Multi Dimensional Care | Final Exam

Questions 75

ATI RN

ATI RN Test Bank

Multi Dimensional Care | Final Exam Questions

Question 1 of 5

What is a priority intervention when caring for a client in Buck's traction?

Correct Answer: D

Rationale: The correct answer is to assess skin integrity when caring for a client in Buck's traction. This is crucial as it helps prevent pressure ulcers and other skin-related complications. Choice A is incorrect because changing the size of the traction weights should be done based on healthcare provider orders, not as needed. Choice B is incorrect because discontinuing traction should be done only under healthcare provider direction, not solely based on pain relief. Choice C is incorrect as allowing the traction weights to rest on the floor is not a priority intervention compared to assessing skin integrity.

Question 2 of 5

What observation by the nurse indicates the need for further teaching to unlicensed assistive personnel (UAP) on assisting with ambulation?

Correct Answer: C

Rationale: Choice C is the correct answer because the UAP should walk slightly behind or to the side of the client, not in front, to provide proper support during ambulation. Choices A, B, and D are not indicative of incorrect technique or the need for further teaching. Putting shoes on the client, removing floor rugs and loose objects, and using a transfer (gait) belt are all appropriate actions when assisting with ambulation.

Question 3 of 5

A client with chronic osteomyelitis is being discharged from the hospital. What is the nurse's priority discharge intervention?

Correct Answer: C

Rationale: The correct answer is C: Teaching adherence to the antibiotic regimen. In chronic osteomyelitis, the priority is to ensure proper treatment of the infection, which heavily relies on consistent adherence to the prescribed antibiotic regimen. This helps in eradicating the infectious organisms and preventing recurrence. Choices A, B, and D are important aspects of care but teaching adherence to the antibiotic regimen takes precedence as it directly impacts the successful management of chronic osteomyelitis.

Question 4 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 5 of 5

What nursing intervention is best to improve communication with a hearing-impaired client?

Correct Answer: A

Rationale: Speaking slowly and clearly while facing the client improves communication with hearing-impaired clients.

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