while completing a health history the client reports experiencing blurring of vision in both eyes without associated pain what condition does the nurs

ATI RN

Multi Dimensional Care | Final Exam

1. While completing a health history the client reports experiencing blurring of vision in both eyes without associated pain. What condition does the nurse suspect?

A. Macular degeneration
B. Cataract
C. Retinal detachment
D. Glaucoma

Correct answer: B

Rationale: Cataracts can cause blurring of vision in both eyes without associated pain.

2. A client has a new arm cast. What is incorrect teaching by the nurse?

A. Use a sling to alleviate fatigue
B. Elevate the arm above the heart to reduce swelling
C. Report ‘hot spots’ felt under the cast
D. Sudden increase in drainage is expected

Correct answer: D

Rationale: Sudden increase in drainage is not expected and should be reported as it may indicate an infection or other complication.

3. 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:

4. Which practice is recommended to prevent human immune deficiency virus (HIV) transmission by health care workers?

A. Wearing a mask within three feet of the client
B. Using standard precautions
C. Applying hand sanitizer to gloves during cares
D. Double gloving

Correct answer: B

Rationale:

5. What occurs during stage three of bone healing?

A. Consolidation
B. Callus formation
C. Granulation formation
D. Hematoma formation

Correct answer: B

Rationale: During stage three of bone healing, callus formation occurs. This process involves the formation of a soft callus made of collagen and cartilage, which bridges the gap between bone fragments. Choice A, consolidation, typically happens in later stages and involves the hardening of the callus into mature bone. Choices C and D are incorrect as granulation formation and hematoma formation occur in earlier stages of bone healing, specifically stages one and two, respectively.