ATI RN
Multi Dimensional Care | Final Exam
1. What is the most common method of reducing and immobilizing a fracture?
- A. Open reduction with external fixation
- B. External reduction and internal fixation
- C. External fixation with closed reduction
- D. Open reduction with internal fixation
Correct answer: D
Rationale: Open reduction with internal fixation (ORIF) is the most common method for reducing and immobilizing fractures.
2. Which model of practice emphasizes the child's subjective experience of their abilities?
- A. Occupational Adaptation
- B. Model of Human Occupation
- C. Person-Environment-Occupation-Performance Model
- D. Canadian Model of Occupational Performance and Engagement
Correct answer: B
Rationale: The Model of Human Occupation (MOHO) emphasizes the child's subjective experience of their abilities, focusing on their motivation, roles, habits, and routines. It considers how these factors influence their occupational performance. MOHO helps occupational therapists understand how a child's perceptions of their abilities impact their engagement in meaningful activities and occupations.
3. Which best describes a primary prevention strategy in community health?
- A. Providing immunizations
- B. Conducting health screenings
- C. Offering rehabilitation services
- D. Providing treatment for acute illnesses
Correct answer: A
Rationale: The correct answer is A: Providing immunizations. This is a primary prevention strategy that focuses on preventing diseases before they occur. Immunizations help build immunity against specific diseases, reducing the likelihood of infection and transmission within the community. This proactive approach is essential in promoting public health and preventing the spread of communicable diseases.
4. What intervention would be the most important for the nurse to implement for the client with a left nephrectomy?
- A. Assess the intravenous fluids for rate and volume
- B. Change the surgical dressing every day at the same time
- C. Monitor the client’s medication levels daily
- D. Monitor the percentage of each meal eaten
Correct answer: A
Rationale: The most important intervention for a client with a left nephrectomy is to assess the intravenous fluids for rate and volume. After nephrectomy, monitoring intravenous fluids is crucial to ensure proper hydration and kidney function. Changing the surgical dressing daily, monitoring medication levels, and tracking meal intake are also important aspects of care but not as critical as ensuring adequate intravenous fluid management post-surgery.
5. April, a 10-year-old admitted to inpatient pediatric care, has been getting more and more wound up and is losing self-control in the day room. Time-out does not appear to be an effective tool for April to engage in self-reflection. April's mother admits to putting her in time-out up to 20 times a day. The nurse recognizes that:
- A. Time-out is an important part of April's baseline discipline.
- B. Time-out is no longer an effective therapeutic measure.
- C. April enjoys time-out, and acts out to get some alone time.
- D. Time-out will need to be replaced with seclusion and restraint.
Correct answer: B
Rationale: Frequent use of time-out has reduced its effectiveness as a therapeutic measure for April.
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