ATI RN
hesi health assessment test bank 2023 Questions
Question 1 of 5
What is the most appropriate intervention for a client with acute renal failure?
Correct Answer: A
Rationale: The correct answer is A: Administer IV fluids. In acute renal failure, maintaining adequate hydration is crucial to support kidney function and prevent further damage. IV fluids help improve renal perfusion and promote urine output. Hemodialysis may be necessary in severe cases but initial intervention is fluid resuscitation. Administering pain relief or morphine is not the priority in acute renal failure as addressing hydration status takes precedence over pain management.
Question 2 of 5
A patient tells the nurse that she has been experiencing abdominal pain for the past week. Which of the following would be the best response by the nurse?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates active listening and empathy by directly addressing the patient's concern. By asking the patient to point to where it hurts, the nurse can gather specific information to assess the location and severity of the pain. This helps in determining potential causes and appropriate interventions. Choice B is incorrect as it delays addressing the patient's immediate concern. Choice C focuses on dietary history, which may not be relevant to the current pain complaint. Choice D is unrelated to the current issue and does not address the patient's pain directly.
Question 3 of 5
What nursing interventions are important for a client in Buck's traction?
Correct Answer: C
Rationale: Step 1: Nutrition is important for overall health and healing in a client in Buck's traction. Step 2: Elimination is necessary to prevent complications such as constipation. Step 3: Comfort measures help alleviate pain and promote well-being. Step 4: Safety measures ensure the client's well-being during traction. Step 5: ROM exercises are not recommended to prevent displacement of traction. Transportation and isotonic exercises are not directly related to Buck's traction care.
Question 4 of 5
What should the nurse do first for a client with a history of diabetes who is experiencing hypoglycemia?
Correct Answer: A
Rationale: The correct answer is A: Administer glucose. In hypoglycemia, the priority is to raise the low blood sugar levels quickly. Administering glucose is the most direct and effective way to do so. Glucose will rapidly increase the blood sugar levels and help the client recover from hypoglycemia. Administering insulin (B) would further lower blood sugar levels. Administering glucagon (C) is used for severe hypoglycemia when the client is unconscious. Encouraging deep breathing (D) is not effective in treating hypoglycemia and does not address the immediate need to raise blood sugar levels.
Question 5 of 5
For which condition might blood be drawn to check uric acid levels?
Correct Answer: B
Rationale: The correct answer is B: gout. Uric acid levels are typically checked for gout, a type of arthritis caused by the buildup of uric acid crystals in the joints. This condition directly relates to uric acid levels in the blood. Asthma (choice A), diverticulitis (choice C), and meningitis (choice D) do not typically require checking uric acid levels. Asthma is a respiratory condition, diverticulitis is a gastrointestinal condition, and meningitis is an inflammation of the protective membranes covering the brain and spinal cord.
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