ATI RN
hesi health assessment test bank Questions
Question 1 of 5
Why might breast implants interfere with mammography?
Correct Answer: D
Rationale: The correct answer is D because breast implants can hinder mammography by obscuring the view of breast tissue, making it difficult to detect abnormalities like masses. This is due to the implants blocking the x-ray machine's view. Choice A is incorrect as discomfort is not the primary reason for interference. Choice B is incorrect as breast implants are not a contraindication to mammography but can complicate the process. Choice C is incorrect as implants are designed to be secure and are not likely to be dislodged during a mammogram.
Question 2 of 5
What is the appropriate response when a pregnant Asian client requests ginger for nausea?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Calling the physician shows respect for the client's request and ensures safety. 2. Consulting the physician is important to consider any potential contraindications. 3. Ginger is a common remedy for nausea and is safe for most pregnant individuals. 4. Collaborating with the physician ensures appropriate care for the client's specific needs. Summary of Incorrect Choices: - B: Dismissing home remedies may not align with the client's cultural beliefs or preferences. - C: Herbs can be effective and safe alternatives, and the client's request should be respected. - D: While dry crackers may help with nausea, they do not address the client's specific request for ginger.
Question 3 of 5
What should assessment of a client with a cast include?
Correct Answer: A
Rationale: The correct answer is A because assessing capillary refill indicates adequate blood flow, warm toes suggest good circulation, and no discomfort indicates proper alignment and fit of the cast. Choice B is incorrect as posterior tibial pulses are not directly related to cast assessment. Choice C is incorrect as moist skin and pain threshold are not specific to cast assessment. Choice D is incorrect as discomfort of the metacarpals is not a comprehensive assessment of a cast.
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
How should a nurse remove a gown from a client with an intravenous line?
Correct Answer: C
Rationale: Correct Answer: C Rationale: By threading the IV bag and tubing through the gown sleeve, the nurse ensures that the client's IV line remains intact and secure. This method minimizes the risk of dislodging the IV line or causing discomfort to the client. It also allows for a smooth removal of the gown without compromising the IV line. Summary: A: Disconnecting tubing near the client can lead to accidental disconnection of the IV line. B: Cutting the gown with scissors is unnecessary and poses a risk of damaging the IV line. D: Disconnecting the tubing at the IV container may result in spillage of IV fluids and potential contamination.