ATI RN
test bank for health assessment Questions
Question 1 of 5
Which intervention should be performed first for a client with a pulse oximetry drop from 92% to 82%?
Correct Answer: A
Rationale: The correct answer is A: Open the airway. This is the first intervention because ensuring a clear airway is crucial for adequate oxygenation. If the airway is obstructed, oxygen administered or suctioning performed may not be effective. Checking for breathing should follow airway opening. Administering oxygen can be done once the airway is established. Suctioning is not the priority unless there is evidence of airway obstruction.
Question 2 of 5
What is the priority intervention for a client who is experiencing an acute asthma attack?
Correct Answer: A
Rationale: The correct answer is A: Administer bronchodilators. During an acute asthma attack, the priority intervention is to immediately open the airways to improve breathing. Bronchodilators, such as albuterol, work rapidly to dilate the bronchioles and relieve bronchospasms, making it the most effective initial treatment. Corticosteroids (
B) are used for long-term control, not immediate relief. Applying oxygen and administering albuterol (
C) is close, but bronchodilators should be given first for quicker relief. Applying a cold compress (
D) is not appropriate for managing an asthma attack.
Question 3 of 5
A client has been diagnosed with Disseminated Intravascular Coagulation (DIC) and transferred to the ICU for Heparin therapy. Which finding indicates a positive response to Heparin therapy?
Correct Answer: B
Rationale: The correct answer is B: increased fibrinogen. In DIC, there is consumption of coagulation factors leading to decreased fibrinogen levels. Heparin therapy helps by inhibiting further thrombus formation, allowing the body to replenish fibrinogen levels. Increased fibrinogen indicates a positive response.
Incorrect choices:
A) increased platelet count is not specific to Heparin therapy in DIC,
C) decreased fibrin split products indicate ongoing coagulation, not a positive response, and
D) decreased bleeding is a general response and not specific to Heparin therapy in DIC.
Question 4 of 5
What is the primary nutritional deficiency concern for strict vegetarians?
Correct Answer: B
Rationale: The correct answer is B: Vitamin B12. Strict vegetarians, especially those who exclude all animal products, are at risk of Vitamin B12 deficiency as it is primarily found in animal products. Vitamin C (
A) deficiency is more common in those with poor fruit and vegetable intake. Vitamin E (
C) deficiency is rare and usually seen in individuals with specific medical conditions. Magnesium (
D) deficiency can occur in individuals with poor dietary intake or certain medical conditions, but it is not the primary concern for strict vegetarians.
Question 5 of 5
What term refers to a soft-tissue injury caused by blunt force?
Correct Answer: A
Rationale: The correct answer is A, contusion. A contusion is a soft-tissue injury caused by blunt force resulting in bruising, without breaking the skin. This is different from the other choices. Strain (
B) refers to an injury to a muscle or tendon due to overstretching. Sprain (
C) is an injury to a ligament from overstretching. Dislocation (
D) involves the displacement of bones at a joint, not a soft-tissue injury.
Therefore, the term that specifically aligns with a soft-tissue injury from blunt force is contusion.