ATI RN
jarvis health assessment test bank pdf reddit Questions
Question 1 of 5
What is the first priority when caring for a client who is experiencing a stroke?
Correct Answer: A
Rationale: The correct answer is A: Administer oxygen. The first priority in caring for a client experiencing a stroke is to ensure adequate oxygen supply to the brain, as lack of oxygen can lead to further brain damage. Administering oxygen helps improve oxygenation and can prevent complications. Administering morphine (B) is not recommended as it can mask symptoms and delay diagnosis. Administering IV fluids (C) may be necessary but is not the first priority. Administering fibrinolytics (D) is a time-sensitive intervention for ischemic stroke but should be done after proper evaluation and confirmation of the type of stroke.
Question 2 of 5
What is the most effective way to manage a client with deep vein thrombosis (DVT)?
Correct Answer: A
Rationale: The correct answer is A: Administer anticoagulants. Anticoagulants are the primary treatment for DVT as they prevent blood clots from getting bigger and reduce the risk of new clots forming. This helps prevent complications like pulmonary embolism. Elevating the leg and applying compression (option B) can help with symptoms but do not address the underlying cause. Providing anticoagulant therapy (option C) is similar to the correct answer but lacks specificity. Applying compression stockings (option D) can help prevent complications but do not treat the existing clot.
Question 3 of 5
What is the nurse's priority when caring for a client with a fractured femur?
Correct Answer: A
Rationale: The correct answer is A: Apply a traction splint. The priority for a client with a fractured femur is to immobilize the fracture to prevent further injury and reduce pain. Applying a traction splint helps stabilize the fracture and reduce risk of complications such as nerve or blood vessel damage. Administering pain medication (B) is important but not the priority. Placing the client in a supine position (C) may be needed for comfort but does not address the primary concern of stabilizing the fracture. Administering IV antibiotics (D) is not necessary for a fractured femur unless there are signs of infection.
Question 4 of 5
When assessing older adults, the nurse knows that one of the first things that should be assessed before drawing conclusions about their mental health is:
Correct Answer: D
Rationale: The correct answer is D: Their sensory-perceptive abilities. Assessing sensory-perceptive abilities is crucial in older adults as sensory impairments can mimic signs of mental health issues. By assessing sensory functions first, the nurse can rule out any physical factors influencing the assessment. Phobias (A) and irrational thinking patterns (C) are psychological aspects that come after ruling out sensory issues. General intelligence (B) may not be the priority as cognitive decline can be affected by sensory impairments.
Question 5 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.