ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. A client is in the emergency room in critical condition and hypotensive. Her spouse is distraught. What is the priority nursing action?
- A. Maintain the client's blood pressure
- B. Call a chaplain
- C. Provide the spouse a chair
- D. Ask the client's spouse to explain what happened
Correct answer: A
Rationale:
2. What statement by the client indicates a correct understanding of the timing of progression of human immunodefiency virus (HIV) to acquired immunodeficiency syndrome?
- A. "Sexually transmitted infections will not make AIDS develop faster"?
- B. "My diet does not influence the progression of HIV to AIDS"?
- C. "If I practice medication, I may develop AIDS faster."?
- D. "IF I am re-exposed to HIV, the progression to AIDS may be faster,"?
Correct answer: D
Rationale:
3. Which of the following would be the most appropriate goal for an elderly client with a nursing diagnosis of risk for injury after hip surgery?
- A. Client will increase mobility by the time of discharge from hospital
- B. Client will demonstrate effective breathing pattern when ambulating throughout hospital stay
- C. Client will increase activity tolerance by discharge from the hospital
- D. Client will remain free from falls throughout their hospital stay
Correct answer: D
Rationale:
4. What level of Maslow's Hierarchy of needs does shelter belong to?
- A. Love and belonging
- B. Physiological
- C. Safety and security
- D. Esteem
Correct answer: C
Rationale:
5. By providing measures to reduce skin breakdown, how does the nurse break the chain of infection?
- A. Sterilizing the area to reduce the reservoir risk
- B. Maintaining the integrity of a portal of entry
- C. Creating a reservoir to decrease the risk of infection
- D. Creating a susceptible host
Correct answer: B
Rationale:
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