ATI RN
jarvis health assessment test bank pdf reddit Questions
Question 1 of 5
Which of the following individuals would the nurse consider at highest risk for a suicide attempt?
Correct Answer: D
Rationale: The correct answer is D because the older adult's statement about joining his wife in heaven and plan to shoot himself indicates clear intent and imminent risk. This individual has a specific plan and timeframe, making them highest risk. Choice A is incorrect because joking about death does not necessarily indicate an imminent risk of suicide. Choice B is incorrect as past suicide attempts are a risk factor, but immediate intent is more concerning. Choice C is incorrect as the adolescent's statement is concerning, but there is no specific plan or timeframe mentioned, lowering the immediate risk compared to choice D.
Question 2 of 5
A score of 6 on the MoCA tool indicates:
Correct Answer: D
Rationale: A score of 6 on the MoCA tool indicates severe cognitive impairment because the MoCA is scored out of 30, with a lower score indicating more severe impairment. A score of 6 is significantly below the normal range, indicating severe cognitive deficits affecting various cognitive domains. This score would suggest significant impairment in memory, attention, language, visuospatial abilities, and executive functions. Therefore, Option D is correct. Options A, B, and C are incorrect as they suggest no, mild, or moderate impairment, which would not align with a score as low as 6 on the MoCA tool.
Question 3 of 5
A patient is found to have an irregular, jagged scar that is raised and red. The nurse would classify this as:
Correct Answer: B
Rationale: The correct answer is B: Hypertrophic scar. This type of scar is raised, red, and irregular, but it does not extend beyond the boundaries of the original wound like a keloid. A keloid is characterized by excessive scar tissue that grows beyond the wound site. Contracture is a scar that causes tightening of the skin and may restrict movement. Stretch marks, on the other hand, are not raised or irregular like the described scar.
Question 4 of 5
A 50-year-old male patient with chronic back pain is prescribed a medication for pain management. Which of the following would be the nurse's priority assessment after administering the medication?
Correct Answer: C
Rationale: The correct answer is C: Assessing the patient's respiratory status. After administering pain medication, especially opioids, it is crucial to monitor the patient's respiratory status due to the risk of respiratory depression. This assessment is a priority because respiratory depression can be life-threatening. Other choices are not as immediate: A, assessing for addiction, can be done but is not as critical at this moment; B, assessing pain level, is important but comes after ensuring the patient's safety; D, assessing for infection, is not directly related to the immediate effects of pain medication.
Question 5 of 5
A nurse is providing teaching to a patient with type 2 diabetes. Which of the following should the nurse emphasize as the most important factor in managing the condition?
Correct Answer: A
Rationale: The correct answer is A: Monitoring blood glucose levels regularly. This is crucial in managing type 2 diabetes because it helps the patient understand how their body responds to food, medication, and activity. By tracking blood glucose levels, the patient can make informed decisions about their diet, medication, and lifestyle choices. This proactive approach enables early detection of fluctuations in blood sugar levels, allowing for prompt adjustments to prevent complications. Summary: - Choice A is correct as monitoring blood glucose levels is essential for managing type 2 diabetes. - Choice B is important but secondary to monitoring blood glucose levels. - Choice C is beneficial for managing diabetes but not as critical as blood glucose monitoring. - Choice D, following a low-carb diet, can be helpful but may not be the most important factor in managing the condition.