Multi Dimensional Care | Exam | Rasmusson

ATI RN

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Multi Dimensional Care | Exam | Rasmusson Questions

Question 1 of 5

The nurse suspects a 3-year-old who is coughing vigorously has aspirated a small object. Which action should the nurse take?

A. Deliver upward abdominal thrusts with a fisted hand B. Perform a blind finger sweep of the child's mouth C. Complete five rapid back blows between the shoulder blades D. Encourage the child to continue coughing

Correct Answer: D

Rationale:

Question 2 of 5

A client has cellulitis on his left arm. What statement by the client indicates understanding of symptom management?

A. "I can use tight bandages on my arm."? B. "I should not apply heat to my arm."? C. "I can use a warm, moist towel on my arm."? D. "I should use a cold, dry source on my arm."?

Correct Answer: C

Rationale:

Question 3 of 5

A client has suffered from a femur fracture. What is the nurse's priority assessment?

A. Pain B. Medication history C. Pedal pulses D. Socio-economic status

Correct Answer: C

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?

A. Once retinal detachment occurs, it does not return to its normal state B. Once the tissue has necrosed from high-pressure, it does not regenerate C. Glaucoma always leads to permanent blindness D. Once bacterial infection has caused damage, the tissue does not regenerate

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 nurse is caring for a client with rheumatoid arthritis one day after shoulder surgery. What would prompt the nurse to call the provider immediately?

A. The client refused her pain medication this morning and is doing physical therapy. B. The client reports a minor headache and states she takes an over-the-counter pain pill at home. C. The client reports intermittent flatus and minor abdominal discomfort. D. The client has paresthesia in her fingers and intense increasing pain in her shoulder.

Correct Answer: D

Rationale: In a client with rheumatoid arthritis one day after shoulder surgery, paresthesia in the fingers and intense increasing pain in the shoulder could indicate nerve compression or damage, which are serious post-operative complications. This situation requires immediate attention from the provider to prevent further complications and ensure appropriate management. The other options, such as refusing pain medication, reporting a minor headache, or experiencing minor abdominal discomfort, are important but not as urgent or indicative of potential serious complications as paresthesia in the fingers and intense increasing pain in the shoulder.

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