ATI RN
Multi Dimensional Care | Exam | Rasmusson Questions
Question 1 of 5
A nurse is preparing a community presentation about repetitive motion injuries. Which of the following occupations should the nurse identify as increasing a client's risk for carpal tunnel syndrome?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Elementary school teacher, as this occupation involves a significant amount of repetitive hand movements such as writing on the board, grading papers, and using a computer, all of which can increase the risk of developing carpal tunnel syndrome due to the continuous strain on the wrist and hand muscles. Option B) Nursing assistant involves tasks that also require repetitive movements, but typically not to the same extent as an elementary school teacher, thus making it a less likely choice for increasing the risk of carpal tunnel syndrome. Option C) Assembly line worker is a physically demanding job that may involve repetitive motions, but carpal tunnel syndrome is more commonly associated with occupations that involve fine motor skills and prolonged use of the hands in specific positions, which is less common in assembly line work. Option D) Truck driver, while requiring long hours of driving, does not typically involve the same level of repetitive hand and wrist movements as the other options mentioned, making it less likely to increase the risk of carpal tunnel syndrome. Educationally, it's important for healthcare professionals to understand the specific occupational risks associated with certain professions to provide relevant and targeted education and preventive strategies to individuals at risk. By identifying occupations that pose a higher risk for conditions like carpal tunnel syndrome, nurses can tailor their community presentations to promote awareness and provide practical advice for prevention and early intervention.
Question 2 of 5
A client is in skeletal traction. With the nurse's assessment, it is noted that the pairs appear red, swollen and there is purulent drainage. What action does the nurse take first?
Correct Answer: A
Rationale: In this scenario, the correct action for the nurse to take first is option A) Collect a culture of the purulent fluid. This is crucial as the redness, swelling, and purulent drainage around the pins indicate a possible infection in the area of skeletal traction. Collecting a culture will help identify the specific microorganism causing the infection, which is essential for selecting the most effective antibiotic for treatment. Option B) Cleanse the skin around the pins is incorrect because while maintaining skin integrity is important, addressing the infection by identifying the causative organism takes precedence. Option C) Administer an antibiotic is premature without knowing the specific pathogen causing the infection, as the choice of antibiotic should be guided by culture and sensitivity results. Option D) Instruct the client to complete exercise of the affected extremity is inappropriate at this time as the priority is to address the infection to prevent further complications. Educationally, this question highlights the importance of prioritizing nursing actions based on the assessment findings and understanding the principles of infection control. It also emphasizes the significance of proper wound care, infection management, and the role of diagnostic testing in guiding treatment decisions. Nurses need to have a solid foundation in recognizing signs of infection and implementing appropriate interventions to ensure optimal patient outcomes.
Question 3 of 5
What nursing interventions increase the risk the pressure injuries?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Have client sit in a wheelchair as much as possible. This option increases the risk of pressure injuries because prolonged sitting can lead to pressure points on bony prominences, especially if the individual is unable to shift their weight or change positions frequently. This can result in decreased blood flow to the area, leading to tissue damage and the development of pressure injuries. Option A) Padding hard surfaces is actually a preventive measure that reduces the risk of pressure injuries by providing cushioning and reducing pressure on bony areas. Option C) Placing pillows between bony surfaces is also a recommended nursing intervention to prevent pressure injuries by reducing pressure and friction on vulnerable areas. Option D) Keeping the head of the bed at or less than 30 degrees is a measure to prevent aspiration in patients at risk of choking or aspiration pneumonia, and it is not directly related to the development of pressure injuries. Educationally, understanding the risk factors and preventive measures for pressure injuries is crucial for nurses caring for patients with limited mobility. It is essential to promote frequent repositioning, proper support surfaces, and pressure-relieving devices to mitigate the risk of pressure injuries and provide optimal care for patients at risk.
Question 4 of 5
During a skin inspection at the outpatient clinic, the nurse notices patches of thick, red skin with silvery scales on the client's elbows and knees. What skin abnormality does the nurse suspect?
Correct Answer: C
Rationale: In this scenario, the nurse suspects the skin abnormality to be psoriasis. Psoriasis is a chronic autoimmune condition that speeds up the growth cycle of skin cells, leading to the formation of thick, red patches with silvery scales, commonly seen on elbows and knees. Option A, scabies, is a parasitic infestation characterized by intense itching and burrow tracks on the skin, not thick red patches with silvery scales. Option B, rosacea, is a chronic skin condition causing redness and visible blood vessels, typically on the face, not thick red patches with silvery scales on elbows and knees. Option D, stasis dermatitis, is a skin condition related to poor circulation and typically presents as swollen, discolored skin on the lower legs, not as thick red patches with silvery scales. Educationally, it is crucial for healthcare professionals to recognize common skin abnormalities like psoriasis to provide appropriate care and referrals. Understanding the distinguishing features of different skin conditions helps in accurate diagnosis and management, ensuring optimal patient outcomes. Early identification of psoriasis can lead to timely interventions and improved quality of life for the client.
Question 5 of 5
A nurse is teaching a client who has a new prescription for ibuprofen to treat rheumatoid arthritis. The nurse should teach the client to monitor for what adverse effect of this medication?
Correct Answer: C
Rationale: In this scenario, the correct answer is C) Blurred vision. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) commonly used to treat rheumatoid arthritis. One of the potential adverse effects of NSAIDs, including ibuprofen, is visual disturbances such as blurred vision. Option A) Bleeding is incorrect because while NSAIDs can increase the risk of bleeding in some cases, blurred vision is a more specific adverse effect associated with ibuprofen use in this context. Option B) Insomnia and Option D) Constipation are unlikely adverse effects of ibuprofen. Insomnia is not a common side effect of NSAIDs like ibuprofen, and constipation is more commonly associated with other types of medications or health conditions. Educationally, it is important for nurses to understand the potential adverse effects of medications they administer to ensure patient safety and optimal outcomes. Teaching patients about common side effects empowers them to monitor their own health and seek appropriate medical attention if needed. It also highlights the critical role of patient education in promoting medication adherence and preventing complications.