health assessment in nursing test bank

Questions 36

ATI RN

ATI RN Test Bank

health assessment in nursing test bank Questions

Question 1 of 5

A nurse is teaching a patient with diabetes about managing their condition. Which of the following statements by the patient indicates the need for further education?

Correct Answer: C

Rationale: The correct answer is C because stopping insulin when blood glucose is normal is incorrect. Insulin is necessary for managing diabetes even when blood glucose levels are normal to prevent fluctuations. Monitoring blood glucose (A), exercising (B), and eating a balanced diet (D) are all important components of diabetes management. Stopping insulin abruptly can lead to hyperglycemia and potential complications.

Question 2 of 5

The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the:

Correct Answer: A

Rationale: Step-by-step rationale: 1. Nursing interventions are based on nursing diagnosis, which identifies patient's unique health needs. 2. Nursing diagnosis focuses on patient's response to health problems, not just medical conditions. 3. It guides nurses in planning individualized care to meet patient's specific needs. 4. Medical diagnosis (B) focuses on disease pathology, not holistic patient care. 5. Admission diagnosis (C) is a temporary identification of patient's primary reason for admission. 6. Collaborative diagnosis (D) involves joint identification of interprofessional health problems, not specific to nursing care. Summary: The correct answer is A because nursing interventions are tailored based on nursing diagnosis, which considers patient's responses to health issues. Medical diagnosis, admission diagnosis, and collaborative diagnosis do not provide the same level of individualized and holistic care planning as nursing diagnosis.

Question 3 of 5

Which of the following responses might the nurse expect during the functional assessment of a patient whose leg is in a cast?

Correct Answer: D

Rationale: The correct answer is D because the nurse would expect the patient to demonstrate functional independence in activities like transferring from a wheelchair to the bed despite having a leg in a cast. This response indicates good mobility and strength, which are positive signs of recovery. Choices A, B, and C are incorrect as they do not directly address the functional assessment of the patient. Choice A provides historical information, choice B focuses on pain management, and choice C mentions a self-care routine that is not related to functional ability.

Question 4 of 5

Which of the following questions would best assess a person's judgement?

Correct Answer: B

Rationale: The correct answer is B because asking about future plans post-hospital discharge assesses judgment by evaluating the individual's ability to make considered decisions and anticipate consequences. Choice A focuses on paranoia, not judgment. Choice C assesses interpretation skills, not judgment. Choice D evaluates honesty or ethics, not judgment. Therefore, B is the best choice for assessing judgment.

Question 5 of 5

Which of the following statements best describes the purpose of a health history?

Correct Answer: D

Rationale: The correct answer is D because a health history aims to gather subjective information about a patient's past and current health. It helps in understanding the patient's health concerns, medical history, lifestyle factors, and other relevant information. By collecting this data, healthcare providers can make informed decisions regarding the patient's care. Option A is incorrect as the purpose is more than just interaction. Option B is incorrect as it focuses solely on biographical information. Option C is incorrect as it pertains to physical assessment findings, not subjective health information.

Similar Questions

Join Our Community Today!

Join Over 10,000+ nursing students using Nurselytic. Access Comprehensive study Guides curriculum for ATI-RN and 3000+ practice questions to help you pass your ATI-RN exam.

Call to Action Image