ATI RN
Multi Dimensional Care | Exam | Rasmusson Questions
Question 1 of 5
The nurse is caring for a 65-year-old client and notes a temperature of 101°F. How does the nurse interpret this finding?
Correct Answer: A
Rationale: A temperature of 101°F is indicative of hyperthermia, which is an elevated body temperature. Hyperthermia is commonly associated with fever or environmental factors such as excessive heat exposure. Choice B, 'A cold environment,' is incorrect as hyperthermia refers to elevated body temperature, not a cold environment. Choice C, 'Normal,' is incorrect as a temperature of 101°F is above the normal range for body temperature. Choice D, 'Hypothermia,' is incorrect as hypothermia refers to a low body temperature, not an elevated one.
Question 2 of 5
A client does not understand why vision loss due to glaucoma is irreversible. What is the nurse's best explanation?
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 3 of 5
The nurse is teaching a client with debilitating rheumatoid arthritis about home safety. Which statement should the nurse include?
Correct Answer: B
Rationale: The correct answer is B. This statement is the most appropriate because it focuses on providing practical solutions to enhance the client's safety at home while managing rheumatoid arthritis. Adaptive devices like grab bars, reaching tools, grasping devices, and adaptive silverware can help the client maintain independence and prevent accidents. Choice A is incorrect as it does not provide practical advice on home safety but rather a personal anecdote. Choice C is incorrect as throw rugs can pose a tripping hazard instead of enhancing safety. Choice D is also incorrect as it does not directly address home safety measures but rather shifts the focus to medication compliance.
Question 4 of 5
A client is in the emergency room in critical condition and hypotensive. Her spouse is distraught. What is the priority nursing action?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
What level of Maslow's Hierarchy of needs does shelter belong to?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.