Virtual ATI Fundamentals Pre-Assessment Quiz questions with correct answers

A nurse in a long-term care facility enters the day room and finds the window curtains on fire. Clients are panicking and the room is filling with smoke. Indicate the emergency actions the nurse must take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) Correct Answer - - Remove the clients from the room - Activate the fire alarm - Close the door - Extinguish the fire A nurse is assessing a client following the application of an aquathermia pad. Which of the following is the first indication to the nurse that the client is experiencing a superficial burn injury to the application site? A. Blistering B. Erythema C. Eschar D. Absence of pain Correct Answer - B. Erythema Erythema is an indication that the client has experienced a superficial burn with damage limited to the epidermis. Other manifestations include edema, pain, and increased sensitivity to heat. A nurse is assessing a client who is experiencing prostatic hypertrophy. Which of the following findings associated with urinary retention should the nurse expect? (Select all that apply.) Correct Answer - - Report of feeling pressure - Tenderness over the symphysis pubis