ATI RN
Global Health Questions Questions
Question 1 of 5
The nurse is performing an admission assessment of a 72-year-old female patient who understands minimal English. An interpreter who speaks the patients language is unavailable and no members of the
Correct Answer: D
Rationale: The correct answer is D because it prioritizes obtaining data directly from the patient, focusing on aspects that the patient understands. This approach ensures accurate and reliable information despite the language barrier. Option A is incorrect as it doesn't address the issue of language barrier. Option B is incorrect as family members may not always provide accurate information. Option C is incomplete and irrelevant.
Question 2 of 5
You are beginning your shift on a medical unit and are performing assessments appropriate to each patients diagnosis and history. When assessing a patient who has an acute staphylococcal infection, what Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 15e 87 is the most effective technique for assessing the lymph nodes of the patients neck?
Correct Answer: C
Rationale: The correct answer is C: Palpation. When assessing lymph nodes in the neck, palpation is the most effective technique. Palpation allows the nurse to feel for any enlargement, tenderness, or firmness in the lymph nodes, which can indicate infection or inflammation. Inspection (A) involves visual examination and may not provide as much information as palpation. Auscultation (B) involves listening with a stethoscope and is not typically used for assessing lymph nodes. Percussion (D) involves tapping on the body to assess underlying structures and is not commonly used for assessing lymph nodes. Palpation is the preferred method for assessing lymph nodes due to its ability to detect abnormalities through touch.
Question 3 of 5
During your integumentary assessment of an adult female patient, you note that the patient has dry, dull, brittle hair and dry, flaky skin with poor turgor. When planning this patients nursing care, you should prioritize interventions that address what problem?
Correct Answer: C
Rationale: The correct answer is C: Deficient nutritional status. Dry, dull, brittle hair and dry, flaky skin with poor turgor are indicative of nutritional deficiencies such as inadequate intake of essential nutrients like vitamins, minerals, and proteins. Prioritizing interventions to address deficient nutritional status is crucial for improving the patient's hair and skin health. Inadequate physical activity (Choice A) may contribute to overall health concerns but is not directly related to the specific hair and skin manifestations described. Ineffective personal hygiene (Choice B) may exacerbate the dry skin condition but is not the root cause. Exposure to environmental toxins (Choice D) may affect skin health, but the symptoms described are more likely due to nutritional deficiencies.
Question 4 of 5
Youareassessingan80-year-oldpatientwhohaspresentedbecauseofanunintendedweightlossof10 poundsoverthepast8weeks.Duringtheassessment,youlearnthatthepatienthasill-fittingdentures andalimitedintakeofhigh-fiberfoods.Youwouldbeawarethatthepatientisatriskforwhatproblem?
Correct Answer: C
Rationale: Step-by-step rationale: 1. Unintended weight loss in an elderly patient can be a sign of malnutrition. 2. Ill-fitting dentures and limited intake of high-fiber foods can lead to poor nutrient absorption. 3. Malabsorption of nutrients can result in weight loss despite adequate calorie intake. 4. Therefore, the patient is at risk for malabsorption of nutrients, making choice C the correct answer. Summary: A: Constipation - Not directly related to the patient's unintended weight loss and dietary habits. B: Deficient fluid volume - Unlikely to be the primary issue causing the weight loss in this case. D: Excessive intake of convenience foods - Opposite of the patient's limited intake of high-fiber foods and not related to malabsorption.
Question 5 of 5
You are the emergency department nurse obtaining a health history from a patient who has earlier told r the triage nurse that she is experiencing intermittent abdominal pain. What question should you ask to elicuit the probable reason for the visit and identify her chief complaint?
Correct Answer: B
Rationale: The correct answer is B: Where exactly is your abdominal pain and when did it start? This question is specific, focused on the patient's chief complaint, and helps in understanding the location and onset of the pain. It allows for a targeted assessment and aids in determining the possible cause of the pain. A: Why do you think your abdomen is painful? - This question is vague and may not provide precise information about the location and onset of the pain. C: What brings you to the hospital today? - This question is general and may not address the specific concern of abdominal pain. D: What is wrong with you today? - This question is broad and may not help in obtaining detailed information about the abdominal pain.