hesi health assessment test bank 2023

Questions 84

ATI RN

ATI RN Test Bank

hesi health assessment test bank 2023 Questions

Question 1 of 5

During assessment, the nurse notices that the skin of a patient of Asian descent is yellowish brown in colour. The skin on the hard and soft palate is, however, pink in colour. From this finding, the nurse could probably rule out:

Correct Answer: B

Rationale: The correct answer is B: Jaundice. Yellowish brown skin coloration along with pink coloration of the hard and soft palate is indicative of jaundice, a condition characterized by elevated levels of bilirubin in the blood. Bilirubin causes a yellowish discoloration of the skin but does not affect the color of the mucous membranes like the hard and soft palate. Pallor (A) refers to paleness of the skin due to decreased blood flow or anemia, not relevant in this case. Cyanosis (C) is a bluish discoloration of the skin and mucous membranes due to low oxygen levels in the blood, which is not consistent with the presented findings. Iron deficiency (D) may lead to pallor, but it does not cause yellowish brown skin coloration like jaundice.

Question 2 of 5

A nurse is teaching a patient with heart failure 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: "I can stop taking my medication if I feel fine." This statement indicates a misunderstanding of the importance of medication adherence in managing heart failure. Here's the rationale: 1. Patients with heart failure often require lifelong medication to control symptoms and prevent complications. 2. Stopping medication abruptly can lead to worsening of heart failure symptoms and potential health risks. 3. Monitoring for symptoms is essential, but it does not replace the need for consistent medication use. Other choices are incorrect because: A is correct as daily medication adherence is crucial. B is correct as reducing sodium intake helps manage fluid retention in heart failure. D is correct as daily weight monitoring helps detect fluid retention early.

Question 3 of 5

Which nursing measure is most appropriate to meet the expected outcome of positive body image in a client with Kawasaki disease?

Correct Answer: C

Rationale: The correct answer is C: explaining progression of the disease to the client and family. This measure helps the client and family understand the disease, leading to better coping and acceptance, thus promoting a positive body image. Administering immune globulin (A) is not directly related to body image. Assessing extremities (B) and heart sounds (D) are important for monitoring the disease but do not directly impact body image.

Question 4 of 5

What is the nurse's first action when a client is experiencing an acute asthma attack?

Correct Answer: A

Rationale: The correct answer is A: Administer bronchodilators. During an acute asthma attack, bronchodilators are the first-line treatment to quickly relieve bronchospasm and improve airflow. They work by relaxing the muscles around the airways, allowing the client to breathe easier. Administering corticosteroids (choices B and C) is important but typically done after bronchodilators to reduce airway inflammation. Encouraging fluid intake (choice D) is not the priority in an acute asthma attack, as the focus should be on addressing the breathing difficulty promptly.

Question 5 of 5

Spirituality is a personal search for:

Correct Answer: D

Rationale: The correct answer is D because spirituality involves seeking meaning in one's life, which can provide a sense of purpose and fulfillment. This search is personal and introspective, focusing on individual values and beliefs. A, B, and C are incorrect because spirituality is not solely about belief in a supreme being, adherence to a specific system of beliefs, or the pursuit of life after death. Rather, it is about finding meaning, connection, and inner peace in one's existence.

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