test bank for health assessment

Questions 47

ATI RN

ATI RN Test Bank

test bank for health assessment Questions

Question 1 of 5

What is the first priority for a client who has developed signs of shock?

Correct Answer: A

Rationale: The correct answer is A: Administer IV fluids. In the case of shock, the first priority is to restore circulating volume to improve tissue perfusion. IV fluids help increase blood volume and improve oxygen delivery to vital organs, addressing the underlying cause of shock. Choice B (Administer oxygen) can be important but is not the first priority. Choice C (Place the client in a supine position) may worsen certain types of shock. Choice D (Monitor blood pressure) is important but not the first action needed to address shock. Administering IV fluids promptly can stabilize the client's condition and prevent further deterioration.

Question 2 of 5

What intervention should a nurse recommend for a client with stress incontinence?

Correct Answer: B

Rationale: The correct answer is B: Purchase absorbent undergarments. For stress incontinence, which is caused by weakened pelvic floor muscles, absorbent undergarments can help manage symptoms. Kegel exercises (choice A) strengthen pelvic floor muscles but may not provide immediate relief. Constipation (choice C) can exacerbate incontinence but is not the primary intervention. Surgical treatments (choice D) are not typically recommended as a first-line intervention for stress incontinence.

Question 3 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 4 of 5

What type of assessment occurs in emergency situations?

Correct Answer: D

Rationale: In emergency situations, time is crucial. Emergency assessment is the most appropriate as it focuses on quickly identifying and addressing life-threatening issues. It involves a rapid but systematic evaluation of the patient's airway, breathing, circulation, and disability. Head-to-toe assessment (A) and comprehensive assessment (C) are too time-consuming in emergencies, whereas focused assessment (B) may not cover all critical aspects.

Question 5 of 5

What do ABG values of pH 7.38, PO2 78 mmHg, PCO2 36 mmHg, and HCO3 24 mEq/L indicate?

Correct Answer: B

Rationale: Rationale: 1. pH within normal range (7.35-7.45) indicates homeostasis. 2. PO2 (normal 75-100 mmHg) and PCO2 (normal 35-45 mmHg) are slightly deviated but not clinically significant. 3. HCO3 within normal range (22-26 mEq/L) further supports overall balance. Summary: A: Incorrect - HCO3 level is within normal range, ruling out metabolic alkalosis. C: Incorrect - PCO2 is within normal range, ruling out respiratory acidosis. D: Incorrect - PCO2 is slightly low but not significantly, ruling out respiratory alkalosis. Overall, the ABG values indicate the body is in homeostasis.

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