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 with systemic lupus erythematous complains of flank pain. Which laboratory test does the nurse anticipate will be ordered?
- A. Platelets
- B. Skin biopsy
- C. Creatinine
- D. Hemoglobin
Correct answer: C
Rationale:
3. 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:
4. Dry skin (Xerosis) can lead to itching (Pruritis). What statement by the client indicates need for further teaching about preventing dry skin?
- A. I will drink at least 3000 mL of water daily."?
- B. . 'I will shower every day in hot water."?
- C. I will avoid tights belts."?
- D. I will use a humidifier during the winter months."?
Correct answer: B
Rationale:
5. What nursing intervention is best to improve communication with a hearingimpaired client?
- A. Talk in a regular voice in the good ear
- B. Talk loudly in the impaired ear
- C. Write down the message
- D. Speak slowly and clearly while facing the client
Correct answer: D
Rationale:
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