ATI RN
jarvis physical examination and health assessment 9th edition test bank Questions
Question 1 of 5
A nurse is caring for a patient with a history of hypertension and diabetes. The nurse should monitor for which of the following complications?
Correct Answer: B
Rationale:
Step 1: The patient has a history of hypertension and diabetes, putting them at risk for cardiovascular complications.
Step 2: Among the choices, stroke is a common complication associated with uncontrolled hypertension and diabetes.
Step 3: Monitoring for signs of stroke is crucial to prevent serious consequences in this patient population.
Step 4: Hyperglycemia (
A) is a common complication of diabetes, but it is not directly related to the patient's hypertension.
Step 5: Hypokalemia (
C) is an electrolyte imbalance that can occur in some conditions but is not as directly linked to the patient's history.
Step 6: Hypoglycemia (
D) is a potential complication in diabetic patients but is not as common as hyperglycemia and is not directly related to hypertension.
Question 2 of 5
A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). The nurse should monitor for which of the following complications?
Correct Answer: B
Rationale: The correct answer is B: Respiratory failure. Patients with COPD have impaired lung function, making them at risk for respiratory failure due to inadequate oxygenation. This can occur due to exacerbation of COPD, infections, or other factors. Monitoring for signs of respiratory distress is crucial.
A: Pneumonia - While patients with COPD are at higher risk for pneumonia due to impaired lung function, respiratory failure is a more immediate and critical complication to monitor for in this scenario.
C: Hypoglycemia - COPD does not directly increase the risk of hypoglycemia, so monitoring for this complication is not a priority in this case.
D: Hypertension - Although some patients with COPD may have hypertension, it is not a common complication directly related to COPD. Monitoring for respiratory failure is more essential in this situation.
Question 3 of 5
A female nurse is interviewing a male patient who is close in age to the nurse. During the interview, the patient makes an overtly sexual comment. The nurse's best response would be:
Correct Answer: D
Rationale: The correct answer is D because it directly addresses the inappropriate behavior, sets a boundary, and communicates the nurse's discomfort in a professional manner. By stating that the comment makes them uncomfortable and asking the patient to refrain from such behavior, the nurse asserts their professionalism while maintaining respect for both parties.
Choice A is too abrupt and may escalate the situation.
Choice B dismisses the behavior, which is inappropriate.
Choice C could be perceived as confrontational and potentially lead to a defensive response from the patient.
Question 4 of 5
A patient who is recovering from surgery is experiencing nauseWhat is the nurse's best action?
Correct Answer: B
Rationale: The correct answer is B: Administer an antiemetic as prescribed. Administering an antiemetic helps alleviate nausea and vomiting, providing relief to the patient. This action is based on evidence-based practice and helps improve the patient's comfort and well-being. Offering clear fluids immediately (choice
A) may exacerbate nausea. Waiting for the nausea to subside on its own (choice
C) may prolong the patient's discomfort. Assessing vital signs (choice
D) is important but may not directly address the immediate symptom of nausea.
Question 5 of 5
To assess affect, the nurse should ask the patient:
Correct Answer: A
Rationale:
Step-by-step rationale for why answer A is correct:
1. Asking "How do you feel today?" directly addresses the patient's emotional state.
2. Assessing affect involves understanding the patient's emotional response or mood.
3. This open-ended question encourages the patient to express their feelings.
4. It allows the nurse to gain insight into the patient's emotional well-being.
5. Options B, C, and D focus on different aspects like memory, medication effectiveness, and functional ability, not directly related to assessing affect.