Multi Dimensional Care | Final Exam

Questions 75

ATI RN

ATI RN Test Bank

Multi Dimensional Care | Final Exam Questions

Question 1 of 5

A client has a fractured right arm. What should the nurse do first?

Correct Answer: C

Rationale: The nurse should first remove the client's bracelet and rings from the right arm. This action is crucial to prevent complications such as swelling and restricted blood flow, which could worsen the condition. Applying ice, administering pain medications, and sending the client for an x-ray are important steps but should come after ensuring the client's jewelry is removed to avoid any further issues.

Question 2 of 5

What nursing intervention is best to improve communication with a hearing-impaired client?

Correct Answer: A

Rationale: Speaking slowly and clearly while facing the client improves communication with hearing-impaired clients.

Question 3 of 5

A client has sustained an open fracture. What nursing intervention will best prevent osteomyelitis in this client?

Correct Answer: C

Rationale: Proper hand hygiene is crucial in preventing infections such as osteomyelitis in clients with open fractures. Keeping the hands clean helps reduce the risk of introducing harmful pathogens to the wound site. Delegating all client personal care to specific unlicensed assistive personnel (Choice A) is not appropriate as direct involvement in wound care is essential in preventing infections. Placing the client in contact precautions (Choice B) is not directly related to preventing osteomyelitis in this context. Administering pain medication (Choice D) is important for managing the client's pain but does not directly address the prevention of osteomyelitis.

Question 4 of 5

What are signs of hearing loss? (Select all that apply)

Correct Answer: C

Rationale: Signs of hearing loss include tinnitus, frequent asking to repeat statements, and shouting in conversations.

Question 5 of 5

A client who had an elective below-the-knee amputation reports pain in the foot that was amputated. What is the best response by the nurse?

Correct Answer: D

Rationale: The correct response is to assess the pain intensity by asking the client to rate their pain on a scale of 0-10. This helps the nurse to effectively manage the client's pain. Choice A is incorrect as it dismisses the client's pain without proper assessment. Choice B is incorrect as it assumes the pain is phantom limb pain without assessing the client's current condition. Choice C is incorrect as it invalidates the client's pain experience and does not address the issue at hand.

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