ATI RN
Multi Dimensional Care | Exam | Rasmusson Questions
Question 1 of 5
A client states that he has been experiencing oozing from his wounds. What is the nurse's priority action?
Correct Answer: D
Rationale:
Question 2 of 5
What steps are NOT included in preparing a sterile field?
Correct Answer: B
Rationale:
Question 3 of 5
A provider has ordered a wound culture for a client with a non-healing wound. What is the nurse's first action?
Correct Answer: B
Rationale:
Question 4 of 5
A client who is sitting in High-Fowler's position is at risk for what type of injury as the skin layers shift in opposite directions?
Correct Answer: D
Rationale:
Question 5 of 5
The nurse is caring for a 65-year-old client and notes a temperature of 101�F. How does the nurse interpret this finding?
Correct Answer: A
Rationale: A temperature of 101�F is indicative of hyperthermia, which is an elevated body temperature. Hyperthermia is commonly associated with fever or environmental factors such as excessive heat exposure. Choice B, 'A cold environment,' is incorrect as hyperthermia refers to elevated body temperature, not a cold environment. Choice C, 'Normal,' is incorrect as a temperature of 101�F is above the normal range for body temperature. Choice D, 'Hypothermia,' is incorrect as hypothermia refers to a low body temperature, not an elevated one.
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