ATI RN
health assessment test bank Questions
Question 1 of 5
Which intervention should be performed when assessing a client with an arteriovenous fistula (AVF) for hemodialysis?
Correct Answer: C
Rationale:
Correct Answer: C - Administer IV fluids
Rationale:
1. Assess patient's fluid status and hydration level.
2. IV fluids help maintain adequate hydration during hemodialysis.
3. Prevents hypotension and ensures stable blood pressure during the procedure.
4. Improves overall hemodialysis efficiency and patient safety.
Summary:
A: Checking patency is important, but not the primary intervention for hemodialysis.
B: Monitoring for bleeding is crucial but not specific to AVF assessment.
D: Applying an airtight dressing is not necessary for AVF assessment.
Question 2 of 5
What is the priority action for a client who presents with symptoms of stroke?
Correct Answer: A
Rationale: The correct answer is A: Perform a CT scan. This is the priority action because it helps determine if the stroke is ischemic or hemorrhagic, guiding treatment decisions. Monitoring blood pressure (
B) is important but not the priority. Administering aspirin (
C) can be considered after confirming the type of stroke. Administering thrombolytics (
D) is indicated for ischemic stroke but should only be done after ruling out hemorrhagic stroke with a CT scan.
Question 3 of 5
Which is included only in a comprehensive assessment?
Correct Answer: C
Rationale: The correct answer is C: Complete health history. In a comprehensive assessment, obtaining a complete health history is essential to gather information about the patient's past and present health conditions, including medical history, family history, social history, and current symptoms. This information helps the healthcare provider understand the patient's overall health status, identify risk factors, and develop an appropriate treatment plan. Assessing the circulatory system (
A) and airway (
B) are important components of a physical assessment, but they alone do not constitute a comprehensive assessment. Disability assessment (
D) focuses on the functional limitations caused by a disability and is not always included in a comprehensive health assessment.
Question 4 of 5
What is the most important intervention for a client with a wound infection?
Correct Answer: A
Rationale: The correct answer is A: Administer antibiotics. Antibiotics are crucial in treating wound infections as they target and eliminate the infection-causing bacteria, preventing the infection from spreading and promoting healing. Applying a cold compress (choice
B) or heat (choice
C) may provide temporary relief but do not address the underlying infection. Administering IV fluids (choice
D) may be necessary for hydration, but it does not directly treat the infection. Antibiotics directly target the infection, making it the most important intervention for a client with a wound infection.
Question 5 of 5
A nurse is teaching a patient with chronic hypertension about lifestyle changes. Which of the following is the most appropriate teaching for this patient?
Correct Answer: B
Rationale: The correct answer is B because increasing physical activity and reducing stress are important lifestyle changes for managing chronic hypertension. Exercise helps lower blood pressure and stress reduction techniques can help control hypertension. Option A is incorrect as reducing sodium intake, not increasing it, is recommended. Option C is incorrect as medications for hypertension should be taken as prescribed, not only when blood pressure increases. Option D is incorrect as monitoring blood pressure should be done regularly, but not necessarily every week.