ATI RN
hesi health assessment test bank Questions
Question 1 of 5
What is the most effective intervention for a client with hypoglycemia?
Correct Answer: A
Rationale: The correct answer is A: Administer glucose. Hypoglycemia is low blood sugar, and administering glucose rapidly raises blood sugar levels to restore normal function. Glucagon (choice B) is used for severe hypoglycemia when the individual cannot consume oral glucose. Insulin (choice C) lowers blood sugar levels and is contraindicated in hypoglycemia. Corticosteroids (choice D) can worsen hypoglycemia by affecting glucose metabolism. Administering glucose is the most direct and effective intervention for hypoglycemia.
Question 2 of 5
What is the most effective intervention for a client with hypoglycemia?
Correct Answer: A
Rationale: The correct answer is A: Administer glucose. Hypoglycemia is low blood sugar, and administering glucose rapidly raises blood sugar levels to restore normal function. Glucagon (choice B) is used for severe hypoglycemia when the individual cannot consume oral glucose. Insulin (choice C) lowers blood sugar levels and is contraindicated in hypoglycemia. Corticosteroids (choice D) can worsen hypoglycemia by affecting glucose metabolism. Administering glucose is the most direct and effective intervention for hypoglycemia.
Question 3 of 5
How do nurses facilitate the achievement of high-level wellness with a client?
Correct Answer: C
Rationale: The correct answer is C because promoting health in the client is essential in achieving high-level wellness. Nurses play a crucial role in educating, empowering, and supporting clients in making healthy lifestyle choices. By promoting health, nurses help clients prevent illness, maintain optimal well-being, and improve their overall quality of life. Encouraging appointment attendance (choice A) is important but not solely focused on wellness promotion. Providing information on alternative treatments (choice B) is valuable but may not directly contribute to high-level wellness. Providing good client care (choice D) is a fundamental nursing responsibility, but it does not specifically address the promotion of health and wellness.
Question 4 of 5
Which positions are appropriate for clients with dumping syndrome and GERD after meals?
Correct Answer: B
Rationale: Rationale: 1. GERD: Lying down after eating can worsen symptoms due to acid reflux. Sitting up helps prevent acid reflux. 2. Dumping Syndrome: Lying down can exacerbate symptoms like nausea and dizziness. Sitting up aids in digestion. 3. Choice B recommends lying down 1 hour after eating for Dumping Syndrome and sitting up at least 30 minutes after eating for GERD, which aligns with the management of both conditions. Summary: - Choice A is incorrect as lying flat after meals worsens GERD and Dumping Syndrome symptoms. - Choice C is incorrect as sitting up only after meals does not address the specific needs of GERD and Dumping Syndrome. - Choice D is incorrect as lying down after meals is not recommended for either condition.
Question 5 of 5
What is the priority action for a client with a suspected myocardial infarction?
Correct Answer: A
Rationale: The correct answer is A: Administer nitroglycerin. Nitroglycerin is the priority action for a client with a suspected myocardial infarction as it helps dilate coronary arteries, improving blood flow to the heart muscle. This helps reduce chest pain and minimize myocardial damage. Administering fluids (B) may be necessary but not the priority. Placing the client in a sitting position (C) could worsen symptoms. Administering aspirin (D) is important but not as immediate as nitroglycerin for acute pain relief.