ATI RN
Client Centered Care Model Questions
Question 1 of 5
During cardiac auscultation, a soft first heart sound with a holosystolic apical murmur that radiates to the left axilla suggests:
Correct Answer: B
Rationale: Mitral regurgitation produces a holosystolic murmur at the apex radiating to the axilla, with a soft S1 due to poor valve closure.
Question 2 of 5
Treatment of viral conjunctivitis includes the use of:
Correct Answer: B
Rationale: Viral conjunctivitis is managed symptomatically with cold compresses; antibiotics or steroids are not indicated.
Question 3 of 5
A 45-year-old patient who is a professional singer reports progressive hoarseness for the last four weeks. The hoarseness began after a three-hour performance. The patient does not smoke and reports no weight loss, upper respiratory infection, dysphagia, or shortness of breath. The family nurse practitioner manages this patient by:
Correct Answer: D
Rationale: Hoarseness in a singer without other symptoms suggests vocal cord issues; referral to an ENT for laryngoscopy is appropriate.
Question 4 of 5
A nine-year-old patient sustained a minor laceration while playing. The patient’s immunization record shows that the patient received a primary series of the pediatric diphtheria, tetanus, and acellular pertussis (DTaP) vaccine, a primary series of oral poliovirus vaccine, and a DTaP booster at age five just before entering school. According to current immunization recommendations, the family nurse practitioner gives the patient:
Correct Answer: C
Rationale: For a minor laceration, a tetanus toxoid (Td or Tdap) is given if >5 years since last dose; at age 9, Td is appropriate (DTaP is for younger children).
Question 5 of 5
The following statements appear on a nursing care plan for a client after a mastectomy: Incision site approximated; absence of drainage or prolonged erythema at incision site; and client remains afebrile. These statements are examples of:
Correct Answer: D
Rationale: The given statements indicate the expected outcomes for a client after a mastectomy. 'Incision site approximated' means that the edges of the incision are close together, indicating proper healing. 'Absence of drainage or prolonged erythema at incision site' means that there is no discharge or prolonged redness, which are signs of infection or inflammation. 'Client remains afebrile' means that the client does not have a fever, indicating absence of infection. These statements describe the expected results of the nursing care and treatment provided to the client. Therefore, the correct answer is Expected outcomes.