ATI RN
Multi Dimensional Care | Exam | Rasmusson Questions
Question 1 of 5
The nurse notices a new area of skin breakdown near the site of a dressing. This would be an example of which phase of the nursing process?
Correct Answer: B
Rationale:
Question 2 of 5
A goal for a client with impaired mobility is to prevent skin breakdown. What nursing intervention would best help the client meet this goal?
Correct Answer: D
Rationale:
Question 3 of 5
A client is post-operative day 1 and reports a sudden increase in blood-tinged liquid draining from his incision after feeling a popping sensation. What is the nurse's next action?
Correct Answer: B
Rationale:
Question 4 of 5
A client does not understand why vision loss due to glaucoma is irreversible. What is the nurse's best explanation?
Correct Answer: B
Rationale: The correct explanation for irreversible vision loss in glaucoma is that once the tissue has necrosed from high pressure, it does not regenerate. This necrosis occurs due to the damage caused by increased intraocular pressure, which leads to irreversible damage to the optic nerve and retinal tissue. Choices A, C, and D are incorrect because they do not directly address the specific mechanism of irreversible vision loss in glaucoma, which is necrosis due to high pressure.
Question 5 of 5
The mother of a newborn baby is concerned that the baby will develop illnesses from being around people from outside of their family. What is the nurse's best response?
Correct Answer: C
Rationale:
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