ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. The nurse notices a new area of skin breakdown near the site of a dressing. This would be an example of which phase of the nursing process?
- A. Diagnosis
- B. Assessment
- C. Implementation
- D. Evaluation
Correct answer: B
Rationale:
2. A client is in skeletal traction. With the nurse's assessment, it is noted that the pairs appear red, swollen and there is purulent drainage. What action does the nurse take first?
- A. Collect a culture of the purulent fluid
- B. Cleanse the skin around the pins
- C. Administer an antibiotic
- D. Instruct the client to complete exercise of the affected extremity
Correct answer: A
Rationale:
3. What is correct health promotion education for vision? (Select all that apply)
- A. Wear sunglasses to filter ultraviolet (UV) light
- B. Avoid nonsteroidal anti-inflammatory drug (NSAID) use
- C. Wash your hands before touching your eyelids
- D. All of The Above
Correct answer: D
Rationale: Wearing sunglasses, washing hands before touching eyelids, and wearing eye protection when working with fluids are important health promotion activities for vision.
4. What client is a susceptible host most at risk for infection?
- A. A client with leukemia
- B. A hospitalized 35-year-old-client
- C. A child who is immunized
- D. A 60-year-old client
Correct answer: A
Rationale:
5. 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:
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