Multi Dimensional Care | Exam | Rasmusson

Questions 133

ATI RN

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Multi Dimensional Care | Exam | Rasmusson Questions

Question 1 of 5

During a skin inspection at the outpatient clinic, the nurse notices patches of thick, red skin with silvery scales on the client's elbows and knees. What skin abnormality does the nurse suspect?

Correct Answer: C

Rationale:

Question 2 of 5

The nurse has documented the following wound assessment. "Shallow, open, reddened ulcer with no slough on the anterior region of the right heel?"? what stage is the wound?

Correct Answer: D

Rationale:

Question 3 of 5

A client is experiencing numbness and tingling distal to a new arm cast with no increase in pain. The nurse assesses that the client's fingers are pale, cool and swollen. What action does the nurse take next?

Correct Answer: B

Rationale:

Question 4 of 5

A nurse is teaching a client who has a new prescription for ibuprofen to treat rheumatoid arthritis. The nurse should teach the client to monitor for what adverse effect of this medication?

Correct Answer: C

Rationale:

Question 5 of 5

Which finding is not typically associated with inflammation in a client?

Correct Answer: C

Rationale: Polyuria is excessive urination and is not a typical assessment finding in inflammation. Inflammation commonly presents with pain (A), heat (B), and erythema (D) which are classic signs of an inflammatory response. Pain results from the release of inflammatory mediators, heat is due to increased blood flow, and erythema is caused by vasodilation and increased blood flow to the area. Polyuria is more likely associated with conditions such as diabetes or renal issues, rather than inflammation.

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