ATI RN
Health Assessment Practice Questions Questions
Question 1 of 5
The nurse is caring for a client moving toward illness and premature death. How would the nurse know this?
Correct Answer: B
Rationale: The correct answer is B. When a client is moving towards illness and premature death, signs and symptoms typically start to manifest. These can include physical changes, abnormal lab results, or new onset of health issues. This serves as a direct indication of the client's deteriorating health status.
Choices A, C, and D are incorrect because stopping wellness-promoting activities (
A) could simply be due to lack of motivation, starting to exercise (
C) may not necessarily indicate illness progression, and verbalizing anxiety over medication costs (
D) is not a direct indicator of impending illness and premature death.
Question 2 of 5
While taking a detailed history, what should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Functional status. Including functional status in the history is essential as it provides information about the client's ability to perform activities of daily living. This information is crucial for assessing the client's overall health and well-being. Functional status helps the nurse understand the impact of health issues on the client's daily life and helps in planning appropriate care interventions.
B: Data focusing on the client complaint is too narrow and may not provide a comprehensive understanding of the client's health status.
C: A focused assessment of the client complaint may overlook other important aspects of the client's health that could impact their overall well-being.
D: Family history for the past three generations is not typically included in a detailed history-taking process and may not be directly relevant to the client's current health status.
Question 3 of 5
What are the types of nursing assessments? (Select one that doesn't apply)
Correct Answer: C
Rationale: The correct answer is C: Mental. Nursing assessments typically include physical, focused, and emergency assessments. Mental assessments are more commonly associated with psychiatric nursing rather than general nursing assessments. Mental assessments focus on assessing a patient's mental status, emotions, and cognitive functions, which are not typically part of routine nursing assessments.
Therefore, mental assessments do not fall under the types of assessments typically performed by general nurses.
Question 4 of 5
Which nursing activities help promote health and prevent disease?
Correct Answer: A
Rationale: The correct answer is A because reinforcing good habits, such as healthy eating and exercise, is essential for promoting health and preventing disease. This involves educating patients on proper self-care practices. Providing medical diagnosis (
B) is not a nursing role, as it falls under the domain of medical professionals. Maintaining optimal functioning (
C) is important but not specific to promoting health. Prescribing treatment (
D) is beyond the scope of nursing practice, as only advanced practice nurses have prescriptive authority.
Question 5 of 5
The nurse is teaching parents of a newborn about feeding their infant. Which instruction should the nurse include?
Correct Answer: A
Rationale: Rationale for Correct Answer A:
1. Using the defrost setting on microwave ovens to warm bottles is safe because it ensures even heating without creating hot spots that could burn the baby's mouth.
2. This method helps to preserve the nutrients in the breast milk or formula.
3. It is important to warm the bottle to body temperature to mimic the natural feel of breast milk for the baby's comfort.
Summary of Incorrect
Choices:
B: Feeding the baby partially used bottles after 24 hours can increase the risk of bacterial contamination and foodborne illness.
C: Mixing two parts water and one part concentrate for formula concentrate is incorrect as it may dilute the formula, leading to inadequate nutrition for the baby.
D: Adding new formula to partially used bottles can alter the balance of nutrients and increase the risk of contamination, affecting the baby's health.