Questions 67

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RN ATI Fundamentals of Nursing Questions

Extract:

A nurse is caring for a client.

Nurses' Notes

Day 1:

1300:

Client has a 2.5 cm (1 in) x 2.5 cm (1 in) stage 2 pressure injury to dorsal lateral aspect of left heal; wound bed red, moist, approximated edges; surrounding skin inflamed, red,, non-tender to palpation. Client reports pain score of 0 on 0 to 10 pain scale. Pedal pulse left foot 1+, unable to assess capillary refill due to toe fungus bilaterally, Pedal pulse right foot 2+. Wound care as prescribed; heel floated on pillow.

Medical History

Day 1:

Diabetes mellitus Hyperlipidemia

Labs

Day 1

Hct 38% (37% to 47%)

Hgb 13 (12 g/dL to 16 g/dL)

WBC 11,500/mm3 (5000 to 10,000/mm3)

Potassium 3.6 mEq/L (3.5 mEq/L to 5 mEq/L)

Pre-albumin level 10 mg/dL (15 to 36 mg/dL)

Albumin: 3.0 g/dL (3.5 to 5 g/dL)

Fingerstick blood glucose, fasting 186 mg/dL (74 to 106 mg/dL)


Question 1 of 5

Select the 5 findings that can cause delayed wound healing.

Correct Answer: B,C,D,E,F

Rationale: Low prealbumin (
B) diabetes (
C) hyperlipidemia (
D) wound infection (E) and decreased perfusion (F) impair healing by affecting nutrition blood flow and immune response.

Choices A and G are not direct causes.

Extract:


Question 2 of 5

A nurse is providing discharge teaching for a client who requires home oxygen therapy. Which of the following statements should the nurse identify as an indication that the client needs further teaching?

Correct Answer: A

Rationale: Synthetic clothing and woolen socks (
A) can generate static electricity a fire hazard with oxygen. Other statements are correct.

Question 3 of 5

A nurse is caring for a client who has impaired mobility. Which of the following support devices should the nurse plan to use to prevent the client from developing plantar flexion contractures?

Correct Answer: B

Rationale: A footboard maintains feet in a dorsiflexed position preventing plantar flexion contractures.
Choice A prevents pressure ulcers
Choice C addresses hip rotation and
Choice D maintains hip alignment.

Question 4 of 5

A nurse is providing hygiene care for a client who is immobile. Which of the following actions should the nurse take?

Correct Answer: B,C,E

Rationale: Checking items (
B) shaving correctly (
C) and maintaining proper water temperature (E) ensure safety and comfort.

Choices A and D are incorrect techniques.

Question 5 of 5

A nurse is receiving a provider's prescription for a client via telephone. Which of the following actions should the nurse take to ensure the accuracy of the telephone prescription? (Select all that apply.)

Correct Answer: B,C,E

Rationale: Questioning unclear orders (
B) transcribing accurately (
C) and repeating back (E) ensure prescription accuracy.

Choices A and D are incorrect or incomplete.

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