ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. The nurse is most concerned about which of these findings in a client with systemic lupus erythematous?
- A. The client reports chronic fatigue
- B. The client has a butterfly rash
- C. Blood pressure of 126/85 mm Hg
- D. Urine output of 20 mL/hour
Correct answer: D
Rationale:
2. A client is recovering from a fractured radius that occurred 7weeks ago. Which state of bone healing occurs at this time as the callus is restored and transformed into bone?
- A. Stage 3
- B. Stage 5
- C. Stage 1
- D. Stage 4
Correct answer: D
Rationale:
3. A client just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy?
- A. "This must be hard news to hear. Tell me more about it."?
- B. "I believe you can overcome this because I have seen how strong you are."?
- C. "Tomorrow will be better."
- D. "What is your biggest fear about this diagnosis?"?
Correct answer: A
Rationale:
4. The nurse is caring for 4 clients. What client should the nurse see first?
- A. A client with multiple children visiting
- B. A client with lupus asking for dinner
- C. A client on Methotrexate with a fever
- D. A client with chronic rheumatic pain
Correct answer: C
Rationale: The correct answer is the client on Methotrexate with a fever. Fever in a client on Methotrexate, an immunosuppressant, could indicate a serious infection or adverse drug reaction requiring immediate attention to prevent complications. The other choices do not present immediate life-threatening concerns. A client with lupus asking for dinner can wait, a client with chronic rheumatic pain may need pain management but is not the priority over a fever in a client on Methotrexate, and a client with children visiting does not pose an urgent medical issue.
5. A nurse enters the hospital room of a client with reduced immunity. What observation requires further action by the nurse?
- A. The client is in a private room.
- B. The client has a vase of fresh flowers on the table
- C. The client has a dedicated vital signs machine
- D. There is hand sanitizer by the door
Correct answer: B
Rationale:
Similar Questions
Access More Features
ATI RN Basic
                  
$69.99/ 30 days
                
- 5,000 Questions with answers
- All ATI courses Coverage
- 30 days access
ATI RN Premium
                  
$149.99/ 90 days
                
- 5,000 Questions with answers
- All ATI courses Coverage
- 30 days access
