ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. Which of the following statements by a client with human immunodeficiency virus (HIV) does NOT requires further teaching?
- A. I can spread this through contact with surfaces, so I need to wear gloves in public.'
- B. Because I have HIV, that means I'm an AIDS patient'
- C. I need to ensure that I place my needles in a proper needle disposal container.'
- D. I can still have unprotected intercourse with my partner since he does not have HIV.'
Correct answer: C
Rationale:
2. 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:
3. Which test is used in the diagnosis of osteoporosis?
- A. Phalen's maneuver
- B. Dual-energy X-ray absorptiometry (DXA) scan
- C. Proprioception
- D. Blood culture
Correct answer: B
Rationale: The correct answer is B, Dual-energy X-ray absorptiometry (DXA) scan, which is commonly used to diagnose osteoporosis by measuring bone mineral density. Phalen's maneuver (choice A) is a test used to assess for carpal tunnel syndrome and is not related to osteoporosis. Proprioception (choice C) refers to the sense of body position and is not a diagnostic test for osteoporosis. Blood culture (choice D) is used to detect infections caused by bacteria in the bloodstream and is not relevant to the diagnosis of osteoporosis.
4. The nurse has documented the following wound assessment. "Shallow, open, reddened ulcer with no slough on the anterior region of the right heel?"? what stage is the wound?
- A. Stage 3
- B. Stage 4
- C. Stage 1
- D. Stage 2
Correct answer: D
Rationale:
5. A goal for a client with impaired mobility is to prevent skin breakdown. What nursing intervention would best help the client meet this goal?
- A. Assist the client to orthopneic position
- B. Offer the client a bedpan for toileting
- C. Offer a protein-rich diet
- D. Turn the client every 2 hours
Correct answer: D
Rationale:
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