ATI RN
health assessment exam 1 test bank Questions
Question 1 of 5
A nurse is teaching a patient with chronic kidney disease (CKD) about dietary changes. Which of the following statements by the patient indicates proper understanding?
Correct Answer: A
Rationale: The correct answer is A. In CKD, limiting potassium and phosphorus intake is crucial to prevent electrolyte imbalances and further kidney damage. Excessive protein intake can worsen kidney function, so the patient should not eat as much protein as they want. Increasing fluid intake is beneficial for hydration, but sodas are not recommended due to their high sugar and phosphorus content, which can be harmful for CKD patients. Therefore, option A is the best choice for proper understanding of dietary changes in CKD.
Question 2 of 5
A First Nations family requires dental care. The nurse needs to determine which of the following in order to facilitate the best possible care for this family?
Correct Answer: C
Rationale: The correct answer is C: Do they have noninsured health benefits? This is because noninsured health benefits provide coverage for essential health services not covered by other plans for First Nations and Inuit people in Canada. It ensures access to necessary dental care for the family. Incorrect choices: A: Coverage under the Indian Act of 1876 is not directly related to accessing dental care; it pertains to legal and historical rights. B: Living on a reservation or in town may not necessarily impact access to dental care, as healthcare services can vary. D: Having provincial health cards is important for general healthcare, but specific benefits for First Nations may not be covered.
Question 3 of 5
Which of the following statements illustrates the biomedical model of Western traditional views?
Correct Answer: A
Rationale: The correct answer is A because the biomedical model focuses on defining health as the absence of disease. This model emphasizes biological factors in understanding and treating illnesses. It is reductionist in nature, viewing health issues as purely physical and separate from social or psychological aspects. Choices B, C, and D do not align with the biomedical model. B emphasizes overall well-being, not just the absence of disease. C suggests a more holistic approach, while D implies a focus on nursing rather than the medical model's emphasis on disease treatment.
Question 4 of 5
A nurse is caring for a patient who has a history of myocardial infarction. The nurse should prioritize which of the following assessments?
Correct Answer: A
Rationale: The correct answer is A: Blood pressure and heart rate. This is crucial in assessing the cardiac function of a patient with a history of myocardial infarction. Monitoring blood pressure and heart rate helps in evaluating cardiovascular status and detecting any potential complications. Abnormal values in these parameters can indicate inadequate perfusion to the heart or other organs, which can be life-threatening. Other choices are incorrect because: B: Temperature and respiratory rate are important assessments but not the priority for a patient with a history of myocardial infarction. C: Bowel sounds and abdominal girth are more relevant for gastrointestinal issues and not a priority in this scenario. D: Urine output and skin integrity are important assessments for overall health but do not directly relate to the cardiovascular status in a patient with a history of myocardial infarction.
Question 5 of 5
What question would you initially ask a patient who has a positive tuberculin test?
Correct Answer: C
Rationale: The correct initial question to ask a patient with a positive tuberculin test is whether they have received bacille Calmette-Guérin (BCG) vaccine. This is because BCG vaccination can cause a false positive result on the tuberculin test due to cross-reactivity with the purified protein derivative (PPD) used in the test. Asking about recent hospitalization (A), homelessness (B), or recent travel out of the country (D) would not provide relevant information regarding the interpretation of the positive tuberculin test.
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