ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. A client is bedridden and appears to be frail and malnourished. Which nursing interventions will increase the risk of pressure injury?
- A. Applying moisturizer to dry areas of the skin
- B. Massaging the client’s reddened shoulders and heels
- C. Cleansing the skin routinely after soiling occurs
- D. Using a Hoyer lift for all transfers
Correct answer: Massaging the client’s reddened shoulders and heels
Rationale:
2. Which statement about a blastocyst is true?
- A. It consists of a single cell.
- B. It is a structure that feeds the developing organism.
- C. Between the seventh and ninth days, it burrows deep into the uterine lining.
- D. It is a membrane that helps to keep the temperature of the prenatal world constant.
Correct answer: C
Rationale: The statement that is true about a blastocyst is that between the seventh and ninth days, it burrows deep into the uterine lining. This process, known as implantation, is essential for the blastocyst to establish a connection with the mother's body and receive nutrients for further development. It is a critical stage in prenatal development and sets the foundation for pregnancy. Choices A, B, and D are incorrect. A blastocyst is not a single cell but rather a structure composed of many cells. It is not a structure that feeds the developing organism; instead, it implants in the uterine lining to receive nutrients. It is not a membrane that regulates temperature but plays a crucial role in the initial stages of pregnancy by implanting in the uterus.
3. Most of the terminology to name and describe body parts and their functions comes from
- A. Latin and Greek.
- B. English and Italian.
- C. Pictures drawn on the cave walls of our ancestors.
- D. The language of hunter-gatherers.
Correct answer: Latin and Greek.
Rationale: The correct answer is Latin and Greek. Medical terminology is largely derived from Latin and Greek roots. These languages have been foundational in the development of medical terminology due to the precision and descriptive nature of their vocabulary. Choice B, English and Italian, is incorrect because while some medical terms may have originated from these languages, the majority come from Latin and Greek. Choices C and D, pictures drawn on the cave walls of our ancestors and the language of hunter-gatherers, are both incorrect as they do not align with the historical origins of medical terminology.
4. The nurse is caring for a patient who is being discharged after an emergency splenectomy following a motor vehicle crash. Which instructions should the nurse include in the discharge teaching?
- A. Check frequently for swollen lymph nodes.
- B. Watch for excessive bleeding or bruising.
- C. Take iron supplements to prevent anemia.
- D. Wash hands regularly and avoid individuals who are ill.
Correct answer: D
Rationale: The correct answer is D: 'Wash hands regularly and avoid individuals who are ill.' After a splenectomy, the patient is at an increased risk of infection, particularly from gram-positive bacteria. Proper hand hygiene and avoiding contact with sick individuals are crucial to prevent infections. Choices A, B, and C are incorrect because checking for swollen lymph nodes, watching for excessive bleeding or bruising, and taking iron supplements are not specifically related to the increased infection risk post-splenectomy.
5. A nurse is reviewing the lab results of a client who has bulimia nervosa. The nurse should notify the provider of which of the following results?
- A. White Blood Cells 5,200/mm3
- B. Hemoglobin 14
- C. Magnesium 1.6
- D. Potassium 3.2
Correct answer: D
Rationale: A potassium level of 3.2 is below normal and requires provider notification, especially in clients with bulimia nervosa who may have electrolyte imbalances.
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