ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. A nurse is caring for a client who is post-operative following an open reduction internal fixation (ORIF) of a femur fracture. What is NOT included in the evaluation of the neurovascular status of the client’s affected extremity?
- A. Color
- B. Temperature
- C. Sensation
- D. Skin integrity
Correct answer: Skin integrity
Rationale:
2. A nurse is caring for a client who is postoperative and has compression stockings. Which action should the nurse take?
- A. Check the stockings for wrinkles
- B. Apply the stockings while the client is sitting in a chair
- C. Measure the size of the client's foot
- D. Remove the stockings once each day
Correct answer: A
Rationale: The correct action for the nurse to take is to check the stockings for wrinkles. This is important to ensure that the stockings are applied correctly without any folds or wrinkles, which can hinder proper circulation and compression. Option B is incorrect because compression stockings should be applied with the client lying down, not sitting in a chair. Option C is unnecessary as the size of the client's foot is unlikely to change postoperatively. Option D is incorrect as compression stockings are usually worn continuously except for specific care needs.
3. An area of erythema on the child’s skin is being assessed by the nurse. The nurse presses down on the area, and the area becomes white. What time does the nurse document for this finding?
- A. Non-blanching
- B. Blanching
- C. Redness
- D. Warmth
Correct answer: Blanching
Rationale:
4. What component should be included in the nutritional management of a child with Crohn's disease?
- A. High fiber
- B. Increased protein
- C. Reduced calories
- D. Herbal supplements
Correct answer: B
Rationale: The correct answer is B: Increased protein. Children with Crohn's disease require a diet high in protein to support growth and tissue repair. High fiber should be avoided as it can exacerbate symptoms of Crohn's disease. Reducing calories can lead to malnutrition, which is detrimental in this condition. Herbal supplements should be used cautiously and only under medical advice as they may interact with medications or worsen symptoms.
5. How many grams of protein per day are recommended for a person weighing 150 lbs?
- A. 120
- B. 85
- C. 187.5
- D. 54
Correct answer: D
Rationale: The Recommended Dietary Allowance (RDA) for protein is 0.8 grams per kilogram of body weight. To convert pounds to kilograms, divide the weight in pounds by 2.2. Therefore, a 150 lb person weighs approximately 68 kg (150 / 2.2 = 68). Multiplying 68 kg by 0.8 grams gives us 54 grams of protein per day. Choices A, B, and C are incorrect as they do not align with the RDA calculation based on body weight.
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