ATI RN
Health Assessment Practice Questions Questions
Question 1 of 5
What is the most appropriate nursing intervention for a client with severe pain after surgery?
Correct Answer: A
Rationale: The correct answer is A: Administer pain medication. This is the most appropriate nursing intervention because severe pain post-surgery requires immediate relief to ensure the client's comfort and aid in recovery. Pain medication helps manage pain effectively, improving the client's overall well-being and promoting healing. Monitoring vital signs (choice B) is important but secondary to pain relief in this scenario. Administering IV fluids (choice C) may be necessary for hydration but does not directly address the pain. Administering corticosteroids (choice D) is not typically indicated for severe pain post-surgery.
Question 2 of 5
Which action is most important for a nurse caring for a client with a suspected spinal cord injury?
Correct Answer: A
Rationale: The correct answer is A: Immobilize the client. This is crucial to prevent further damage to the spinal cord. Moving a client with a suspected spinal cord injury can worsen the injury and lead to permanent damage. Immobilizing the client helps maintain spinal alignment and reduces the risk of paralysis. Providing pain relief (B) and loosening clothing (D) are important but secondary actions. Applying pressure to the chest (C) is not recommended for a suspected spinal cord injury as it can also exacerbate the injury.
Question 3 of 5
What is the first priority for a client experiencing an acute asthma attack?
Correct Answer: A
Rationale: The correct answer is A: Administer bronchodilators. During an acute asthma attack, the priority is to open the airways quickly to improve breathing. Bronchodilators work rapidly to dilate the constricted airways, providing immediate relief. Corticosteroids are used for long-term management and take time to be effective. Administering morphine is not recommended as it can depress the respiratory system. Performing an ECG is not necessary in the acute management of an asthma attack.
Question 4 of 5
What is the nurse's first priority when caring for a client with severe burns?
Correct Answer: B
Rationale: The correct answer is B: Administer antibiotics. When caring for a client with severe burns, the first priority is to prevent infection, which can be life-threatening. Administering antibiotics helps reduce the risk of infection. Cleansing and dressing the wounds can come after ensuring infection control. Performing a tracheostomy is not typically the first priority unless there are airway concerns. Administering analgesics is important, but it is not the first priority in this case.
Question 5 of 5
What is the nurse's first action when a client is experiencing an acute asthma attack?
Correct Answer: A
Rationale: The correct answer is A: Administer bronchodilators. During an acute asthma attack, bronchodilators are the first-line treatment to quickly relieve bronchospasm and improve airflow. They work by relaxing the muscles around the airways, allowing the client to breathe easier. Administering corticosteroids (choices B and C) is important but typically done after bronchodilators to reduce airway inflammation. Encouraging fluid intake (choice D) is not the priority in an acute asthma attack, as the focus should be on addressing the breathing difficulty promptly.