Questions 9

ATI RN

ATI RN Test Bank

jarvis health assessment test bank Questions

Question 1 of 5

A nurse is caring for a patient with a history of chronic heart failure. The nurse should monitor for signs of which of the following complications?

Correct Answer: C

Rationale: The correct answer is C: Pulmonary edema. In chronic heart failure, the heart cannot pump blood effectively, leading to fluid buildup in the lungs causing pulmonary edema. Monitoring for signs such as shortness of breath, wheezing, and crackles can help prevent respiratory distress. Incorrect choices: A: Hypoglycemia - Not directly related to chronic heart failure. B: Hyperkalemia - Can occur in heart failure but not a primary complication to monitor for. D: Anemia - Can be a consequence of chronic heart failure but not a primary complication to monitor for.

Question 2 of 5

Which lab values indicate a decreased risk of cardiovascular disease?

Correct Answer: A

Rationale: Step-by-step rationale: 1. High HDL cholesterol is considered beneficial as it helps remove LDL cholesterol from arteries, reducing the risk of plaque buildup. 2. Low HDL cholesterol is associated with an increased risk of cardiovascular disease. 3. Low total cholesterol may not necessarily indicate a decreased risk, as it could be due to low levels of protective HDL cholesterol. 4. Low triglycerides, while generally considered good, do not directly indicate a decreased risk of cardiovascular disease like high HDL cholesterol does. In summary, high HDL cholesterol is the correct answer as it plays a crucial role in reducing the risk of cardiovascular disease by removing LDL cholesterol, whereas the other choices do not offer the same protective benefits.

Question 3 of 5

What is the most important nursing intervention for a client with an open fracture?

Correct Answer: A

Rationale: The correct answer is A: Apply a sterile dressing. This is the most important intervention to prevent infection and protect the wound. Applying a sterile dressing helps maintain a clean environment, reduces the risk of contamination, and promotes wound healing. Administering fluids (B) may be necessary but is not the top priority. Administering IV antibiotics (C) may be required but is secondary to wound care. Monitoring for bleeding (D) is important but addressing the wound with a sterile dressing takes precedence to prevent infection.

Question 4 of 5

What is the primary purpose of a functional assessment?

Correct Answer: A

Rationale: The correct answer is A because a functional assessment primarily focuses on evaluating an individual's health patterns, including their roles and relationships in daily life. This comprehensive approach helps healthcare professionals understand the impact of health on a person's overall well-being and quality of life. Choice B is incorrect because a functional assessment does not specifically cover life-threatening conditions; it is more holistic in nature. Choice C is incorrect as a functional assessment does not prioritize a single health issue but considers multiple aspects of a person's functioning. Choice D is incorrect because although vital sign abnormalities may be part of the assessment, they are not the primary purpose of a functional assessment.

Question 5 of 5

What is the most appropriate nursing intervention for a client with acute pain after surgery?

Correct Answer: B

Rationale: The correct answer is B: Encourage fluid intake. Adequate hydration helps in pain management by promoting circulation and reducing inflammation. Opioids (choice A) should only be used if non-pharmacological interventions fail. Administering oxygen (choice C) is not typically indicated for pain management. Monitoring electrolyte levels (choice D) is important but not the most immediate intervention for acute pain post-surgery.

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