ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. What lifestyle habits positively affect skin integrity?
- A. Regular exercise
- B. Tattoos
- C. Smoking
- D. Tanning
Correct answer: A
Rationale:
2. A client who is sitting in High-Fowler's position is at risk for what type of injury as the skin layers shift in opposite directions?
- A. Traumatic injury
- B. Pressure injury
- C. Friction injury
- D. Shearing injury
Correct answer: D
Rationale:
3. What steps are NOT included in preparing a sterile field?
- A. Do not turn away from the sterile field
- B. Obtain PAPR mask
- C. Prepare the client before setting up the sterile field
- D. Cover the sterile field once it is set up
Correct answer: B
Rationale:
4. A client has AIDS. Which of these findings indicate possible infection?
- A. Respirations; 22 breaths per minute
- B. Client ambulates 20 feet
- C. Purulent drainage
- D. Oxygen saturation; 97% on room air
Correct answer: C
Rationale:
5. What is the best intervention to reduce the risk of falling in the hospital room for a blind client being cared for?
- A. Tell the client’s family that they will be expected to stay overnight
- B. Apply restraints to the client
- C. Shout to the client
- D. Orient the client to the location of objects in the room
Correct answer: D
Rationale: The best intervention to reduce the risk of falling in the hospital room for a blind client is to orient the client to the location of objects in the room. This helps the client navigate safely and independently. Choices A, B, and C are incorrect because telling the client's family to stay overnight, applying restraints, and shouting are not appropriate interventions for preventing falls in a blind client; in fact, they could potentially lead to increased anxiety and risk of falls.
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