multi dimensional care final exam Multi Dimensional Care | Final Exam - Nursing Elites
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Nursing Elites

ATI RN

Multi Dimensional Care | Final Exam

1. The client moves both crutches forward, with weight on the unaffected leg, and then moves the unaffected leg forward, shifting weight onto it. Which of the following gaits is being utilized?

Correct answer: B

Rationale: The correct answer is B, Three-point gait. In a three-point gait, one leg is non-weight bearing, as described in the scenario where the client shifts weight onto the unaffected leg. Choices A, C, and D are incorrect. A two-point gait involves partial weight-bearing on both legs, a four-point gait involves weight-bearing on both legs, and 'Unaffected gait' is not a recognized term in gait patterns.

2. What is a negative effect of immobility on the cardiovascular system?

Correct answer: D

Rationale: Venous stasis is a negative effect of immobility on the cardiovascular system as it can lead to blood clots.

3. On inspection, which client does the nurse suspect of having a visual impairment?

Correct answer: C

Rationale: Tilting the head may indicate a visual impairment as the client attempts to compensate for vision loss.

4. A client has a fractured right arm. What should the nurse do first?

Correct answer: C

Rationale: The nurse should first remove the client's bracelet and rings from the right arm. This action is crucial to prevent complications such as swelling and restricted blood flow, which could worsen the condition. Applying ice, administering pain medications, and sending the client for an x-ray are important steps but should come after ensuring the client's jewelry is removed to avoid any further issues.

5. The following client come to the ophthalmology clinic. Which client needs to be seen first?

Correct answer: A

Rationale: Worsening vision after cataract surgery requires immediate attention to prevent complications.

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