health assessment test bank

Questions 84

ATI RN

ATI RN Test Bank

health assessment test bank Questions

Question 1 of 5

Which intervention should be performed when assessing a client with an arteriovenous fistula (AVF) for hemodialysis?

Correct Answer: C

Rationale: Correct Answer: C - Administer IV fluids Rationale: 1. Assess patient's fluid status and hydration level. 2. IV fluids help maintain adequate hydration during hemodialysis. 3. Prevents hypotension and ensures stable blood pressure during the procedure. 4. Improves overall hemodialysis efficiency and patient safety. Summary: A: Checking patency is important, but not the primary intervention for hemodialysis. B: Monitoring for bleeding is crucial but not specific to AVF assessment. D: Applying an airtight dressing is not necessary for AVF assessment.

Question 2 of 5

What is the first intervention when a client develops symptoms of shock?

Correct Answer: A

Rationale: The correct answer is A: Administer oxygen. Oxygen administration is the first intervention for shock as it helps improve oxygenation to vital organs. Lack of oxygen can worsen shock. Administering IV fluids (choice B) could be the second step to improve perfusion. Monitoring respiratory rate (choice C) is important but not the first intervention. Administering pain medication (choice D) is not a priority in managing shock.

Question 3 of 5

What is the first step in the care of a client with a severe allergic reaction?

Correct Answer: A

Rationale: The correct answer is A: Administer epinephrine. This is the first step in the care of a client with a severe allergic reaction because epinephrine is the primary medication used to reverse the life-threatening symptoms of anaphylaxis. Epinephrine acts quickly to constrict blood vessels, relax smooth muscles in the lungs to improve breathing, and increase heart rate. Administering epinephrine promptly can prevent progression to severe outcomes like respiratory failure or shock. Corticosteroids (B and C) are used as adjunct therapy and do not provide immediate relief. Applying a cold compress (D) does not address the systemic effects of anaphylaxis and can delay potentially life-saving treatment.

Question 4 of 5

What should be done for a client who is post-op and develops a fever within the first 48 hours?

Correct Answer: B

Rationale: The correct answer is B: Monitor for signs of infection. Within the first 48 hours post-op, fever is often indicative of an infection. Monitoring for signs such as increased pain, redness, swelling, warmth at the surgical site, elevated white blood cell count, and changes in vital signs helps in early detection and prompt treatment of infections. Administering antipyretics (choice A) may help reduce fever but does not address the underlying cause. Administering fluids (choice C) is important for hydration but does not directly address the fever's cause. Performing an abdominal assessment (choice D) is not specific to addressing fever in a post-op client.

Question 5 of 5

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

Correct Answer: A

Rationale: The correct answer is A because avoiding environmental allergens and cold air can help prevent asthma attacks. This shows the patient understands the importance of managing triggers. Choice B is incorrect because over-the-counter medications may not be sufficient for asthma management. Choice C is incorrect because smoking can worsen asthma symptoms. Choice D is incorrect because using the inhaler only when feeling short of breath is not a proactive approach to managing asthma triggers.

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