ATI RN
jarvis health assessment test bank Questions
Question 1 of 5
A nurse is caring for a patient with chronic kidney disease (CKD). The nurse should monitor for which of the following signs of complications?
Correct Answer: A
Rationale: Correct answer: A - Hyperkalemia Rationale: 1. In CKD, impaired kidney function leads to decreased potassium excretion, causing hyperkalemia. 2. Hyperkalemia can result in life-threatening cardiac arrhythmias. 3. Monitoring potassium levels is crucial in CKD management. Summary: B: Hypoglycemia - Not typically associated with CKD, more common in diabetes. C: Hyperglycemia - Common in diabetes, but not a typical complication of CKD. D: Hypercalcemia - Uncommon in CKD, more often seen in hyperparathyroidism.
Question 2 of 5
A nurse is caring for a patient with chronic heart failure. The nurse should monitor for which of the following signs of fluid overload?
Correct Answer: A
Rationale: The correct answer is A: Shortness of breath and weight gain. In chronic heart failure, fluid overload can lead to pulmonary congestion, causing shortness of breath. Weight gain is also a key sign of fluid retention. Increased urine output and hypotension (choice B) are more indicative of dehydration. Fatigue and dizziness (choice C) can be nonspecific symptoms and not directly related to fluid overload. Dry mouth and thirst (choice D) are symptoms of dehydration rather than fluid overload in chronic heart failure. Monitoring for shortness of breath and weight gain allows for early detection and intervention in managing fluid overload in patients with chronic heart failure.
Question 3 of 5
A nurse is providing education to a patient with diabetes. Which of the following statements by the patient indicates the need for further education?
Correct Answer: C
Rationale: The correct answer is C because stopping insulin when blood sugar is normal can lead to hyperglycemia. Choice A shows understanding of managing diabetes. Choice B indicates monitoring blood sugar, crucial for diabetes management. Choice D demonstrates adherence to medication schedule, essential for controlling blood sugar levels. Stopping insulin prematurely can disrupt the balance and result in complications.
Question 4 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 5 of 5
A nurse is teaching a patient with chronic liver disease about self-management. Which of the following statements by the patient indicates the need for further education?
Correct Answer: C
Rationale: The correct answer is C because stopping medication without doctor's approval can be harmful. Step 1: Explain the importance of adhering to medication schedule in liver disease management. Step 2: Emphasize that feeling better doesn't mean the disease is cured. Step 3: Highlight potential consequences of stopping medication prematurely. Other choices are correct: A: Avoiding alcohol is essential. B: Following medication schedule is important. D: Maintaining a healthy diet supports liver function.