ATI RN
jarvis health assessment test bank pdf reddit Questions
Question 1 of 5
What is the appropriate response when a client asks about the safety of drinking alcohol during pregnancy?
Correct Answer: A
Rationale: The correct answer is A because the amount of alcohol that is safe during pregnancy is unknown. It is recommended to avoid alcohol completely to prevent any potential harm to the developing fetus.
B is incorrect because there is no known safe level of alcohol consumption during pregnancy. C is incorrect as any amount of alcohol can potentially harm the fetus. D is incorrect as using alcohol to relax during pregnancy is not recommended due to the associated risks.
Question 2 of 5
What is the priority nursing intervention for a client with shortness of breath and wheezing?
Correct Answer: A
Rationale: The correct answer is A: Administer bronchodilators. Bronchodilators help dilate the airways, relieving bronchospasm and improving airflow in clients experiencing shortness of breath and wheezing. This intervention directly addresses the underlying cause of the symptoms. Administering corticosteroids (
B) may be considered in severe cases to reduce inflammation but is not the priority initial intervention. Administering pain relief (
C) is not indicated unless pain is identified as a contributing factor. Placing the client in a sitting position (
D) can help improve breathing but does not directly address the bronchoconstriction causing the wheezing.
Question 3 of 5
A nurse is teaching a patient with hypertension about dietary changes. Which of the following statements by the patient indicates the need for further education?
Correct Answer: C
Rationale: The correct answer is C. Drinking caffeinated beverages can potentially increase blood pressure due to their stimulant effect. Limiting caffeine intake is recommended for patients with hypertension. Statement A is correct as reducing sodium and increasing potassium intake can help lower blood pressure. Statement B is correct as processed foods and fast food are typically high in sodium and unhealthy fats, which can worsen hypertension. Statement D is correct as fruits, vegetables, and whole grains are part of a heart-healthy diet for managing hypertension.
Question 4 of 5
Which of the following would illustrate an auditory hallucination?
Correct Answer: A
Rationale: The correct answer is A because an auditory hallucination involves hearing something that is not actually present. In this scenario, the man is hearing his dead wife talking to him, which is a perception without an external auditory stimulus. This illustrates an auditory hallucination.
Choice B is incorrect as it describes a visual hallucination, seeing the doorbell indicator light up and hearing the bell ring.
Choice C is also incorrect as it describes a visual misperception, seeing a man in the closet that turns out to be a dry cleaning bag.
Choice D is incorrect as it describes a misinterpretation of a visual stimulus, mistaking a blanket for a dog.
Question 5 of 5
The nurse is preparing to examine an infant. Which of the following actions is the most appropriate to perform first?
Correct Answer: C
Rationale: The correct answer is C: Begin with the head. This is the most appropriate action as starting with the head allows the nurse to establish rapport with the infant and assess their level of alertness before progressing further. By starting at the head, the nurse can also observe the infant's facial expressions and interactions with the caregiver, providing valuable information about the infant's overall well-being. Assessing reflexes first (
Choice
A) may startle the infant, asking the parent to undress the child (
Choice
B) can be done after the initial assessment, and beginning with the legs (
Choice
D) does not prioritize the critical areas of observation such as the head and face.