a post operative client with a sutured abdominal incision felt a sharp abdominal pain after having a bowel movement upon inspection the nurse notices

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A post-operative client with a sutured abdominal incision felt a sharp abdominal pain after having a bowel movement. Upon inspection, the nurse notices bowel protruding from the incision site. What does the nurse tell the physician about the event?

A. The client's incision site has eviscerated
B. The client's incision site has lacerated
C. The client's incisional site is approximated
D. The client's incisional site has dehisced after.

Correct answer: A

Rationale:

2. The nurse is caring for 4 clients. Which of these clients will the nurse see first?

A. A client with sudden and increasing pain in his fractured arm
B. A client being discharged in 2 hours and needs to be taught how to use his crutches
C. A client with RA and a scheduled pain medication
D. A client with a fractured ankle who would like a glass of water

Correct answer: A

Rationale:

3. What health teaching would not help an older adult avoid a musculoskeletal injury?

A. Avoid home modification
B. Wear a helmet when riding a bicycle
C. Osteoporosis screening
D. Fall prevention

Correct answer: A

Rationale: Avoiding home modifications can increase the risk of falls and injuries in older adults.

4. What level of Maslow's Hierarchy of needs does shelter belong to?

A. Love and belonging
B. Physiological
C. Safety and security
D. Esteem

Correct answer: C

Rationale:

5. What occurs during stage three of bone healing?

A. Consolidation
B. Callus formation
C. Granulation formation
D. Hematoma formation

Correct answer: B

Rationale: During stage three of bone healing, callus formation occurs. This process involves the formation of a soft callus made of collagen and cartilage, which bridges the gap between bone fragments. Choice A, consolidation, typically happens in later stages and involves the hardening of the callus into mature bone. Choices C and D are incorrect as granulation formation and hematoma formation occur in earlier stages of bone healing, specifically stages one and two, respectively.