ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. 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:
2. A client is in skeletal traction. With the nurse's assessment, it is noted that the pairs appear red, swollen and there is purulent drainage. What action does the nurse take first?
- A. Collect a culture of the purulent fluid
- B. Cleanse the skin around the pins
- C. Administer an antibiotic
- D. Instruct the client to complete exercise of the affected extremity
Correct answer: A
Rationale:
3. What repetitive stress injury is a factory worker at risk of?
- A. Plantar fasciitis
- B. Osteomalacia
- C. Carpal tunnel syndrome
- D. Osteoporosis
Correct answer: C
Rationale: Factory workers are at risk of developing Carpal Tunnel Syndrome due to repetitive hand movements involved in their work. This condition occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes pressed or squeezed at the wrist. Plantar fasciitis (choice A) is a condition affecting the foot, not typically associated with factory work. Osteomalacia (choice B) is a softening of the bones due to a lack of vitamin D or calcium, not directly related to repetitive stress in factory work. Osteoporosis (choice D) is a condition characterized by weak and brittle bones, usually associated with aging or hormonal changes rather than repetitive stress injuries.
4. On inspection, which client does the nurse suspect of having a visual impairment?
- A. The client whose sclera is white
- B. The client who has an intact blink reflex
- C. The client who is tilting their head
- D. The client with equal pupils
Correct answer: C
Rationale: Tilting the head may indicate a visual impairment as the client attempts to compensate for vision loss.
5. 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:
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