Adult Health Nursing Test Bank

Questions 165

ATI RN

ATI RN Test Bank

Adult Health Nursing Test Bank Questions

Question 1 of 5

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 2 of 5

A patient presents with a palpable thyroid nodule and signs of hypothyroidism. Fine-needle aspiration biopsy reveals cystic degeneration and colloid-filled spaces. Which endocrine disorder is most likely responsible for these symptoms?

Correct Answer: A

Rationale: The correct answer is A: Hashimoto's thyroiditis. This autoimmune disorder results in chronic inflammation of the thyroid gland, leading to thyroid nodules and hypothyroidism. The colloid-filled spaces seen in the biopsy are characteristic of Hashimoto's. Choice B: Graves' disease is an autoimmune disorder causing hyperthyroidism, not hypothyroidism. Choice C: Diabetes mellitus is a metabolic disorder unrelated to the thyroid. Choice D: Thyroid nodules is a general term and does not explain the presence of colloid-filled spaces.

Question 3 of 5

To achieve organized work flow in the unit the staff must be aware of the head nurse's role. What is the PRIMARY purpose of supervision and delegation?

Correct Answer: A

Rationale: The correct answer is A: Enhances the delivery of quality nursing care. Supervision and delegation are essential in ensuring efficient and effective healthcare delivery. By supervising and delegating tasks appropriately, the head nurse can ensure that staff members are performing their duties competently, which ultimately leads to improved quality of patient care. Supervision helps in monitoring staff performance, providing feedback, and offering guidance when needed. Delegation ensures that tasks are allocated to the right staff members based on their skills and abilities, optimizing the workflow. Choices B, C, and D are incorrect because they do not directly relate to the primary purpose of supervision and delegation, which is to enhance the quality of nursing care through effective oversight and task allocation.

Question 4 of 5

A patient is prescribed a selective serotonin reuptake inhibitor (SSRI) for the treatment of depression. Which adverse effect should the nurse monitor closely in the patient?

Correct Answer: C

Rationale: The correct answer is C: Hyponatremia. SSRI medications can lead to the syndrome of inappropriate antidiuretic hormone secretion (SIADH), causing hyponatremia. This occurs due to increased levels of serotonin affecting the hypothalamus, leading to excessive ADH release. Hyponatremia can result in neurological symptoms and must be closely monitored. A: Bradycardia is not a common adverse effect of SSRIs. B: Hyperkalemia is not typically associated with SSRIs. D: Hypertension is not a common adverse effect of SSRIs; they may actually lower blood pressure.

Question 5 of 5

Which of the indicators BEST describes an effective outcome of school nursing programs and initiatives.

Correct Answer: A

Rationale: The correct answer is A because zero absenteeism and tardiness of pupils indicate that the school nursing programs are effectively promoting student health and well-being. This outcome shows that students are healthy, engaged, and present in school, which is a key goal of school nursing initiatives. Choice B is incorrect as teachers being observers does not directly measure the effectiveness of the nursing programs. Choice C is incorrect as limited information hinders the success and impact of school health initiatives. Choice D is incorrect as constant visits and phone calls from parents may not necessarily reflect the success of the nursing programs.

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