The nurse is caring for 4 clients. Which of these clients will the nurse see first?- Nurselytic

Question 1 of 5

The nurse is caring for 4 clients. Which of these clients will the nurse see first?

A. A client with sudden and increasing pain in his fractured arm B. A client being discharged in 2 hours and needs to be taught how to use his crutches C. A client with RA and a scheduled pain medication D. A client with a fractured ankle who would like a glass of water

Correct Answer: A

Rationale:

Question 2 of 5

Which practice is recommended to prevent human immune deficiency virus (HIV) transmission by health care workers?

A. Wearing a mask within three feet of the client B. Intentional C. Using standard precautions D. Proliferative

Correct Answer: C

Rationale:

Question 3 of 5

A nurse assesses an area of skin over a bony prominence. What finding would be most concerning?

A. Redness B. Non-blanching C. Blanching D. Warmth

Correct Answer: A

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 client is at risk for impaired skin integrity related to the need for several weeks of bedrest. The nurse evaluates the client after 1 week and finds skin integrity is not impaired. In evaluating the plan of care, what is the nurse's best action?

A. Remove the nursing diagnosis in the plan of care since it has not occurred B. Change the nursing diagnosis in plan of care to impaired mobility C. Modify the nursing diagnosis in plan of care to impaired skin integrity D. Keep the nursing diagnosis in the plan of care the same since the risk factors are still present

Correct Answer: D

Rationale:

Nurselytic

ATI RN

ATI RN

Multi Dimensional Care | Exam | Rasmusson Questions

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