Multi Dimensional Care | Final Exam

Questions 75

ATI RN

ATI RN Test Bank

Multi Dimensional Care | Final Exam Questions

Question 1 of 5

The nurse is assessing a client who had a cast placed 4 hours ago. What assessment finding is cause for concern?

Correct Answer: B

Rationale: Inability to insert a finger between the cast and skin indicates the cast is too tight, risking circulation problems.

Question 2 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 3 of 5

A client does not understand why vision loss due to glaucoma is irreversible. What is the best explanation?

Correct Answer: C

Rationale: The correct answer is C. In glaucoma, the optic nerve damage due to high intraocular pressure leads to permanent vision loss because the nerve fibers do not regenerate. Choice A is incorrect as it discusses bacterial infection, not relevant to glaucoma. Choice B is incorrect because it refers to retinal detachment, not glaucoma. Choice D is incorrect because not all glaucoma cases lead to permanent blindness; vision loss can be prevented or slowed with treatment.

Question 4 of 5

A client sustained a crushing injury to his right arm during a car accident. He arrives to the emergency room complaining of numbness in his right hand. He has no other injuries. What should the nurse do first?

Correct Answer: A

Rationale: Assessing the radial pulse checks for adequate circulation and potential complications.

Question 5 of 5

A client who had an elective below-the-knee amputation reports pain in the foot that was amputated. What is the best response by the nurse?

Correct Answer: D

Rationale: The correct response is to assess the pain intensity by asking the client to rate their pain on a scale of 0-10. This helps the nurse to effectively manage the client's pain. Choice A is incorrect as it dismisses the client's pain without proper assessment. Choice B is incorrect as it assumes the pain is phantom limb pain without assessing the client's current condition. Choice C is incorrect as it invalidates the client's pain experience and does not address the issue at hand.

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