the following druugs are given in order to decrease intra-operative anesthetic requirements and pain?
Correct Answer: B
Rationale: Acetaminophen (Tylenol) is given pre-operatively to decrease intra-operative anesthetic requirements and post-operative pain. It is a common analgesic that can help reduce the amount of intra-operative anesthesia needed and provide some pain relief during the surgery. Unlike drugs like Celebrex, Ibuprofen, and Demerol, Acetaminophen does not have anti-inflammatory properties, but it is effective in managing pain and can contribute to overall pain control before, during, and after surgery. This makes it a preferred choice for pre-operative medication in order to decrease the need for higher doses of anesthetics and reduce post-operative pain levels.
Question 9 of 9
In as much as the research may have some risks on the part of the subject who is 21 years old, Nurse Carmi must assure the subject of her anonymity, confidentiality and respect for her human rights. ONE ABSOLUTE WAY is to get an informed and written consent from whom?
Correct Answer: D
Rationale: In research involving adults who are capable of providing informed consent, such as a 21-year-old subject, the absolute way to ensure autonomy and respect for the individual's rights is to obtain informed and written consent directly from the subject herself. The subject's autonomy and right to self-determination should be respected, and obtaining consent directly from the subject ensures that they are fully informed about the research, its risks, benefits, and their rights regarding anonymity and confidentiality. In this case, Nurse Carmi must explain the research process clearly to the 21-year-old subject, obtain her informed consent in writing, and ensure that her anonymity, confidentiality, and human rights are protected throughout the study.