health assessment test bank

Questions 84

ATI RN

ATI RN Test Bank

health assessment test bank Questions

Question 1 of 5

The nurse is caring for a patient who is a recent immigrant and has limited English proficiency. Which of the following is the best action the nurse should take?

Correct Answer: C

Rationale: The correct answer is C: Use a professional interpreter or translation services to communicate effectively. This is the best action because it ensures accurate communication and understanding between the nurse and the patient. Professional interpreters are trained to accurately convey information while respecting cultural nuances. Explanation for why the other choices are incorrect: A: Using medical jargon can confuse the patient further and hinder effective communication. B: Speaking loudly and slowly can come across as patronizing and does not address the language barrier. D: Relying on the patient's family for translation can lead to miscommunication or breaches of patient confidentiality.

Question 2 of 5

A nurse is assessing a patient who has a history of deep vein thrombosis (DVT). Which of the following findings would be most concerning?

Correct Answer: C

Rationale: The correct answer is C: Shortness of breath and chest pain. This is most concerning because it could indicate a pulmonary embolism, a serious complication of DVT where a blood clot travels to the lungs. Shortness of breath and chest pain are signs of compromised respiratory and cardiac function. A: Pain and swelling in the leg are common symptoms of DVT but not as concerning as symptoms of a pulmonary embolism. B: Redness and warmth around the affected area are typical signs of inflammation associated with DVT but do not indicate a life-threatening complication like a pulmonary embolism. D: Pale skin and decreased pulse in the affected leg could be signs of compromised circulation due to DVT, but they are not as immediately life-threatening as symptoms of a pulmonary embolism.

Question 3 of 5

Which of the following statements is true regarding respect for differences?

Correct Answer: B

Rationale: The correct answer is B because conveying respect for differences helps build trust and encourages patients to share their perspectives openly. This fosters a positive patient-provider relationship and enhances communication. Choice A is incorrect as patients have unique behaviors. Choice C is incorrect as cultural expectations do not fully explain individual differences. Choice D is incorrect as expressing one's culture is not solely dependent on exposure to Canadian values.

Question 4 of 5

A nurse is teaching a patient with asthma about managing asthma attacks. Which of the following statements by the patient indicates proper understanding?

Correct Answer: A

Rationale: Correct Answer: A Rationale: Using the inhaler when feeling an asthma attack coming on allows for prompt relief by opening airways. Waiting for symptoms to worsen (B) can lead to a severe attack. Using the inhaler only when short of breath (C) may delay treatment. Skipping the inhaler when feeling fine (D) can be dangerous if an attack occurs suddenly. Answer A ensures timely intervention for effective asthma management.

Question 5 of 5

What should a nurse assess for in a client with an arteriovenous fistula for hemodialysis?

Correct Answer: A

Rationale: The correct answer is A: Inspect for visible pulsation. This is because an arteriovenous fistula for hemodialysis should have a visible pulsation, indicating proper blood flow. Palpating for thrill (B) and auscultating for bruit (C) are also common assessments for an arteriovenous fistula, but inspecting for visible pulsation is the most direct and reliable way to assess the patency of the fistula. Percussing for dullness (D) is not relevant in this context as it does not provide information about the vascular access site.

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