ATI RN
test bank for health assessment Questions
Question 1 of 5
What interventions should a nurse perform when a client is having difficulty walking due to a foot mass?
Correct Answer: D
Rationale: The correct answer is D (Morton's neuroma) because interventions for difficulty walking due to a foot mass include recommending proper footwear, orthotic devices, corticosteroid injections, physical therapy, and in severe cases, surgical removal of the mass. Morton's neuroma causes pain and tingling in the ball of the foot, leading to difficulty walking. Plantar fasciitis (A), Hallux valgus (B), and Hammertoe (C) do not typically present with a mass in the foot causing difficulty walking.
Question 2 of 5
What is the primary nutritional deficiency concern for strict vegetarians?
Correct Answer: B
Rationale: The correct answer is B: Vitamin B12. Strict vegetarians, especially those who exclude all animal products, are at risk of Vitamin B12 deficiency as it is primarily found in animal products. Vitamin C (A) deficiency is more common in those with poor fruit and vegetable intake. Vitamin E (C) deficiency is rare and usually seen in individuals with specific medical conditions. Magnesium (D) deficiency can occur in individuals with poor dietary intake or certain medical conditions, but it is not the primary concern for strict vegetarians.
Question 3 of 5
What is the first priority when caring for a client with a traumatic head injury?
Correct Answer: A
Rationale: The correct answer is A: Assess airway. In caring for a client with a traumatic head injury, the first priority is to ensure there is a clear airway to maintain oxygenation and ventilation, which is crucial for brain function. If the airway is compromised, it can lead to hypoxia and further brain damage. Providing pain relief (B) is important but not the immediate priority. Monitoring intracranial pressure (C) is essential but comes after ensuring a patent airway. Maintaining a quiet environment (D) can help reduce stimulation, but it is not as critical as assessing the airway for immediate intervention.
Question 4 of 5
What is the primary action when a client with a history of asthma develops wheezing?
Correct Answer: A
Rationale: The correct answer is A: Administer bronchodilators. When a client with asthma develops wheezing, the primary action is to administer bronchodilators to help dilate the airways and improve breathing. This helps relieve the symptoms of wheezing and prevent further complications. Providing pain relief (Choice B) is not the primary action for wheezing in asthma. Encouraging deep breathing (Choice C) may worsen the wheezing in an asthma attack. Performing chest physiotherapy (Choice D) is not the first-line treatment for wheezing in asthma.
Question 5 of 5
What is the most important intervention for a client with an obstructed airway?
Correct Answer: A
Rationale: The correct answer is A: Administer oxygen. This is the most important intervention for a client with an obstructed airway because it helps to ensure that the patient is receiving adequate oxygen supply to prevent hypoxia. Oxygen therapy can help maintain oxygen saturation levels and support proper gas exchange in the lungs. Monitoring respiratory rate (B) is important but not as critical as ensuring oxygen supply. Administering morphine (C) is contraindicated as it can depress respiratory function further. Administering fluids (D) is not the priority in managing an obstructed airway.
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