the nurse is caring for 4 clients what client should the nurse see first

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. 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.

2. A client has AIDS. Which of these findings indicate possible infection?

A. Respirations; 22 breaths per minute
B. Client ambulates 20 feet
C. Purulent drainage
D. Oxygen saturation; 97% on room air

Correct answer: C

Rationale:

3. The provider orders the client to be placed in a high-Fowler's position. At what angle will the nurse position the client?

A. 15 degrees
B. 0 degrees
C. 90 degrees
D. 30 degrees

Correct answer: C

Rationale: The correct answer is C: 90 degrees. In a high-Fowler's position, the client's head of the bed is raised to a 90-degree angle. This positioning helps improve breathing and facilitates eating and talking. Choice A, 15 degrees, is incorrect as it is not high enough to be considered a high-Fowler's position. Choice B, 0 degrees, is incorrect as it represents a flat or supine position. Choice D, 30 degrees, is also incorrect as it does not meet the criteria for a high-Fowler's position.

4. How many mg is 5000 mcg? (Type answer as numeric only)

A. 5
B. 6
C. 4
D. 3

Correct answer: A

Rationale: 5000 mcg is equal to 5 mg.

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.