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ATI RN · Health Assessment · health assessment in nursing test bank

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse is caring for a patient who is post-operative following hip replacement surgery. Which of the following should be included in the nursing care plan to prevent complications?

A. Encouraging the patient to avoid physical activity for several weeks.

B. Administering pain medication only when requested by the patient.

C. Monitoring the patient for signs of infection and deep vein thrombosis.

D. Providing education on safe lifting techniques.

Expert Explanatory Rationale

Correct Answer: Monitoring the patient for signs of infection and deep vein thrombosis.

Question 2 of 5

A nurse is teaching a patient with asthma about proper inhaler use. Which of the following statements by the patient indicates the need for further education?

A. I should hold my breath for 10 seconds after inhaling the medication.

B. I should use my inhaler before exercise to prevent symptoms.

C. I can use my inhaler every 30 minutes if I have trouble breathing.

D. I should rinse my mouth after using my inhaler to prevent thrush.

Expert Explanatory Rationale

Correct Answer: I can use my inhaler every 30 minutes if I have trouble breathing.

Question 3 of 5

A nurse is teaching a patient with diabetes about self-management. Which of the following statements by the patient indicates the need for further education?

A. I will check my blood sugar regularly.

B. I will take my insulin only when my blood sugar is high.

C. I will eat a balanced diet and exercise regularly.

D. I will report any signs of infection to my healthcare provider.

Expert Explanatory Rationale

Correct Answer: I will take my insulin only when my blood sugar is high.

Question 4 of 5

A 45-year-old woman suffered a head injury in a car accident. A few months after recovering from her injuries, she is unable to differentiate between hot and cold and is unsure of how to dress for the weather. This is an example of:

A. Mania.

B. Agnosia.

C. Dementia.

D. Amnestic disorder.

Expert Explanatory Rationale

Correct Answer: Agnosia.

Question 5 of 5

A nurse is caring for a patient with a history of asthma. The nurse should monitor for which of the following complications?

A. Pneumonia.

B. Respiratory failure.

C. Anemia.

D. Hyperglycemia.

Expert Explanatory Rationale

Correct Answer: Respiratory failure.

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