a client is experiencing numbness and tingling distal to a new arm cast with no increase in pain the nurse assesses that the clients fingers are pale

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A client is experiencing numbness and tingling distal to a new arm cast with no increase in pain. The nurse assesses that the client's fingers are pale, cool and swollen. What action does the nurse take next?

A. Remove the cast to decrease pressure
B. Raise the arm above the level of the heart
C. Apply heat to the affected hand
D. Encourage range of motion

Correct answer: B

Rationale:

2. A nurse is caring for an immobile client. What is the priority assessment in this client?

A. Auscultation of lung sounds
B. Assessment of skin turgor
C. Auscultation of bowel sounds
D. Assessment for the presence of peripheral edema

Correct answer: A

Rationale:

3. The client states, “the doctor says I am nearsighted. I do not get it.” What would be the best response by the nurse?

A. I am sorry you did not understand. Would you like a different doctor?
B. Nearsighted, or myopia means that you have difficulty seeing things at a distance.
C. You will need to have glasses.
D. This means you won’t ever need glasses.

Correct answer: B

Rationale: The correct response is to explain to the client what nearsightedness means, which is having difficulty seeing distant objects, as known as myopia. Choice A is not helpful as changing doctors is not necessary for this situation. Choice C is premature as wearing glasses is a possible solution but not the only one. Choice D is incorrect as nearsightedness (myopia) often requires glasses for correction.

4. Which of the following assessments is found in neurovascular compromise?

A. Tingling
B. Strong pulses
C. Warm skin
D. Full range motion

Correct answer: A

Rationale: Tingling is a common sign of neurovascular compromise.

5. What is the intended outcome for the treatment of glaucoma?

A. Improve the vision of the eye
B. Strengthen the muscles of the eye
C. Lower the intraocular pressure
D. Dry up excess secretions

Correct answer: C

Rationale: The correct answer is C: Lower the intraocular pressure. The primary objective of treating glaucoma is to reduce intraocular pressure to prevent further vision loss. Choice A, 'Improve the vision of the eye,' is incorrect because while treatment may prevent vision loss, it does not necessarily improve vision. Choice B, 'Strengthen the muscles of the eye,' is incorrect as glaucoma primarily involves the optic nerve and not muscle weakness. Choice D, 'Dry up excess secretions,' is not related to the treatment goal of glaucoma which is focused on managing intraocular pressure.