jarvis health assessment test bank

Questions 84

ATI RN

ATI RN Test Bank

jarvis health assessment test bank Questions

Question 1 of 5

Which lab values indicate a decreased risk of cardiovascular disease?

Correct Answer: A

Rationale: Step-by-step rationale: 1. High HDL cholesterol is considered beneficial as it helps remove LDL cholesterol from arteries, reducing the risk of plaque buildup. 2. Low HDL cholesterol is associated with an increased risk of cardiovascular disease. 3. Low total cholesterol may not necessarily indicate a decreased risk, as it could be due to low levels of protective HDL cholesterol. 4. Low triglycerides, while generally considered good, do not directly indicate a decreased risk of cardiovascular disease like high HDL cholesterol does. In summary, high HDL cholesterol is the correct answer as it plays a crucial role in reducing the risk of cardiovascular disease by removing LDL cholesterol, whereas the other choices do not offer the same protective benefits.

Question 2 of 5

What is the most effective intervention for a client with a history of respiratory distress?

Correct Answer: A

Rationale: The correct answer is A: Administer albuterol. Albuterol is a bronchodilator that helps open airways, making it effective in treating respiratory distress. It works quickly to relieve symptoms such as shortness of breath and wheezing. Corticosteroids (B) may be used in conjunction with albuterol for severe cases, but albuterol is the immediate intervention. Providing pain relief (C) is not the primary intervention for respiratory distress. Nebulizers (D) are a delivery method for medications like albuterol, but the key intervention is administering the medication itself.

Question 3 of 5

What should the nurse do first when a client presents with symptoms of sepsis?

Correct Answer: A

Rationale: The correct answer is A: Administer IV fluids. The initial priority in managing sepsis is to restore perfusion and oxygenation by giving IV fluids to support blood pressure and organ perfusion. This helps to improve tissue oxygenation and prevents further organ damage. Administering insulin (choice B) is not the priority in the initial management of sepsis. Monitoring blood pressure (choice C) is important but not the first step in the management of sepsis. Administering insulin is also listed twice and is not relevant to the immediate management of sepsis.

Question 4 of 5

Which medication should be expected for a client immobilized in traction and experiencing constipation?

Correct Answer: D

Rationale: The correct answer is D: Colace. When a client is immobilized and experiencing constipation, a stool softener like Colace is appropriate to prevent straining and discomfort. Advil and Anasaid are pain relievers, not laxatives. Clinocil is not a recognized medication. Colace is the best choice to address constipation in this scenario.

Question 5 of 5

What should be the nurse's first action when caring for a client with suspected meningitis?

Correct Answer: A

Rationale: The correct answer is A: Perform a lumbar puncture. This is the first action because diagnosing meningitis requires cerebrospinal fluid analysis obtained through a lumbar puncture. It helps identify the specific type of meningitis (bacterial, viral, or fungal) and guides appropriate treatment. Administering pain relief (B) or oxygen (C) may be necessary but not the initial priority. Administering antibiotics (D) should be based on the results of the lumbar puncture to ensure targeted therapy.

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