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

A client with a bone cancer states that he is in too much pain to walk today. What should the nurse do first?

Correct Answer: A

Rationale: Assessing the pain characteristics helps in managing the client's pain effectively.

Question 3 of 5

What complication of fractures is caused by increased pressure which can result in decreased circulation to the area?

Correct Answer: B

Rationale: Acute compartment syndrome is the correct answer. It involves increased pressure within muscles, leading to decreased blood flow and tissue damage. Venous thromboembolism (Choice A) is a condition where a blood clot forms in a vein, usually in the leg. Fat embolism syndrome (Choice C) occurs when fat globules enter the bloodstream and block blood vessels. Hemorrhage (Choice D) refers to bleeding, which can occur with fractures but does not specifically involve increased pressure leading to decreased circulation as in acute compartment syndrome.

Question 4 of 5

What is the priority nursing diagnosis after surgery to repair a fracture?

Correct Answer: B

Rationale: The correct answer is B: Risk for infection. After surgery to repair a fracture, the priority nursing diagnosis is to monitor for the risk of infection to promote proper healing. Infections can significantly delay the healing process and lead to further complications. Choices A, C, and D are not the priority immediately post-surgery. Disturbed body image, risk for impaired skin integrity, and acute pain may be concerns but are not the priority in the immediate post-operative period following fracture repair.

Question 5 of 5

Which of the following clients are at an increased risk for deep vein thrombosis following a reduction and internal fixation of the hip? (Select all that apply)

Correct Answer: a

Rationale: Clients on birth control pills, immobile, and smokers are at increased risk of DVT after hip surgery.

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