jarvis health assessment test bank pdf reddit

Questions 84

ATI RN

ATI RN Test Bank

jarvis health assessment test bank pdf reddit Questions

Question 1 of 5

What are the competencies required by a nurse providing end-of-life care?

Correct Answer: A

Rationale: Step 1: Respect and compassion are essential in end-of-life care to support patients emotionally. Step 2: Nurses need to show empathy and understanding towards patients and their families. Step 3: Providing comfort and dignity in the final stages of life is crucial. Step 4: Assessing and intervening (Choice B) is important but not the primary competency in end-of-life care. Step 5: Setting goals and dynamic changes to care (Choice C) may be relevant but not as fundamental as respect and compassion. Step 6: Keeping sad news away (Choice D) goes against transparency and trust-building in end-of-life care.

Question 2 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 3 of 5

A nurse is caring for a patient who is post-operative following a hip replacement. The nurse should prioritize which of the following interventions?

Correct Answer: B

Rationale: The correct answer is B because encouraging early ambulation is a priority post-operative intervention for a patient following a hip replacement. Early ambulation helps prevent complications such as blood clots, muscle weakness, and pneumonia. It also promotes circulation and aids in the patient's recovery. Administering pain medications (A) is important but not the top priority. Monitoring for signs of infection (C) is crucial, but ambulation takes precedence. Providing wound care (D) is essential but can be done after ensuring the patient's mobility.

Question 4 of 5

What should the nurse prioritize for a client who is at risk for developing a blood clot after surgery?

Correct Answer: A

Rationale: The correct answer is A: Administer anticoagulants. This is crucial for preventing blood clots post-surgery as they help thin the blood and reduce clot formation. Monitoring for arrhythmias (B) is important but not the priority in this case. While encouraging deep breathing (C) and fluid intake (D) are beneficial for post-surgical recovery, they do not directly address the risk of blood clot formation. Administering anticoagulants is the most effective intervention to prevent blood clots in high-risk surgical patients.

Question 5 of 5

When the nurse is evaluating the reliability of a patient's responses, which of the following would be a correct assessment?

Correct Answer: B

Rationale: The correct assessment is B because providing consistent information indicates reliability. Drug abuse history (A) does not necessarily mean the patient is unreliable. Smiling (C) is not a reliable indicator. Refusal to answer specific questions (D) does not negate overall reliability.

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