ATI RN
jarvis health assessment test bank pdf reddit Questions
Question 1 of 5
What precaution should the nurse take when administering intravenous electrolyte solution?
Correct Answer: C
Rationale: The correct answer is C. The nurse should prevent infiltration of calcium to avoid tissue necrosis and sloughing. Infiltration of calcium can lead to severe tissue damage due to its caustic nature.
Therefore, the nurse should be vigilant in monitoring the IV site and ensuring proper placement to prevent this complication.
Choice A is incorrect because infusing hypertonic solutions rapidly can lead to fluid overload and electrolyte imbalances.
Choice B is incorrect because exceeding the recommended amount of potassium per liter of fluid can result in hyperkalemia, which can be dangerous.
Choice D is incorrect because calcium does not diminish digitalis's action; in fact, calcium can potentiate the effects of digitalis.
Question 2 of 5
A nurse is caring for a patient who is receiving chemotherapy. The nurse should prioritize monitoring for which of the following complications?
Correct Answer: A
Rationale: The correct answer is A: Neutropenia. Neutropenia is a common side effect of chemotherapy where there is a decrease in neutrophil count, increasing the risk of infections. Monitoring for neutropenia is crucial to prevent serious infections and sepsis in chemotherapy patients. Hyperkalemia (
B), chronic pain (
C), and hypertension (
D) are not direct complications of chemotherapy and do not pose immediate life-threatening risks to patients undergoing chemotherapy. Monitoring for neutropenia takes precedence due to the potential for life-threatening infections in immunocompromised patients.
Question 3 of 5
What should the nurse do first when a client has a suspected fracture?
Correct Answer: A
Rationale: The correct answer is A: Apply a splint. This is the first step because immobilizing the affected limb helps prevent further injury and reduces pain. Administering fluids (
B) and oxygen (
C) are important but not the priority in this situation. Elevating the limb (
D) can wait until the fracture is stabilized.
Question 4 of 5
What are the competencies required by a nurse providing end-of-life care?
Correct Answer: A
Rationale:
Step 1: Respect and compassion are essential in end-of-life care to support patients emotionally.
Step 2: Nurses need to show empathy and understanding towards patients and their families.
Step 3: Providing comfort and dignity in the final stages of life is crucial.
Step 4: Assessing and intervening (
Choice
B) is important but not the primary competency in end-of-life care.
Step 5: Setting goals and dynamic changes to care (
Choice
C) may be relevant but not as fundamental as respect and compassion.
Step 6: Keeping sad news away (
Choice
D) goes against transparency and trust-building in end-of-life care.
Question 5 of 5
What is the first priority when caring for a client who is experiencing a stroke?
Correct Answer: A
Rationale: The correct answer is A: Administer oxygen. The first priority in caring for a client experiencing a stroke is to ensure adequate oxygen supply to the brain, as lack of oxygen can lead to further brain damage. Administering oxygen helps improve oxygenation and can prevent complications. Administering morphine (
B) is not recommended as it can mask symptoms and delay diagnosis. Administering IV fluids (
C) may be necessary but is not the first priority. Administering fibrinolytics (
D) is a time-sensitive intervention for ischemic stroke but should be done after proper evaluation and confirmation of the type of stroke.