ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. The nurse is providing education to a client regarding the administration of eye drops. Which of the following actions indicates the need for further client education?
- A. The client instills the prescribed number of eye drops into the conjunctival sac
- B. The client sets the cap to the eye drop container down in a manner that does not contaminate it
- C. The client touches the administration dropper her to the eye
- D. The client washes her hands before instilling the eye drops
Correct answer: C
Rationale:
2. Which of the following clients are at an increased risk for deep vein thrombosis following a reduction and internal fixation of the hip? (Select all that apply)
- A. A client on birth control pills
- B. A client who is immobile
- C. A client on an anticoagulant
- D. A client with dementia who has been wandering
Correct answer: a
Rationale: Clients on birth control pills, immobile, and smokers are at increased risk of DVT after hip surgery.
3. A nurse is caring for a client who is post-operative following an open reduction internal fixation (ORIF) of a femur fracture. What is NOT included in the evaluation of the neurovascular status of the client's affected extremity?
- A. Color
- B. Temperature
- C. Sensation
- D. Skin integrity
Correct answer: D
Rationale:
4. A wound has a blood-tinged liquid that is dripping from the surgical site. How does the nurse document this finding?
- A. Creamy pus
- B. Serous
- C. Serosanguineous
- D. Purulent exudate
Correct answer: C
Rationale:
5. Which of the following statements made by a client diagnosed with human immunodefiency virus (HIV) would require further teaching?
- A. "I will have to be careful and avoid crowds."?
- B. "I will take prescribed medications."?
- C. "I will have to take medications for the rest of my life."?
- D. "I will only need to take HIV medications for 6 months, and I will be cured
Correct answer: D
Rationale:
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