Adult Health Med Surg Nursing Test Banks

Questions 165

ATI RN

ATI RN Test Bank

Adult Health Med Surg Nursing Test Banks Questions

Question 1 of 5

Which of the following dental conditions is characterized by the destruction of tooth structure due to exposure to acidic substances, such as gastric acid or acidic beverages?

Correct Answer: D

Rationale: Erosion is the dental condition characterized by the destruction of tooth structure due to exposure to acidic substances, such as gastric acid from conditions like gastroesophageal reflux disease (GERD) or acidic beverages like sodas and citrus fruits. This acidic attack softens and wears away the enamel, leading to the erosion of tooth structure. Unlike dental caries, which is caused by bacteria producing acid from sugars in the mouth, erosion is primarily a result of external acidic sources. Attrition refers to the wear of tooth structure from tooth-to-tooth contact, and abrasion refers to the wear of tooth structure due to forces like brushing too hard or using abrasive toothpaste.

Question 2 of 5

A patient presents with painless, progressive visual field loss, particularly in the peripheral vision, in both eyes. Gonioscopy reveals an open iridocorneal angle. Which of the following conditions is most likely responsible for this presentation?

Correct Answer: A

Rationale: The presentation of painless, progressive visual field loss, especially in the peripheral vision, along with an open iridocorneal angle is characteristic of open-angle glaucoma. Open-angle glaucoma is a type of glaucoma where there is no physical obstruction to the outflow of aqueous humor from the eye, but there is gradual damage to the optic nerve over time. The gradual loss of peripheral vision is a common early symptom of open-angle glaucoma. It is essential to diagnose and manage open-angle glaucoma promptly to prevent irreversible vision loss.

Question 3 of 5

Right after endorsement and during the rounds, the incoming nurse observes that the IV fluid is at 800 cc level and not 400cc, as endorsed. What is the CORRECT information that she will chart?

Correct Answer: C

Rationale: The correct information that the incoming nurse should chart is that she received 800 cc of IV fluid. It is crucial for the charting to accurately reflect the actual situation to provide an accurate record for the patient's care. In this scenario, the discrepancy between the endorsed amount (400 cc) and the observed amount (800 cc) should be documented to ensure transparency and continuity of care. This deviation from the expected amount should be clearly recorded for proper monitoring and evaluation of the patient's condition.

Question 4 of 5

The nurse educator Adalynn reviewed the risk factors for postpartum hemorrhage for the mothers. Which of the following factors IS NOT included ____?

Correct Answer: D

Rationale: Postpartum hemorrhage (PPH) is a significant complication after childbirth. The risk factors for PPH that are typically included in the list are uterine atony, overdistended uterus (e.g., multiple gestation or polyhydramnios), and ruptured uterus. Retroversion of the uterus is not a known risk factor for PPH. Retroversion refers to the position of the uterus, where it is tilted back towards the rectum. While retroverted uterus can sometimes lead to other issues or complications during pregnancy, it is not directly associated with an increased risk of postpartum hemorrhage.

Question 5 of 5

Considering the pain assessment scale (1, is the least pain and 5 is the most painful) Mrs. P described her pain in the scale of 5, you expect that the doctor will order which of the following pain medication?

Correct Answer: B

Rationale: When a patient describes their pain as a 5 on the pain assessment scale, it indicates severe pain and the need for a strong pain medication. Morphine Sulphate is a potent opioid analgesic that is commonly used to manage severe pain, such as in cases where the pain is rated as 5. Meperidine HCl (Demerol) is another opioid analgesic, but it is not as commonly used due to its side effect profile and potential for toxicity. Fentanyl (Duragesic) is also a potent opioid analgesic that can be used for severe pain, but morphine is often preferred in this situation. Acetaminophen (Tylenol) is a milder pain reliever and is not typically sufficient for pain described at a level of 5 on the pain scale.

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