ATI RN
Multi Dimensional Care | Exam | Rasmusson Questions
Question 1 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.
Question 2 of 5
The nurse will be using the Braden Scale with each admit to the long-term care center. Which of these will NOT be utilized in a Braden Scale Assessment?
Correct Answer: A
Rationale:
Question 3 of 5
A client is diagnosed with systemic sclerosis (scleroderma). What symptoms is the first to occur?
Correct Answer: B
Rationale:
Question 4 of 5
A client is immobile and requires mechanical ventilation with a tracheostomy. She has a pressure injury on her coccyx measuring 5 cm by 3 cm. the nurse observes bone and tendon at the base of the wound. How would the nurse document this wound?
Correct Answer: D
Rationale:
Question 5 of 5
Which of the following nonpharmacological methods cannot be used to manage the chronic pain of a client with rheumatoid arthritis?
Correct Answer: D
Rationale:
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