ATI RN
jarvis health assessment test bank Questions
Question 1 of 5
Which nursing intervention is most appropriate for a client with chronic pain?
Correct Answer: B
Rationale: Correct Answer: B (Administer nonsteroidal anti-inflammatory drugs - NSAIDs) Rationale: 1. NSAIDs are commonly used for chronic pain management due to their anti-inflammatory properties. 2. NSAIDs target the underlying inflammation that often contributes to chronic pain. 3. Opioids may be reserved for severe pain due to their potential for addiction and side effects. 4. Monitoring blood pressure is important but not the primary intervention for chronic pain. 5. Acetaminophen is a mild pain reliever and may not be as effective for chronic pain compared to NSAIDs.
Question 2 of 5
What should the nurse do for a client with suspected hypovolemia and hypotension?
Correct Answer: A
Rationale: The correct answer is A - Administer IV fluids. This is the priority intervention for a client with suspected hypovolemia and hypotension as it helps to restore intravascular volume and improve blood pressure. IV fluids will address the underlying cause of hypotension by increasing circulating volume. Monitoring blood pressure (B) is important but administering IV fluids takes precedence. Administering corticosteroids (C) is not indicated for hypovolemia and hypotension. Administering oxygen (D) may be necessary if there is evidence of hypoxia, but addressing fluid volume status is the primary concern in this scenario.
Question 3 of 5
What is the priority action when a client with a history of seizures experiences one?
Correct Answer: B
Rationale: The correct answer is B: Place in a safe environment. This is the priority action because it ensures the client's safety by preventing injury during the seizure. Placing the client in a safe environment involves removing any objects that could harm them, such as sharp objects or furniture. Positioning on their side (choice A) is important after the seizure to prevent aspiration. Applying warm compresses (choice C) is not indicated during a seizure. Inserting an oral airway (choice D) is not recommended as it can be dangerous during a seizure and should only be done if the client is not breathing after the seizure.
Question 4 of 5
What is the most important intervention for a client in shock?
Correct Answer: A
Rationale: The correct answer is A: Administer fluids. In shock, the most crucial intervention is to restore perfusion by increasing circulating volume. Administering fluids helps to improve tissue perfusion and oxygen delivery. This is essential for stabilizing the client's condition. Monitoring cardiac rhythm (B) and blood pressure (C) are important, but addressing the underlying issue of hypovolemia by giving fluids takes precedence. Providing IV antibiotics (D) is not the primary intervention for shock, as the immediate focus should be on restoring blood flow and oxygen delivery.
Question 5 of 5
Which of the following foods is most likely to reduce cholesterol?
Correct Answer: A
Rationale: The correct answer is A (Broccoli, oranges, dark greens) because these foods are high in soluble fiber, antioxidants, and plant sterols which are known to help lower cholesterol levels. Broccoli contains fiber that binds to cholesterol in the gut, oranges are rich in vitamin C and fiber, and dark greens like spinach and kale are packed with antioxidants and fiber. Option B (Fiber-rich foods) is partially correct as fiber can help reduce cholesterol levels, but it is not as specific as the foods mentioned in option A. Option C (Increase intake of omega-3 fatty acids) is not directly related to lowering cholesterol, although omega-3s have other health benefits. Option D (Eliminate fat-rich foods) is not ideal as not all fats are bad for cholesterol, and some healthy fats like those found in avocados and nuts can actually improve cholesterol levels.
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