Questions 48

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ATI Msn De5320 Fundamentals Exam Questions

Extract:


Question 1 of 5

A nurse is reviewing a client's medical record. Which of the following findings should the nurse identify as a fall risk?

Correct Answer: C

Rationale: Multiple sclerosis impairs balance and coordination, heightening fall risk. Hernias cause discomfort, hyperlipidemia affects lipids, and hyperthyroidism causes tremors, but they don’t directly affect mobility.

Question 2 of 5

The nurse working in the ER is admitting a toddler to the orthopedic unit. The parents and grandparents are at bedside. What should the nurse use as the best source of data for this client?

Correct Answer: C

Rationale: Parents are the most reliable source for a toddler’s medical history, current symptoms, and behavioral changes, as they are primary caregivers with daily involvement. Grandparents may provide supplementary data, but parents have the most current insights. The admitting provider offers clinical assessments but lacks personal history depth. Medical records may be outdated or lack recent context.

Question 3 of 5

A nurse is performing passive range of motion on a client who had a stroke. The nurse should identify that passive range of motion is performed to increase which of the following?

Correct Answer: B

Rationale: Passive range of motion maintains or improves joint flexibility by preventing contractures post-stroke. It does not significantly affect bone density, muscle mass, or strength.

Question 4 of 5

A nurse is caring for a client who reports experiencing flashbacks of a traumatic event that occurred a year ago. The nurse should identify that the client is experiencing which of the following stress-related disorders?

Correct Answer: D

Rationale: PTSD causes long-term flashbacks post-trauma, matching a year-long duration. ASD is short-term, episodic acute stress isn’t a diagnosis, and IBS is unrelated to psychological trauma.

Question 5 of 5

A nurse is reinforcing teaching about a new prescription for haloperidol with a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: C

Rationale: Haloperidol increases photosensitivity, risking sunburn, which the client correctly identifies. Tinnitus, incontinence, and metallic taste are not common side effects.

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