ATI RN
jarvis health assessment test bank pdf reddit Questions
Question 1 of 5
What is the first action for a nurse when caring for a client with acute shortness of breath?
Correct Answer: A
Rationale: The correct first action for a nurse when caring for a client with acute shortness of breath is to administer oxygen (Choice A). Oxygen is essential to support the client's respiratory function and improve oxygenation. Administering corticosteroids (Choice B) may be considered later for certain underlying conditions, but oxygen takes precedence. Administering pain relief (Choice C) is not the priority in this situation. Placing the client in a supine position (Choice D) can potentially worsen respiratory distress in some cases, making it an incorrect choice.
Question 2 of 5
Which six phases are included in the nursing process?
Correct Answer: D
Rationale: The correct answer is D. The nursing process consists of Assessment, Diagnosis, Outcome Identification, Planning, Implementation, and Evaluation. Assessment involves gathering data about the patient's health status. Diagnosis is the identification of the patient's health problems. Outcome Identification sets goals for resolving these problems. Planning involves developing a care plan. Implementation is the execution of the care plan. Evaluation assesses the effectiveness of the care provided. Choices A, B, and C are incorrect: A: Treatment and client outcome are not individual phases in the nursing process. B: Admission and discharge planning are not standalone phases in the nursing process. C: Expected outcome is not a phase, and assessment is missing from the sequence.
Question 3 of 5
Which of the following situations is most appropriate for an episodic history?
Correct Answer: D
Rationale: The correct answer is D because an episodic history is most appropriate for acute, short-term conditions like cold and flu symptoms seen in an outpatient clinic. This type of history focuses on the current problem and recent events leading up to it. Choice A involves a long-term care facility, which would require a more comprehensive history. Choice B describes a sudden severe symptom, which would prompt an urgent or emergent history. Choice C involves an upcoming surgical procedure, which would require a preoperative history. Therefore, option D is the most appropriate for an episodic history as it aligns with the acute nature of the condition and the focus on the current issue.
Question 4 of 5
When the nurse is evaluating the reliability of a patient's responses, which of the following would be a correct assessment?
Correct Answer: B
Rationale: The correct answer is option B: "The patient provided consistent information and therefore is reliable." In pharmacology, accurate patient information is crucial for safe and effective medication administration. When a patient provides consistent responses, it indicates reliability in the information shared, enhancing the nurse's ability to make informed decisions regarding drug therapy. Option A is incorrect because a history of drug abuse does not automatically make a patient unreliable in providing information. Individuals with a history of drug abuse can still provide accurate and reliable information. Option C is incorrect as a patient's demeanor, such as smiling, does not necessarily correlate with the reliability of their responses. Non-verbal cues can be misleading, and relying on them alone is not a valid assessment of reliability. Option D is incorrect because a patient's reluctance to answer certain questions, such as those concerning stress, does not automatically make them unreliable. Patients may have personal reasons for not wanting to disclose certain information. In an educational context, it is essential for nurses to understand that consistency in patient responses, regardless of their history or demeanor, is a key factor in assessing reliability. Encouraging open communication and building trust with patients can help ensure the accuracy of the information shared, ultimately leading to safe medication practices.
Question 5 of 5
In response to a question about stress, a 39-year-old woman tells the nurse that her husband and mother both died in the past year. Which of the following responses by the nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy and encourages the woman to share her coping mechanisms. This response acknowledges the woman's experience and allows her to express her feelings. It also opens up a dialogue for the nurse to assess her current coping strategies. Choice A is too general and does not prompt further discussion. Choice B is judgmental and dismissive of the woman's experiences. Choice D disregards the woman's emotional state and fails to address her current needs. Overall, Choice C is the most appropriate as it shows empathy, encourages open communication, and allows for further exploration of the woman's coping methods.