which of the following assessments is found in neurovascular compromise

ATI RN

Multi Dimensional Care | Final Exam

1. Which of the following assessments is found in neurovascular compromise?

A. Tingling
B. Strong pulses
C. Warm skin
D. Full range motion

Correct answer: A

Rationale: Tingling is a common sign of neurovascular compromise.

2. Which practice is recommended to prevent human immune deficiency virus (HIV) transmission by health care workers?

A. Wearing a mask within three feet of the client
B. Using standard precautions
C. Applying hand sanitizer to gloves during cares
D. Double gloving

Correct answer: B

Rationale:

3. The nurse is preparing communication for a provider. The client is experiencing acute pain greater than the severity of the fracture. Distal to the injury, he is experiencing a 'pins and needles' sensation. The pulse is weak and thready but is bounding on all unaffected extremities. What emergent condition does the nurse suspect?

A. Ischial tuberosity
B. Compartment syndrome
C. Broken arm syndrome
D. Pulmonary embolism

Correct answer: B

Rationale:

4. What is the best intervention to reduce the risk of falling in the hospital room for a blind client being cared for?

A. Tell the client’s family that they will be expected to stay overnight
B. Apply restraints to the client
C. Shout to the client
D. Orient the client to the location of objects in the room

Correct answer: D

Rationale: The best intervention to reduce the risk of falling in the hospital room for a blind client is to orient the client to the location of objects in the room. This helps the client navigate safely and independently. Choices A, B, and C are incorrect because telling the client's family to stay overnight, applying restraints, and shouting are not appropriate interventions for preventing falls in a blind client; in fact, they could potentially lead to increased anxiety and risk of falls.