ATI RN
Multi Dimensional Care | Exam | Rasmusson Questions
Question 1 of 5
Which finding is not typically associated with inflammation in a client?
Correct Answer: C
Rationale: Polyuria is excessive urination and is not a typical assessment finding in inflammation. Inflammation commonly presents with pain (A), heat (B), and erythema (D) which are classic signs of an inflammatory response. Pain results from the release of inflammatory mediators, heat is due to increased blood flow, and erythema is caused by vasodilation and increased blood flow to the area. Polyuria is more likely associated with conditions such as diabetes or renal issues, rather than inflammation.
Question 2 of 5
The nurse notices a new area of skin breakdown near the site of a dressing. This would be an example of which phase of the nursing process?
Correct Answer: B
Rationale:
Question 3 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 4 of 5
A goal for a client with impaired mobility is to prevent skin breakdown. What nursing intervention would best help the client meet this goal?
Correct Answer: D
Rationale:
Question 5 of 5
A client has an abdominal incision. The surgical wound was closed with 10 sutures. This surgical wound is healing by what process?
Correct Answer: A
Rationale:
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