ATI RN
hesi health assessment test bank 2023 Questions
Question 1 of 5
A nurse is caring for a patient who has been prescribed warfarin. The nurse should monitor the patient for signs of which of the following?
Correct Answer: A
Rationale: The correct answer is A: Bleeding. Warfarin is an anticoagulant medication that works by inhibiting blood clotting factors. Monitoring for signs of bleeding is crucial as warfarin increases the risk of bleeding events. Signs of bleeding may include easy bruising, nosebleeds, blood in urine or stool. Hypertension (B), hyperglycemia (C), and hypokalemia (D) are not direct effects of warfarin. Monitoring for these conditions may be important for other medications or conditions, but they are not the primary concern when a patient is prescribed warfarin.
Question 2 of 5
A nurse is teaching a patient with a history of stroke about reducing the risk of another stroke. Which of the following lifestyle changes should the nurse emphasize?
Correct Answer: D
Rationale: The correct answer is D: All of the above. This is the best choice because reducing the risk of another stroke requires a holistic approach. A: Limiting sodium and cholesterol intake helps manage blood pressure and cholesterol levels, reducing the risk of stroke. B: Increasing physical activity and managing weight can improve cardiovascular health and overall well-being, reducing the risk of stroke. C: Taking prescribed medications regularly, such as blood thinners or antihypertensives, is crucial in preventing another stroke. In summary, all three choices address key risk factors for stroke prevention, making them essential components of a comprehensive stroke prevention plan.
Question 3 of 5
What is the most appropriate action when a client presents with acute abdominal pain?
Correct Answer: C
Rationale: The correct answer is C: Monitor blood pressure. When a client presents with acute abdominal pain, monitoring blood pressure is crucial as it can help assess for potential complications like hypovolemic shock or internal bleeding. Changes in blood pressure may indicate worsening condition and prompt the need for immediate intervention. Monitoring vital signs (A) is important but blood pressure takes precedence in this scenario. Assessing abdominal tenderness (B) is valuable but does not directly address potential life-threatening issues. Monitoring for dehydration (D) is also important but not the most immediate concern in the case of acute abdominal pain.
Question 4 of 5
What is the most important assessment for a client with diabetes and newly diagnosed hypertension?
Correct Answer: B
Rationale: The correct answer is B: Perform a comprehensive physical exam. This is important because it helps assess the overall health status of the client, including cardiovascular risk factors that can affect both diabetes and hypertension. Monitoring blood glucose (A) is important for diabetes management but not specific to newly diagnosed hypertension. Checking for protein in the urine (C) is important for assessing kidney function in diabetes, but not the most crucial assessment for newly diagnosed hypertension. Assessing for urinary retention (D) is not directly related to managing diabetes and hypertension.
Question 5 of 5
Which value should a nurse monitor closely when a client is on TPN?
Correct Answer: C
Rationale: The correct answer is C: Glucose. Total Parenteral Nutrition (TPN) is a form of nutrition delivered directly into the bloodstream, providing all essential nutrients including glucose. Monitoring glucose levels is crucial to prevent hyperglycemia or hypoglycemia. Calcium (A), Magnesium (B), and Cholesterol (D) are not typically monitored closely when a client is on TPN, as they are not directly impacted by TPN administration. Calcium and Magnesium levels are usually monitored for other conditions, and Cholesterol levels are not typically affected by TPN administration.
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