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

When assessing older adults, the nurse knows that one of the first things that should be assessed before drawing conclusions about their mental health is:

Correct Answer: D

Rationale: The correct answer is D: Their sensory-perceptive abilities. Assessing sensory-perceptive abilities is crucial in older adults as sensory impairments can mimic signs of mental health issues. By assessing sensory functions first, the nurse can rule out any physical factors influencing the assessment. Phobias (A) and irrational thinking patterns (C) are psychological aspects that come after ruling out sensory issues. General intelligence (B) may not be the priority as cognitive decline can be affected by sensory impairments.

Question 2 of 5

After completing an initial assessment on a patient, the nurse has charted that his respirations are eupneic and his pulse is 58. This type of data would be:

Correct Answer: A

Rationale: The correct answer is A: objective. Objective data refers to measurable and observable information obtained through physical examination or diagnostic tests. In this case, the nurse's documentation of the patient's respirations and pulse rate are objective data as they can be quantified and verified by any healthcare professional. This data is not influenced by personal feelings or interpretations, making it objective. Choice B, reflective, is incorrect as it does not describe the nature of the data provided. Choice C, subjective, is also incorrect because subjective data is based on the patient's feelings or perceptions, which is not the case here. Choice D, introspective, is incorrect as it refers to internal self-reflection, not the nature of the data being documented.

Question 3 of 5

The nurse is performing a functional assessment on an 82-year-old patient who recently had a stroke. Which of the following questions would be the most important to ask?

Correct Answer: B

Rationale: The correct answer is B: "Are you able to dress yourself?" This question is the most important because it directly assesses the patient's functional abilities post-stroke, providing crucial information about their independence and self-care abilities. It helps determine the patient's level of disability and need for assistance with activities of daily living. Choice A: "Do you wear glasses?" is not as important in this context as it does not directly address the patient's functional status post-stroke. Choice C: "Do you have any thyroid problems?" is irrelevant to the functional assessment of a patient post-stroke. Choice D: "How many times a day do you have a bowel movement?" is not as critical as assessing the patient's ability to perform basic activities of daily living.

Question 4 of 5

Which of the following foods should a client with hypercholesterolemia decrease in their diet?

Correct Answer: B

Rationale: The correct answer is B: Hamburgers. Clients with hypercholesterolemia should decrease their intake of saturated fats and cholesterol. Hamburgers are typically high in saturated fats and cholesterol due to the ground beef patty and cheese. Broiled catfish (A) is a lean protein source and can be a healthier option. Wheat bread (C) is a good source of fiber and can help lower cholesterol levels. Fresh apples (D) are a healthy choice low in saturated fats and cholesterol. Therefore, hamburgers should be decreased in the diet to manage hypercholesterolemia effectively.

Question 5 of 5

The nurse is preparing to examine an infant. Which of the following actions is the most appropriate to perform first?

Correct Answer: C

Rationale: The correct answer is C: Begin with the head. This is the most appropriate action as starting with the head allows the nurse to establish rapport with the infant and assess their level of alertness before progressing further. By starting at the head, the nurse can also observe the infant's facial expressions and interactions with the caregiver, providing valuable information about the infant's overall well-being. Assessing reflexes first (Choice A) may startle the infant, asking the parent to undress the child (Choice B) can be done after the initial assessment, and beginning with the legs (Choice D) does not prioritize the critical areas of observation such as the head and face.

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