ATI RN
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
The client has been asked to perform weight-bearing exercises three times a week. The client admits to not doing the recommended exercises. What is the most appropriate response by the nurse?
Correct Answer: B
Rationale: The most appropriate response by the nurse is to ask the client to elaborate on their experience with the exercises. By doing so, the nurse can gain insight into any barriers the client may be facing and work together to find solutions to improve adherence. Choice A is not appropriate as it doesn't address the client's situation. Choice C is not relevant and may induce fear in the client. Choice D is directive and does not promote open communication or understanding of the client's perspective.
Question 3 of 5
The goal for a client with impaired mobility is to prevent atelectasis. What nursing intervention would best help the client meet this goal?
Correct Answer: A
Rationale: The orthopneic position helps improve lung expansion, reducing the risk of atelectasis.
Question 4 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 5 of 5
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.
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