ATI RN
Multi Dimensional Care | Final Exam Questions
Question 1 of 9
A client has sustained an open fracture. What nursing intervention will best prevent osteomyelitis in this client?
Correct Answer: C
Rationale: Proper hand hygiene is crucial in preventing infections such as osteomyelitis in clients with open fractures. Keeping the hands clean helps reduce the risk of introducing harmful pathogens to the wound site. Delegating all client personal care to specific unlicensed assistive personnel (Choice A) is not appropriate as direct involvement in wound care is essential in preventing infections. Placing the client in contact precautions (Choice B) is not directly related to preventing osteomyelitis in this context. Administering pain medication (Choice D) is important for managing the client's pain but does not directly address the prevention of osteomyelitis.
Question 2 of 9
What is a negative effect of immobility on the cardiovascular system?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 9
What is the priority nursing diagnosis after surgery to repair a fracture?
Correct Answer: B
Rationale: The correct answer is B: Risk for infection. After surgery to repair a fracture, the priority nursing diagnosis is to monitor for the risk of infection to promote proper healing. Infections can significantly delay the healing process and lead to further complications. Choices A, C, and D are not the priority immediately post-surgery. Disturbed body image, risk for impaired skin integrity, and acute pain may be concerns but are not the priority in the immediate post-operative period following fracture repair.
Question 4 of 9
What may be a cause of conductive hearing loss?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 9
What medication class can decrease tissue inflammation but delays bone healing?
Correct Answer: B
Rationale: The correct answer is B: Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs are known to decrease tissue inflammation but may delay bone healing. Anticoagulants (Choice A) are used to prevent blood clotting, opioids (Choice C) are pain relievers, and narcotics (Choice D) are drugs that affect the central nervous system. While all the choices may have their own indications and uses in healthcare, NSAIDs are specifically associated with delaying bone healing despite their anti-inflammatory properties.
Question 6 of 9
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: Failed to generate a rationale of 500+ characters after 5 retries.
Question 7 of 9
What health teaching would not help an older adult avoid a musculoskeletal injury?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 8 of 9
What soft tissue musculoskeletal injury is excessive stretching of a ligament?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 9 of 9
What activities should the client avoid after cataract surgery? (Select all that apply)
Correct Answer: D
Rationale: After cataract surgery, the client should avoid activities that can increase intraocular pressure. Blowing one's nose and bearing down during defecation can raise the pressure inside the eye, which can be harmful during the healing process. Lifting items heavier than 10 pounds can also lead to an increase in intraocular pressure. Therefore, all the activities mentioned in the choices (nose blowing, bearing down during defecation, and lifting heavy items) should be avoided after cataract surgery to promote proper healing and reduce the risk of complications.