ATI RN
health assessment test bank Questions
Question 1 of 5
Acyclovir is the drug of choice for which condition?
Correct Answer: B
Rationale: Acyclovir is a nucleoside analog antiviral drug that is specifically effective against herpes simplex virus (HSV) types 1 and 2, as well as varicella-zoster virus (VZV). The drug works by inhibiting viral DNA synthesis. HSV and VZV are both members of the herpes virus family, and acyclovir is most commonly prescribed for infections caused by these viruses. Therefore, the correct answer is B. Choice A (HIV) is incorrect because acyclovir is not effective against HIV. Choice C (CMV) is incorrect because acyclovir is less effective against cytomegalovirus (CMV) compared to HSV and VZV. Choice D (influenza A viruses) is incorrect because acyclovir is not indicated for the treatment of influenza viruses.
Question 2 of 5
Which client should avoid foods high in potassium?
Correct Answer: D
Rationale: The correct answer is D because clients with renal disease may have impaired kidney function, leading to difficulty in regulating potassium levels. High potassium intake can further burden the kidneys, potentially causing hyperkalemia. Clients on diuretic therapy (choice A) may actually need to monitor potassium levels due to potential electrolyte imbalances. Clients with an ileostomy (choice B) typically do not have issues with potassium absorption. Clients with metabolic alkalosis (choice C) may have potassium shifts but do not necessarily need to avoid high-potassium foods unless specifically advised by their healthcare provider.
Question 3 of 5
What is the priority nursing action for a client with a suspected stroke?
Correct Answer: A
Rationale: The correct answer is A: Administer oxygen. Oxygenation is the priority in stroke management to ensure adequate oxygen supply to the brain. Oxygen therapy can help reduce hypoxia, which is crucial in the acute phase of a stroke. Administering aspirin (B) is important but comes after ensuring oxygenation. Administering thrombolytics (C) requires proper assessment and diagnostic confirmation, not an immediate priority. Placing the client in a supine position (D) may worsen stroke symptoms if there is compromised blood flow, so it is not recommended as the initial action.
Question 4 of 5
Which client must avoid foods high in potassium?
Correct Answer: D
Rationale: The correct answer is D. A client with renal disease must avoid foods high in potassium to prevent hyperkalemia, as the kidneys are unable to properly filter and excrete potassium. Foods high in potassium can lead to dangerous levels of potassium in the blood, which can be life-threatening for individuals with renal disease. Choice A is incorrect because a client receiving diuretic therapy may actually need to increase their potassium intake due to the potassium-wasting effects of diuretics. Choice B is incorrect as having an ileostomy does not necessarily affect potassium levels. Choice C is incorrect because clients with metabolic alkalosis may actually benefit from consuming foods high in potassium to help correct the acid-base imbalance.
Question 5 of 5
A 20-year-old construction worker has suffered heat stroke and has been brought into the emergency department. He has delirium as a result of fluid and electrolyte imbalance. The nurse will assess his:
Correct Answer: D
Rationale: The correct answer is D: Level of consciousness and cognitive abilities. In this scenario, the individual is experiencing delirium due to fluid and electrolyte imbalance, which can affect his level of consciousness and cognitive abilities. Assessing these aspects is crucial in determining the severity of the condition and guiding appropriate interventions. Option A (Affect and mood) is incorrect as the primary concern is the individual's cognitive functioning. Option B (Memory and affect) is incorrect as it does not cover the assessment of consciousness. Option C (Thought processes and memory) is incorrect as it does not specifically address the evaluation of the individual's level of consciousness.
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