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ATI RN · Midwifery · Midwifery Exam Questions and Answers PDF

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Jennifer is an RN applicant for a staff nurse position in the surgical ICU. She has had a screening PPD and comes back in 48 hours to have it read. There is a 12-mm induration at the site of injection. A chest radiograph is negative. The AGACNP knows that the next step in Jennifers evaluation and management should include

A. No further care, because the chest radiograph is negative
B. Quantiferon serum assay for exposure
C. Consideration of prophylactic therapy
D. Beginning therapy for pulmonary TB pending sputum cultures

Expert Explanatory Rationale

Correct Answer: Consideration of prophylactic therapy

Question 2 of 5

T. G. is a 48-year-old female who presents with biliary colic. She has had previous episodes but has resisted operation because she is afraid of anesthesia. Today her physical exam reveals a clearly distressed middle-aged female with right upper quadrant pain, nausea, and vomiting. Which of the following findings suggests a complication that requires a surgical evaluation?

A. A temperature of 101.5°F
B. A leukocyte count of 18,000/µL
C. A palpable gallbladder
D. A positive Murphy’s sign

Expert Explanatory Rationale

Correct Answer: A temperature of 101.5°F

Question 3 of 5

The AGACNP is counseling a patient about various methods of tumor biopsy. Which of the following is not an accurate statement?

A. Incisional biopsy is preferred to excisional biopsy when possible
B. Core needle biopsy has a higher rate of false positive than does fine needle aspiration
C. Fine needle aspiration does not allow grading of tumors
D. Core needle and incisional biopsies are virtually identical in terms of false results

Expert Explanatory Rationale

Correct Answer: Fine needle aspiration does not allow grading of tumors

Question 4 of 5

Classical vitamin K deficiency bleeding occurs

A. Within the first 24 hours of birth
B. Within the first week of birth
C. Within the neonatal stage
D. Within the infancy stage

Expert Explanatory Rationale

Correct Answer: Within the first week of birth

Question 5 of 5

R. S. is a 66-year-old female with Cushings syndrome due to an ACTH-producing pituitary tumor. The tumor is readily isolated by imaging, and the patient had an uneventful surgery. When seeing her in follow-up, the AGACNP anticipates

A. Rapid reversal of symptoms, with good pituitary function
B. Transient rebound release of remaining pituitary hormones
C. Markedly improved dexamethasone suppression test
D. Hyponatremia and compensatory SIADH

Expert Explanatory Rationale

Correct Answer: Transient rebound release of remaining pituitary hormones

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