which assessment is not a nonverbal sing of pain
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. Which assessment is NOT a nonverbal sing of pain?

Correct answer: D

Rationale:

2. The nurse is caring for 4 clients. Which of these clients will the nurse see first?

Correct answer: A

Rationale:

3. What is accurate health promotion teaching to prevent ear infection or trauma? (Select all that apply)

Correct answer: D

Rationale: The correct health promotion teachings to prevent ear infection or trauma include blowing the nose gently without blocking nostrils, wearing hearing protection when exposed to loud noise, and avoiding the use of cotton-tipped applicators to clean the external ear. Blocking one nostril when blowing the nose is incorrect, as it can cause problems. Therefore, choice A is inaccurate. Additionally, using cotton-tipped applicators to clean the external ear can lead to trauma or infection, making choice C a correct preventive measure.

4. The nurse is assessing a client who had a cast placed 4 hours ago. What assessment finding is cause for concern?

Correct answer: B

Rationale: Inability to insert a finger between the cast and skin indicates the cast is too tight, risking circulation problems.

5. During a skin inspection at the outpatient clinic, the nurse notices patches of thick, red skin with silvery scales on the client's elbows and knees. What skin abnormality does the nurse suspect?

Correct answer: C

Rationale:

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