ATI RN
advanced health assessment test bank Questions
Question 1 of 5
Which of the following are considered second-level priority problems?
Correct Answer: C
Rationale: The correct answer is C: Abnormal laboratory values. Second-level priority problems are those that are important to the patient's health but may not be life-threatening. Abnormal laboratory values fall into this category as they indicate an underlying health issue that needs attention. Low self-esteem (
A) and lack of knowledge (
B) are typically considered third-level priority problems, as they do not pose an immediate threat to the patient's health. Severely abnormal vital signs (
D) are first-level priority problems, as they indicate an acute and potentially life-threatening situation that requires immediate intervention.
Therefore, the correct answer is C as it aligns with the definition of second-level priority problems.
Question 2 of 5
The nurse is obtaining the health history of an 87-year-old woman. Which of the following areas of questioning would be most useful at this time?
Correct Answer: D
Rationale:
Rationale:
1. Current health promotion activities are important to assess the patient's preventive measures.
2. At 87 years old, focusing on current habits can help identify areas for improvement.
3. Obstetrical history is irrelevant as the patient is postmenopausal.
4. Childhood illnesses are less relevant compared to current health status.
5. General health for the past 20 years may not reflect current health behaviors.
Question 3 of 5
A nurse is caring for a patient with a history of chronic liver disease. The nurse should monitor for which of the following complications?
Correct Answer: B
Rationale: The correct answer is B: Jaundice. In chronic liver disease, impaired liver function leads to the accumulation of bilirubin in the blood, causing jaundice. Jaundice is a common complication seen in patients with liver disease. Anemia (choice
A) may occur in liver disease but is not as specific as jaundice. Hypertension (choice
C) is not a direct complication of liver disease. Hypoglycemia (choice
D) is more commonly associated with pancreatic disorders, not liver disease.
Therefore, monitoring for jaundice is crucial in patients with chronic liver disease.
Question 4 of 5
A nurse is teaching a patient with diabetes about foot care. Which of the following statements by the patient indicates proper understanding?
Correct Answer: A
Rationale: The correct answer is A because daily inspection helps identify issues early, preventing complications. B is incorrect as tight shoes can cause blisters. C is wrong as proper toenail trimming is essential. D is incorrect because prevention is key in diabetic foot care.
Question 5 of 5
A nurse is caring for a patient with a history of chronic asthma. The nurse should prioritize monitoring for which of the following complications?
Correct Answer: C
Rationale: The correct answer is C: Respiratory failure. For a patient with chronic asthma, the priority complication to monitor for is respiratory failure as it can be life-threatening. Asthma is a chronic respiratory condition that can lead to severe bronchoconstriction and impaired gas exchange, potentially resulting in respiratory failure. Monitoring for signs such as increased respiratory rate, use of accessory muscles, decreased oxygen saturation, and altered mental status is crucial. Pneumothorax (
A) is a possible complication but less common in chronic asthma. Hyperglycemia (
B) and chronic renal failure (
D) are not directly related to asthma and are not the primary complications to monitor for in this case.
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