ATI RN
Foundations and Adult Health Nursing Test Bank Questions
Question 1 of 9
You have observed presence of drainage in Claudia's eyes. Which of the following eye solution would you use in cleaning her eyes?
Correct Answer: C
Rationale: Normal saline solution is the best choice for cleaning Claudia's eyes with drainage. It is a sterile solution that closely matches the natural pH of the eyes, making it gentle and safe for ocular use. Normal saline can help flush out any debris or discharge in the eye without causing further irritation or complications. On the other hand, hydrochloric acid is a corrosive substance that can cause significant harm if it comes into contact with the eyes. Mineral water may contain impurities that could further irritate the eyes. Soapsuds solution is not recommended for eye cleaning as it can cause irritation and damage to the delicate eye tissues. Therefore, normal saline solution is the most appropriate and safe option for cleaning Claudia's eyes in this situation.
Question 2 of 9
A patient is non-compliant with prescribed medications and treatment plans. What is the nurse's best approach to address non-compliance?
Correct Answer: B
Rationale: The nurse's best approach to address non-compliance with prescribed medications and treatment plans is to actively listen to the patient's reasons for non-compliance. By acknowledging and addressing any barriers or concerns the patient may have, the nurse can work collaboratively with the patient to find effective solutions. This approach promotes open communication, trust, and a patient-centered care plan that takes into consideration the patient's individual needs and circumstances. Dismissing the patient's reasons (choice A), ignoring the non-compliance (choice C), or resorting to a confrontational approach (choice D) are less effective strategies that may lead to further resistance and hinder the patient's willingness to engage in their treatment.
Question 3 of 9
Romy is diagnosed with small cell lung cancer (SCLC) a rapidly growing type of cancer. He and his family were shocked when told by the doctor that the patient will just undergo palliative treatment. Which nursing action is MOST APPROPRIATE?
Correct Answer: A
Rationale: In the case of Romy being diagnosed with small cell lung cancer (SCLC) and undergoing palliative treatment, the most appropriate nursing action is to focus on providing relief from symptoms. Palliative care aims to improve the quality of life for patients with serious illnesses by managing their symptoms, such as pain, shortness of breath, nausea, and other side effects of treatment. As the cancer is advanced and the goal is not curative treatment but rather to keep the patient comfortable, symptom management becomes a priority to ensure Romy's physical comfort and well-being during this difficult time. Providing relief from symptoms is crucial in palliative care to help enhance the patient's quality of life and ensure they are as comfortable as possible.
Question 4 of 9
To ensure quality nursing care to a patient in skin traction, what is the PRIORTTY intervention that a nurse has to assess frequently?
Correct Answer: B
Rationale: When a patient is in skin traction, the constant pressure and rubbing against the skin from the traction device can lead to skin breakdown. Therefore, assessing for signs of skin breakdown, such as redness, irritation, or pressure injuries, is crucial to prevent complications and ensure the patient's comfort and safety. Prompt identification and intervention for any skin issues can prevent further damage and promote healing, making this the priority intervention for quality nursing care in skin traction. While monitoring for signs of infection, urinary incontinence, and bowel sounds are important, skin breakdown poses a more immediate threat to the patient's well-being in this scenario.
Question 5 of 9
When the nurse collects data at one point in time are called which of the following?
Correct Answer: C
Rationale: When the nurse collects data at one point in time, it is referred to as a cross-sectional study. Cross-sectional studies are observational research designs that provide a snapshot of a population or a sample at a specific point in time. This type of study can help identify associations or relationships between variables at a single time point but cannot establish causality or determine changes over time. In contrast, time series involve collecting data over multiple time points, longitudinal studies follow individuals or samples over time to track changes or outcomes, and crossover studies involve multiple interventions or treatments over different periods.
Question 6 of 9
Before transferring the patient to the operating room (OR), the nurse notices a discrepancy between the surgical consent form and the planned procedure. What should the nurse do?
Correct Answer: C
Rationale: When a nurse notices a discrepancy between the surgical consent form and the planned procedure, it is essential to consult the surgeon for clarification. The surgeon is the primary decision-maker regarding the surgical procedure and can provide insight into why the discrepancy exists and how to proceed. It is crucial to ensure that everyone is on the same page before moving forward with the surgery to prevent errors, ensure patient safety, and maintain legal and ethical standards. Consulting the surgeon allows for the issue to be addressed promptly and for the appropriate steps to be taken to resolve the discrepancy before proceeding with the surgery.
Question 7 of 9
To help the patient with his breathing difficulty, the nurse places him in which position?
Correct Answer: C
Rationale: Fowler's position is the correct position to help a patient experiencing breathing difficulty. In Fowler's position, the patient is sitting up at a 45- to 60-degree angle with the legs either straight or bent. This position allows for maximum chest expansion, helping to improve ventilation and oxygenation. It is commonly used to assist patients with respiratory distress, including difficulties with breathing. Placing the patient in Fowler's position can alleviate the feeling of breathlessness and facilitate easier breathing by promoting better lung expansion.
Question 8 of 9
During a home visit, a member of the family you're visiting who has been using marijuana for three years tells theyou that he wants to be 'detoxified'. It is important for the nurse to ____.
Correct Answer: B
Rationale: Identifying the patient's stage of change is crucial when someone expresses a desire to be "detoxified" from a substance like marijuana. The Transtheoretical Model (Stages of Change) outlines different stages individuals go through when making behavior changes. By identifying which stage the patient is in (precontemplation, contemplation, preparation, action, maintenance, or relapse), the nurse can tailor interventions and support accordingly. This approach helps ensure that interventions are effective and appropriate for the individual's readiness for change. It is important to meet the patient where they are in their journey towards detoxification and offer support and guidance accordingly.
Question 9 of 9
Nurse Rosa is able to know the patterns of occurrence and distribution of diseases in the community . Per record she found out there had been cases of rabies at irregular intervals scattered in particular places. This occurrence rates to ______.
Correct Answer: D
Rationale: The occurrence of rabies at irregular intervals scattered in particular places indicates a sporadic pattern. Sporadic diseases are those that occur infrequently and irregularly in a population. These diseases do not have a consistent pattern of occurrence and are not confined to a specific geographic area or population group. In this case, the cases of rabies being reported at irregular intervals and scattered in particular places suggest a sporadic distribution rather than an endemic (constantly present in a population), epidemic (sudden increase in cases in a specific population), or pandemic (global spread of a disease) pattern.