the nurse is preparing communication for a provider the client is experiencing acute pain greater than the severity of the fracture distal to the inju

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. The nurse is preparing communication for a provider. The client is experiencing acute pain greater than the severity of the fracture. Distal to the injury, he is experiencing a 'pins and needles' sensation. The pulse is weak and thready but is bounding on all unaffected extremities. What emergent condition does the nurse suspect?

A. Ischial tuberosity
B. Compartment syndrome
C. Broken arm syndrome
D. Pulmonary embolism

Correct answer: B

Rationale:

2. A client with a bone cancer states that he is in too much pain to walk today. What should the nurse do first?

A. Inquire about the frequency, quality and location of the pain
B. Get the client pain medication
C. Ensure the client knows he will have negative effects from immobility
D. Review the client’s medication administration record

Correct answer: A

Rationale: Assessing the pain characteristics helps in managing the client’s pain effectively.

3. A client just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy?

A. "This must be hard news to hear. Tell me more about it."?
B. "I believe you can overcome this because I have seen how strong you are."?
C. "Tomorrow will be better."
D. "What is your biggest fear about this diagnosis?"?

Correct answer: A

Rationale:

4. What occurs during stage three of bone healing?

A. Consolidation
B. Callus formation
C. Granulation formation
D. Hematoma formation

Correct answer: B

Rationale: During stage three of bone healing, callus formation occurs. This process involves the formation of a soft callus made of collagen and cartilage, which bridges the gap between bone fragments. Choice A, consolidation, typically happens in later stages and involves the hardening of the callus into mature bone. Choices C and D are incorrect as granulation formation and hematoma formation occur in earlier stages of bone healing, specifically stages one and two, respectively.