where will the nurse collect the most reliable source of pain assessment
Logo

Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. Where will the nurse collect the most reliable source of pain assessment?

Correct answer: C

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?

Correct answer: A

Rationale:

3. What should be done immediately after an ankle injury?

Correct answer: C

Rationale: The correct answer is C: Rest, ice, compress, and elevate the ankle. After an ankle injury, it is essential to follow the RICE method (Rest, Ice, Compression, Elevation) for immediate treatment. Resting the injured ankle helps prevent further damage, applying ice reduces swelling and pain, compression with a bandage provides support and helps control swelling, and elevating the ankle above heart level reduces swelling by allowing fluid to drain away from the injury site. Choices A, B, and D are incorrect because heating, incubating, or confining the ankle can worsen the injury by increasing swelling and inflammation instead of reducing them.

4. What is the term for a ringing in the ears reported by the client?

Correct answer: D

Rationale: Tinnitus is the correct answer. Tinnitus refers to the perception of noise or ringing in the ears. This condition can be constant or intermittent and may be caused by various factors such as exposure to loud noises, ear infections, or underlying health conditions. Choices A, B, and C are incorrect as Weber and Rinne tests are related to hearing assessment, while the pinna is the external part of the ear responsible for collecting sound waves.

5. A nurse enters the hospital room of a client with reduced immunity. What observation requires further action by the nurse?

Correct answer: B

Rationale:

Similar Questions

The nurse is caring for a 65-year-old client and notes a temperature of 101�F. How does the nurse interpret this finding?
What phase of wound healing occurs at the time of injury and lasts about 3-5 days?
What soft tissue musculoskeletal injury is excessive stretching of a ligament?
What is the nurse's priority action for a client with compromised immunity?
What is true about antiretroviral drugs used to treat human immunodeficiency virus (HIV)?

Access More Features

ATI RN Basic
$69.99/ 30 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

ATI RN Premium
$149.99/ 90 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

Other Courses