Adult Health Nursing Quizlet Final

Questions 164

ATI RN

ATI RN Test Bank

Adult Health Nursing Quizlet Final Questions

Question 1 of 5

Upon data collection he had been failing three times in his math class and Korino was known for substance dependent for three years. What is the MOST APPROPRIATE nursing diagnosis for him?

Correct Answer: B

Rationale: The most appropriate nursing diagnosis for the individual described is "Ineffective individual coping." This is because the individual has been facing challenges in both academic (failing math class) and personal (substance dependence) aspects of his life. The repeated failures in his math class and the substance dependence for three years indicate that he might be struggling to cope with stressors and challenges in his life effectively. By identifying this nursing diagnosis, the nurse can focus on helping the individual develop effective coping strategies to manage and overcome these difficulties.

Question 2 of 5

A patient admitted to the ICU develops acute gastrointestinal bleeding requiring urgent intervention. What intervention should the healthcare team prioritize to manage the patient's bleeding?

Correct Answer: A

Rationale: In a patient with acute gastrointestinal bleeding requiring urgent intervention, the healthcare team should prioritize performing endoscopic hemostasis with mechanical or thermal techniques. Endoscopy allows for direct visualization of the source of bleeding in the gastrointestinal tract, enabling targeted interventions such as clipping, cauterization, or injection of epinephrine to achieve hemostasis. This approach is effective in managing acute bleeds and can help stop the bleeding quickly, reducing the need for more invasive procedures or surgeries. Administering proton pump inhibitors (PPIs) may be considered for acid-related bleeding, but it is not the primary intervention for acute bleeding requiring urgent management. Strict bed rest may not be necessary and can increase the risk of complications such as deep vein thrombosis. Transfusion of fresh frozen plasma may be indicated if there is evidence of coagulopathy, but addressing the bleeding source should be the initial priority to

Question 3 of 5

Which of the following laboratory findings is characteristic of nephrotic syndrome?

Correct Answer: B

Rationale: Nephrotic syndrome is a kidney disorder characterized by increased glomerular permeability, leading to protein loss in the urine. One of the hallmarks of nephrotic syndrome is hypoalbuminemia, which refers to low levels of albumin in the blood due to its excessive loss in the urine. This loss of albumin results in decreased oncotic pressure, leading to edema and ascites. Hematuria (choice A) is not typically found in nephrotic syndrome but may be present in other kidney conditions. Hyperkalemia (choice C) is not specific to nephrotic syndrome and may be more common in conditions affecting potassium regulation. Hypocalcemia (choice D) is also not a characteristic feature of nephrotic syndrome.

Question 4 of 5

As nursing students were setting up a health screening at a local community center, they reviewed the need to screen for heart disease and cancer. One student asked, "But colon cancer is prevalent: why aren't we setting up for sigmoidoscopy?" How would Nurse Filomena reply?

Correct Answer: B

Rationale: Performing a sigmoidoscopy, which is a procedure to examine the lower part of the colon and rectum, during a health screening event at a community center may not be practical for several reasons. Firstly, sigmoidoscopy is relatively invasive compared to other screening methods for colon cancer, such as fecal occult blood tests or colonoscopy. Secondly, it can be expensive to perform, especially in a community setting where cost-effectiveness is an important consideration. Therefore, Nurse Filomena would likely point out the invasiveness and cost factors to explain why a sigmoidoscopy may not be suitable for a health screening event at a local community center.

Question 5 of 5

The MOST common reported abuse experienced by nurses in their workplace is

Correct Answer: C

Rationale: Verbal abuse is the most common form of abuse experienced by nurses in their workplace. This may include insults, yelling, threats, or intimidation directed towards the nurse. Verbal abuse can have a significant impact on the nurse's mental and emotional well-being, leading to stress, anxiety, and burnout. It is important for healthcare institutions to address and prevent verbal abuse to create a safe and respectful work environment for nurses and other healthcare professionals.

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