ATI Leadership 2023/2023 PROCTORED EXAM
A nurse is assessment 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 col...
ATI Leadership 2023/2023
PROCTORED EXAM A nurse is assessment 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 client's wound
c. inflammation noted on the tissue edges of a client's wound
d. increase in serosanguineous exudate from the client's wound - ANSWER b. deep red color on the center of the client's wound
A nurse receiving 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 receiving 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 antibiotic is scheduled for 0900
d. Replace a client's enteral nutrition feeding solution that has been hanging for 24 hours - ANSWER a. obtain a breakfast tray for a client who received a morning dose of insulin. A nurse is orienting a newly license 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 a 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 complications. - ANSWER a. a client who has MS and ataxia.
A nurse is providing teaching to a client about advance directives. Which of the following client statements by the client indicates an understanding of the teaching?
a. "Once I sign my living will, a family member must co-sign it."
b. "I will wait until I have a serious health problem to sign my advance directive"
c. "My doctor will need to provide approval for the decisions outlined in my living will"
d. My durable power of attorney for health care is part of my advance directive" - ANSWER d. "My DPOA for health care is part of my advance directive."
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 - ANSWER a. identify the industry standards for infant safety A nurse notes that a client is eating about half of the food in 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
c. speech therapist
d. occupational therapist - ANSWER c. speech therapist
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? (Select all that apply)
a. wheeled office chair at the client's computer desk
b. a throw rug covering some cracked vinyl flooring in the kitchen
c. a folding chair without arm rests
d. a two wheeled walker used to assist the client with ambulation - ANSWER a. wheeled office chair at the client's computer desk
c. a folding chair without arm rests
d. a two wheeled walker used to assist the client with ambulation
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
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