ATI RN
health assessment exam 2 test bank Questions
Question 1 of 5
In obtaining a review of systems on a "healthy" 7-year-old girl, the health care provider knows that it would be important to include the:
Correct Answer: D
Rationale: The correct answer is D because obtaining information on the limitations related to the girl's involvement in sports activities is crucial for assessing her overall physical health and well-being. This information helps in understanding any potential risks or issues that may arise from her participation in sports.
Choices A, B, and C are incorrect as they are not relevant to a review of systems for a healthy 7-year-old girl. Glaucoma examination, breast self-examination frequency, and electrocardiogram date are not typically part of a routine review of systems for a child of her age and health status.
Question 2 of 5
A patient has been in the critical care unit for 10 days. He has just been moved to the medical"“surgical unit, and the admitting nurse is planning to perform a mental health examination. During the cognitive function tests, the nurse would expect that he:
Correct Answer: C
Rationale: The correct answer is C. After being in critical care for 10 days, it is expected that the patient may be disoriented to time but still be oriented to place and person. This is a common occurrence due to the stressful and disorienting environment of the critical care unit. The patient's cognition may be temporarily affected, leading to difficulty in remembering the date accurately. The patient's ability to recognize their surroundings and identify themselves and others should still be intact.
Choices A, B, and D are incorrect because disruption in thought content, expressing relief, and clouding of consciousness are not typical cognitive function issues expected in this scenario.
Question 3 of 5
The nurse hears bilateral, louder, longer, and lower pitched tones when percussing over the lungs of a 4-year-old chilWhat should the nurse do next?
Correct Answer: D
Rationale: The correct answer is D because in children, the lung sounds can be different due to their thinner chest walls and more prominent bronchial markings. The louder, longer, and lower-pitched tones heard upon percussion are normal findings in pediatric patients, indicating increased air content in the lungs. Palpating for pain or tenderness (choice
A) is not necessary as these findings are expected in children. Asking the child to take shallow breaths and percussing again (choice
B) is not needed as the initial findings are normal for the age group. Referring the child immediately (choice
C) is unnecessary as these findings are within the normal range for a 4-year-old.
Question 4 of 5
During her prenatal checkup, a patient begins to cry as the nurse asks her about previous pregnancies. The patient says that she is remembering her last pregnancy, which ended in miscarriage. The nurse's best response to her crying would be:
Correct Answer: B
Rationale: The correct answer is B because it shows empathy and validation towards the patient's emotions. By acknowledging the patient's sadness and giving her permission to cry, the nurse creates a safe and supportive environment. This response helps the patient feel understood and accepted, facilitating emotional expression and potentially leading to a deeper therapeutic relationship.
Choice A is incorrect because it focuses on the nurse's discomfort rather than the patient's feelings.
Choice C is incorrect as it may come across as dismissive of the patient's emotions.
Choice D is incorrect as it suggests avoiding the topic rather than addressing the patient's feelings directly.
Question 5 of 5
During an interview, a woman says, "I just know labour will be so painful that I won't be able to stand it. I know it sounds awful, but I really dread going into labour." The nurse responds by stating, "Oh, don't worry about labour so much. I have been through it myself, and yes, it is painful, but there are many good medications to decrease the pain." Which of the following statements about this response is true?
Correct Answer: B
Rationale: The correct answer is B: It was a nontherapeutic response. The nurse responded in a way that downplayed the patient's concerns and shut down the conversation.
Rationale:
1. The nurse's response of dismissing the woman's fear and immediately shifting the focus to medication options invalidates the woman's feelings.
2. By sharing her own experience without acknowledging the woman's emotions, the nurse fails to provide genuine support.
3. The response lacks empathy and fails to address the woman's emotional needs, thus hindering effective communication.
4. This type of response may discourage the woman from expressing her concerns openly in the future, leading to potential emotional distress.
Summary of other choices:
A: Incorrect. Sharing personal experience alone does not make it therapeutic. In this context, it did not address the woman's emotional concerns effectively.
C: Incorrect. Providing information about medications, although helpful, does not address the woman's emotional distress and fears.
D: Incorrect. While the response did minimize the patient