ATI RN
jarvis health assessment test bank Questions
Question 1 of 5
What is the most important nursing intervention for a client with an open fracture?
Correct Answer: A
Rationale: The correct answer is A: Apply a sterile dressing. This is the most important intervention to prevent infection and protect the wound. Applying a sterile dressing helps maintain a clean environment, reduces the risk of contamination, and promotes wound healing. Administering fluids (B) may be necessary but is not the top priority. Administering IV antibiotics (C) may be required but is secondary to wound care. Monitoring for bleeding (D) is important but addressing the wound with a sterile dressing takes precedence to prevent infection.
Question 2 of 5
What is the step of the nursing process that includes data collection through health history taking, physical examination, and interview?
Correct Answer: D
Rationale: The correct answer is D: Assessment. Assessment is the first step in the nursing process where data is collected through health history, physical examination, and interview. This step helps in identifying the patient's needs and health problems. Planning (A) comes after assessment and involves setting goals and creating a care plan. Diagnosis (B) is the step where nursing diagnoses are formulated based on the assessment data. Evaluation (C) is the final step where the effectiveness of the care plan is assessed. In summary, Assessment is the initial step focused on data collection, making it the correct choice.
Question 3 of 5
A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination. The nurse knows that it is important to include cultural information in his health assessment to:
Correct Answer: D
Rationale: The correct answer is D: provide culturally sensitive and appropriate care. Including cultural information in the health assessment helps healthcare providers understand the patient's beliefs, practices, and preferences, allowing for tailored care that respects the patient's cultural background. This improves communication, trust, and overall health outcomes. Choice A is incorrect because cultural information does not necessarily identify the cause of an illness. Choice B is incorrect as it overemphasizes diagnosis without considering the patient's cultural context. Choice C is incorrect as it does not directly address the importance of cultural information in healthcare.
Question 4 of 5
In recording the childhood illnesses of a patient, who denies having had any, which of the following notes by the nurse would be most accurate?
Correct Answer: D
Rationale: The correct answer is D because it provides a thorough list of specific childhood illnesses and confirms the patient's denial of having had them. This approach ensures comprehensive documentation and accuracy. Choice A is vague and lacks specificity, potentially leading to misunderstandings. Choice B focuses on the patient's perception of their health rather than actual illnesses. Choice C mentions the patient's sister and measles, which is irrelevant to the patient's own medical history. Overall, choice D is the most accurate and relevant option for documenting the patient's childhood illnesses.
Question 5 of 5
A 5-year-old boy is being admitted to the hospital to have his tonsils removeWhich of the following information should be collected before this procedure?
Correct Answer: D
Rationale: The correct answer is D: Reactions to previous hospitalizations. Before any medical procedure, it is crucial to gather information about the child's previous reactions to hospitalizations to ensure the safety and well-being of the child during the tonsil removal. This information helps healthcare providers anticipate and prevent potential complications based on past experiences. A: The child's birth weight is irrelevant to the tonsil removal procedure and does not impact the current situation. B: The age at which he started to crawl is not relevant to the tonsil removal procedure and does not provide any useful information for the medical staff. C: Whether he has had the measles is not directly related to the tonsil removal procedure and does not influence the immediate care needed for the child.