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
A client has a new arm cast. What is incorrect teaching by the nurse?
Correct Answer: D
Rationale: Sudden increase in drainage is not expected and should be reported as it may indicate an infection or other complication.
Question 3 of 5
The client moves both crutches forward, with weight on the unaffected leg, and then moves the unaffected leg forward, shifting weight onto it. Which of the following gaits is being utilized?
Correct Answer: B
Rationale: The correct answer is B, Three-point gait. In a three-point gait, one leg is non-weight bearing, as described in the scenario where the client shifts weight onto the unaffected leg. Choices A, C, and D are incorrect. A two-point gait involves partial weight-bearing on both legs, a four-point gait involves weight-bearing on both legs, and 'Unaffected gait' is not a recognized term in gait patterns.
Question 4 of 5
The nurse Is teaching the client how to administer eye drops. Which of these actions indicates the need for further client education?
Correct Answer: D
Rationale: Touching the dropper to the eye contaminates it and can lead to infection.
Question 5 of 5
The medical record for a client states that the client has hemiplegia. What does this mean?
Correct Answer: D
Rationale: Hemiplegia refers to paralysis on one side of the body, affecting either the right or left side. Choice A is incorrect because it describes selective paralysis of specific limbs, not one side of the body. Choice B is incorrect as hemiplegia does not involve paralysis of all four extremities. Choice C is also incorrect as decreased vision in one eye is not indicative of hemiplegia.
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