ATI RN
jarvis health assessment test bank pdf reddit Questions
Question 1 of 5
A patient is found to have an irregular, jagged scar that is raised and red. The nurse would classify this as:
Correct Answer: B
Rationale: The correct answer is B: Hypertrophic scar. This type of scar is raised, red, and irregular, but it does not extend beyond the boundaries of the original wound like a keloid. A keloid is characterized by excessive scar tissue that grows beyond the wound site. Contracture is a scar that causes tightening of the skin and may restrict movement. Stretch marks, on the other hand, are not raised or irregular like the described scar.
Question 2 of 5
A nurse is providing teaching to a patient with type 2 diabetes. Which of the following should the nurse emphasize as the most important factor in managing the condition?
Correct Answer: A
Rationale: The correct answer is A: Monitoring blood glucose levels regularly. This is crucial in managing type 2 diabetes because it helps the patient understand how their body responds to food, medication, and activity. By tracking blood glucose levels, the patient can make informed decisions about their diet, medication, and lifestyle choices. This proactive approach enables early detection of fluctuations in blood sugar levels, allowing for prompt adjustments to prevent complications. Summary: - Choice A is correct as monitoring blood glucose levels is essential for managing type 2 diabetes. - Choice B is important but secondary to monitoring blood glucose levels. - Choice C is beneficial for managing diabetes but not as critical as blood glucose monitoring. - Choice D, following a low-carb diet, can be helpful but may not be the most important factor in managing the condition.
Question 3 of 5
A nurse is caring for a patient with diabetes who is receiving insulin. The nurse should be most concerned if the patient experiences:
Correct Answer: C
Rationale: The correct answer is C: Dizziness and shakiness. This indicates hypoglycemia, a potential side effect of insulin therapy. Dizziness and shakiness are classic signs of low blood sugar levels, which can be dangerous if left untreated. Headache and blurred vision (Option A) can occur with high blood sugar. Increased thirst and urination (Option B) are symptoms of hyperglycemia. Dry mouth and skin (Option D) are not immediate concerns related to insulin therapy.
Question 4 of 5
A nurse is teaching a patient about managing hypertension. Which of the following dietary changes should the nurse recommend?
Correct Answer: B
Rationale: Step 1: Increasing potassium intake helps lower blood pressure by counteracting the effects of sodium. Step 2: Potassium helps relax blood vessel walls, reducing blood pressure. Step 3: Adequate potassium intake also helps the body balance fluids and maintain normal blood pressure. Summary: A - Increasing sodium intake is counterproductive for hypertension. C - Limiting caffeine helps, but not as directly as increasing potassium. D - Fruits and vegetables are important for a heart-healthy diet and should not be reduced.
Question 5 of 5
A nurse is teaching a patient with hypertension about dietary changes. Which of the following statements by the patient indicates the need for further education?
Correct Answer: C
Rationale: The correct answer is C. Drinking caffeinated beverages can potentially increase blood pressure due to their stimulant effect. Limiting caffeine intake is recommended for patients with hypertension. Statement A is correct as reducing sodium and increasing potassium intake can help lower blood pressure. Statement B is correct as processed foods and fast food are typically high in sodium and unhealthy fats, which can worsen hypertension. Statement D is correct as fruits, vegetables, and whole grains are part of a heart-healthy diet for managing hypertension.