Questions 9

ATI RN

ATI RN Test Bank

test bank for health assessment Questions

Question 1 of 5

What action should be taken for a client with a deep vein thrombosis (DVT) in the leg?

Correct Answer: B

Rationale: The correct action for a client with DVT in the leg is to apply compression and elevate the leg (Choice B). Compression helps prevent blood clots from moving and causing further complications. Elevating the leg reduces swelling and improves blood flow. Choice A is incorrect because applying heat can actually worsen DVT by promoting inflammation and increasing blood flow. Choice C is incorrect as massage can dislodge blood clots and lead to serious complications like pulmonary embolism. Choice D is incorrect as massaging the leg can be dangerous in DVT as mentioned before.

Question 2 of 5

What is the priority action when caring for a client with a severe burn?

Correct Answer: A

Rationale: The correct answer is A: Administer pain relief. This is the priority action because managing pain is crucial in providing comfort and reducing distress for the client with a severe burn. Pain relief helps in improving the client's overall well-being and promotes better recovery. Administering corticosteroids (Choice B) is not the priority as pain relief takes precedence. Monitoring for infection (Choice C) is important but not the immediate priority. Applying dressings (Choice D) is also important but should come after administering pain relief.

Question 3 of 5

What should the nurse do first when a client is experiencing an allergic reaction?

Correct Answer: A

Rationale: The correct answer is A: Administer epinephrine. Epinephrine is the first-line treatment for an allergic reaction as it helps to reverse severe symptoms like swelling, difficulty breathing, and low blood pressure. Administering epinephrine promptly can prevent the allergic reaction from escalating into a life-threatening situation. Antihistamines (choice B) may be given after epinephrine for symptom relief but are not as immediate in action. Monitoring vital signs (choice C) is important, but administering epinephrine takes precedence in managing the allergic reaction. Providing a cold compress (choice D) may help with local swelling but does not address the systemic effects of the allergic reaction.

Question 4 of 5

Which of the following signs and symptoms is indicative of a post-operative wound infection?

Correct Answer: B

Rationale: The correct answer is B: Tenderness, warmth, and swelling at the site. Post-operative wound infection often presents with localized tenderness, warmth, and swelling due to inflammation and immune response. Redness, heat, and purulent drainage (choice A) can also indicate infection but are not specific to wound infections. Excessive swelling and redness (choice C) may be present in inflammatory responses but do not specifically point to an infection. Fever, chills, and nausea (choice D) can be systemic signs of infection but are not specific to wound infections. Tenderness, warmth, and swelling are more indicative of a localized wound infection.

Question 5 of 5

What is the most important priority for a nurse caring for a client with pneumonia?

Correct Answer: D

Rationale: The correct answer is D: Administer diuretics. The priority for a nurse caring for a client with pneumonia is to maintain adequate oxygenation and prevent respiratory failure. Diuretics help reduce fluid overload in the lungs, improving gas exchange and oxygenation. Administering antibiotics (choice A) is important to treat the infection but not the top priority. Administering oxygen (choice B) is crucial for oxygenation, but diuretics take precedence to improve lung function. Administering corticosteroids (choice C) may be considered in certain cases to reduce inflammation, but it is not the primary priority.

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