ATI RN
test bank for health assessment Questions
Question 1 of 5
Which is one purpose of health assessment?
Correct Answer: A
Rationale: The correct answer is A because health assessment helps establish a baseline database for comparison in future assessments, allowing for tracking of changes in health status over time. It provides essential information for identifying health issues and developing appropriate interventions.
Choice B is incorrect as establishing rapport is a benefit but not the primary purpose.
Choice C is incorrect as health assessment is typically conducted by primary healthcare providers, not specialists.
Choice D is incorrect as quantifying pain is just one aspect of health assessment, not its primary purpose.
Question 2 of 5
What makes a focused assessment different from a comprehensive assessment?
Correct Answer: D
Rationale: A focused assessment is more in-depth on specific issues, providing detailed information on a particular problem or concern. This allows for targeted interventions and treatment strategies. In contrast, a comprehensive assessment covers the body head to toe and involves all body systems, which may not be necessary when focusing on a specific issue. Occurring only in the clinic is a limitation to choice B, as assessments can be conducted in various settings. Involving all body systems, as stated in choice C, is not the primary focus of a focused assessment.
Question 3 of 5
What do nursing activities that promote health and prevent disease accomplish? (Select one that doesn't apply)
Correct Answer: D
Rationale: The correct answer is D: Create home care safety. Nursing activities that promote health and prevent disease focus on educating individuals on maintaining their health and preventing diseases, rather than specifically creating home care safety. The other choices (A, B,
C) are correct as they accurately reflect the goals of nursing activities - reducing disease risk, maintaining optimal functioning, and reinforcing good habits to promote overall health and well-being.
Choice D is incorrect because while ensuring home care safety is important, it is not the primary focus of nursing activities aimed at health promotion and disease prevention.
Question 4 of 5
What type of assessment occurs in emergency situations?
Correct Answer: D
Rationale: In emergency situations, time is crucial. Emergency assessment is the most appropriate as it focuses on quickly identifying and addressing life-threatening issues. It involves a rapid but systematic evaluation of the patient's airway, breathing, circulation, and disability. Head-to-toe assessment (
A) and comprehensive assessment (
C) are too time-consuming in emergencies, whereas focused assessment (
B) may not cover all critical aspects.
Question 5 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.