ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. Most adults with human immunodeficiency virus will exhibit which of the following laboratory values?
- A. Higher than normal number of CD4+ T-cells and CD8+ T-cells are normal
- B. Lower than normal number of CD4+ T-cells and higher than normal CD8+ T-cells
- C. Higher than normal number of CD4+ T-cells and CD8+ T-cells are low
- D. Lower than normal number of CD4+ T-cells and CD8+ T-cells are normal
Correct answer: D
Rationale:
2. A client who had an elective below-the-knee amputation reports pain in the foot that was amputated. What is the best response by the nurse?
- A. The pain will go away after the swelling decreases.
- B. That is phantom limb pain.
- C. Your foot has been amputated, so you are not having pain in that foot.
- D. On a scale of 0-10, how would you rate your pain?
Correct answer: D
Rationale: The correct response is to assess the pain intensity by asking the client to rate their pain on a scale of 0-10. This helps the nurse to effectively manage the client's pain. Choice A is incorrect as it dismisses the client's pain without proper assessment. Choice B is incorrect as it assumes the pain is phantom limb pain without assessing the client's current condition. Choice C is incorrect as it invalidates the client's pain experience and does not address the issue at hand.
3. Which organization publishes the National Patient Safety Goals?
- A. The Joint Commission
- B. Medicare
- C. The American Nurses Association
- D. The Institute of Medicine
Correct answer: A
Rationale:
4. When providing a routine bed bath, what action does the nurse complete first?
- A. Cleanse the client's feet
- B. Cleanse the client's hands
- C. Cleanse the client's perineal area
- D. Cleanse the client's face
Correct answer: D
Rationale:
5. What nursing intervention is appropriate for a client with systemic lupus erythematous (SLE)?
- A. Intense cold therapy to the extremities
- B. Encourage ultraviolet (UV) light exposure
- C. Administer topical hydrocortisone
- D. Administer antibiotics
Correct answer: C
Rationale:
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