ATI LEADERSHIP PROCTORED EXAM 2019 VERSION 2 FORM C 1. A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a change in the wound care procedure. Which of the following findings indicate wound healing? a. Erythema on the skin surrounding a client's wound b. Deep red color on the center of the clients wound c. Inflammation noted on the tissue edges of a client's wound d. Increase in serosanguineous exudate from the clients wound 2. A nurse received change of shift report at 0700 for four clients. Which of the following actions should the nurse perform first? a. Obtain a breakfast tray for a client who received a morning dose of insulin aspart b. Administer pain medication to a client who has rheumatoid arthritis and received the last dose at 0400 c. Restart an infiltrated IV for a client whose IV antibiotic is scheduled for 0900 d. Replace a client's enteral nutrition feeding solution that has been hanging for 24 hours. (To prevent bacterial contamination, fill the bag with only enough formula to last over a 4–8-hour period, and change the feeding bag every 24 hours) 3. A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should the nurse assign to the newly licensed nurse? a. A client who has multiple sclerosis and ataxia b. A client who has brain tumor and is admitted for chemotherapy c. A client who has Guillain -Barre syndrome and a tracheostomy d. A client who sustained a concussion and is being monitored for complication 4. A nurse is providing teaching to a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching? a. "Once I sign my living will, a family member must cosign it" b. "I will wait until I have a serious health problem to sign my advance directives" c. "My doctor will need to provide approval for the decisions outlines in my living will d. "My durable power of attorney for health care is part of my advance directives" 5. A nurse is chairing a committee about preventing infant abduction in a new birth care center. Which of the following quality control tasks should the nurse assign to be completed first? a. Identify the industry standards for infant safety b. Evaluate the selected infant safety system c. Choose an infant safety system d. Establish measurement criteria for infant safety systems 6. A nurse notes that a client is eating about half of the food on his plate and coughs frequently during meals. The nurse plans to perform dysphagia screening to determine the client's need for a referral to which of the following providers? a. Physical therapist b. Respiratory therapist studyclock stuvia c. Speech therapist d. Occupational therapist 7. A home health nurse is assessing the home environment during an initial visit to a client who has a history of falls. Which of the following findings should the nurse identify as increasing the client's risk for falls (SATA) [repeat]? • A wheeled office chair at the client's computer desk • A raised vinyl seat on the toilet in the bathroom • A throw rug covering some cracked floor • A folding chair without arm rests • A two wheeled walker used to assist the client with ambulation • A wheeled office chair at the client's computer desk • A throw rug covering some cracked floor • A folding chair without arm rests 8. A nurse manager is planning to assign care for four clients on a medical surgical unit. Which of the following clients should the nurse assign to an LPN? a. An older adult who has lung cancer and has periodic episodes of severe dyspnea b. A middle adult client who has a below the knee amputation and requires a dressing change c. A young adult client who is postoperative, receiving morphine via epidural, and reports pruritus d. An adolescent who requires teaching regarding insulin administration 9. While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority for the nurse to take? a. Remind nurses to obtain this information during the admission process b. Reinforce the potential consequences of not having his information on record to the nursing staff c. Meet with nursing staff to review the policy regarding advance directive d. Ask nurse who are caring for client without his information in the medical record to obtain it 10. A nurse is caring for a group of clients. Which of the following should the nurse see first? a. A client who is postoperative and has a fever. b. A client whose pressure ulcer has serosanguineous drainage on the dressing c. A client who has diabetes mellitus and is diaphoretic d. A client who has a fractured hip and reports a pain level of 7 on a scale from 0 -10 11. A nurse is receiving change -of-shift report for four clients. Which of the following clients should the nurse care for first? a. A client who is 4 hr postoperative following a hernia repair and has pitting edema of the right leg
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