ATI RN
health assessment test bank jarvis Questions
Question 1 of 5
What is the most appropriate intervention for a client with an obstructed airway?
Correct Answer: A
Rationale: The correct answer is A: Administer oxygen. This intervention is crucial for a client with an obstructed airway as it helps maintain oxygenation while efforts are made to clear the obstruction. Oxygen administration ensures the client receives adequate oxygen supply to prevent hypoxia and further complications. Monitoring respiratory rate (
B) is important but not the priority when airway obstruction is present. Applying a cold compress (
C) or administering corticosteroids (
D) are not appropriate interventions for an obstructed airway and do not address the immediate need for adequate oxygenation.
Question 2 of 5
A 29-year-old woman tells the nurse that she has "excruciating pain" in her back. Which of the following would be an appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D because it focuses on assessing the impact of the pain on the woman's daily activities, which is crucial in understanding the severity and functional limitations caused by the pain. This helps in planning appropriate interventions and evaluating the effectiveness of treatment.
Choice A is incorrect as it shifts the focus to the family's reaction rather than the woman's pain.
Choice B is incorrect as it assumes a diagnosis without proper assessment and may minimize the woman's experience.
Choice C is incorrect as it redirects the conversation to the nurse's experience, which is not helpful in addressing the woman's pain and needs.
Question 3 of 5
While obtaining the history from the mother of a 2-year-old with pneumonia, the nurse asks the mother if she smoked or used drugs during her pregnancy. Her response is, "What does that have to do with pneumonia?" How would the nurse answer her question?
Correct Answer: D
Rationale: The correct answer is D because understanding the mother's pregnancy history can provide crucial insights into potential risk factors or exposures that could have contributed to the child's pneumonia. By knowing about the mother's smoking or drug use during pregnancy, the healthcare team can better assess the child's overall health and potential underlying conditions.
Choice A is incorrect as it dismisses the importance of the question and fails to address the potential significance of the information.
Choice B is incorrect as it downplays the relevance of the question, which is essential for gathering comprehensive information for the child's care.
Choice C is incorrect as it makes an unsupported and potentially misleading statement about the direct cause of pneumonia without considering other factors.
Question 4 of 5
A nurse is providing education to a patient with chronic kidney disease. Which of the following dietary recommendations should the nurse prioritize?
Correct Answer: C
Rationale: The correct answer is C: Limit phosphorus and potassium intake. Patients with chronic kidney disease often have difficulty excreting phosphorus and potassium, leading to potential complications. Limiting phosphorus and potassium intake can help prevent further kidney damage and maintain electrolyte balance. Prioritizing this dietary recommendation is crucial for managing the progression of the disease.
Incorrect choices:
A: Increasing protein intake can put additional strain on the kidneys and may lead to further deterioration of kidney function.
B: Increasing potassium intake can be dangerous for patients with chronic kidney disease as they may have difficulty regulating potassium levels.
D: Decreasing fluid intake may be necessary in some cases, but it is not the priority in terms of managing chronic kidney disease.
Question 5 of 5
Which information should a nurse recognize as a contraindication for hormone replacement therapy?
Correct Answer: D
Rationale: The correct answer is D: unexplained vaginal bleeding. This is a contraindication for hormone replacement therapy as it may indicate underlying conditions that need to be addressed before starting hormone therapy to avoid potential risks. Vaginal bleeding could be a sign of endometrial hyperplasia or cancer, which can be exacerbated by hormone therapy.
Choices A, B, and C are not contraindications for hormone replacement therapy. Family history of stroke may influence the choice of therapy but not necessarily contraindicate it. Ovaries removed before age 45 and frequent hot flashes/night sweats are common indications for hormone replacement therapy to alleviate symptoms of menopause.