ATI RN
jarvis health assessment test bank pdf reddit Questions
Question 1 of 5
What is the priority intervention for a client experiencing a stroke?
Correct Answer: A
Rationale: The correct answer is A: Administer thrombolytics. Thrombolytics help dissolve blood clots causing the stroke, restoring blood flow to the brain. This intervention is time-sensitive to prevent further brain damage. Administering aspirin (B) is important but not the priority over thrombolytics. Performing an ECG (C) assesses heart function, not the immediate intervention for stroke. Administering corticosteroids (D) is not indicated in acute stroke management.
Question 2 of 5
What is the priority nursing action for a client who has sustained an electrical burn?
Correct Answer: A
Rationale: The correct answer is A: Administer pain relief. This is the priority nursing action for a client with an electrical burn because pain management is crucial in providing comfort and reducing distress. Pain relief helps the client to relax, promotes healing, and aids in overall recovery. Administering pain relief should be the first step to ensure the client's well-being. Summary: - B: Administering oxygen may be necessary for respiratory support in some cases but is not the priority over pain relief. - C: Applying sterile dressings is important for wound care but should come after addressing pain. - D: Administering beta blockers is not indicated as the priority action for an electrical burn.
Question 3 of 5
What should the nurse do first when a client has a suspected fracture?
Correct Answer: A
Rationale: The correct answer is A: Apply a splint. This is the first step because immobilizing the affected limb helps prevent further injury and reduces pain. Administering fluids (B) and oxygen (C) are important but not the priority in this situation. Elevating the limb (D) can wait until the fracture is stabilized.
Question 4 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.
Question 5 of 5
After completing an initial assessment on a patient, the nurse has charted that his respirations are eupneic and his pulse is 58. This type of data would be:
Correct Answer: A
Rationale: The correct answer is A: objective. Objective data refers to measurable and observable information obtained through physical examination or diagnostic tests. In this case, the nurse's documentation of the patient's respirations and pulse rate are objective data as they can be quantified and verified by any healthcare professional. This data is not influenced by personal feelings or interpretations, making it objective. Choice B, reflective, is incorrect as it does not describe the nature of the data provided. Choice C, subjective, is also incorrect because subjective data is based on the patient's feelings or perceptions, which is not the case here. Choice D, introspective, is incorrect as it refers to internal self-reflection, not the nature of the data being documented.