ATI RN
Multi Dimensional Care | Final Exam
1. What is not a nursing intervention for a client with osteoporosis?
- A. Nurse will encourage the intake of adequate amounts of calcium and vitamin D
- B. Nurse will encourage the client to complete weight-bearing exercises
- C. Nurse will encourage the client to avoid muscle strengthening exercises
- D. Nurse will encourage the client to avoid repetitive movements
Correct answer: C
Rationale: The correct answer is C. Avoiding muscle strengthening exercises is not recommended for clients with osteoporosis; on the contrary, weight-bearing exercises are beneficial. Choice A is correct as ensuring adequate calcium and vitamin D intake is essential for bone health. Choice B is also correct as weight-bearing exercises help improve bone density. Choice D is incorrect because avoiding repetitive movements is not a standard nursing intervention for osteoporosis.
2. Which assessment is NOT a nonverbal sing of pain?
- A. Decreased attention span
- B. Grimacing
- C. Increase in heart rate
- D. Reported pain of 5/10
Correct answer: D
Rationale:
3. 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:
4. The nurse is most concerned about which of these findings in a client with systemic lupus erythematous?
- A. The client reports chronic fatigue
- B. The client has a butterfly rash
- C. Blood pressure of 126/85 mm Hg
- D. Urine output of 20 mL/hour
Correct answer: D
Rationale:
5. 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:
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