Extract:

Clients following an earthquake

Question 1 of 5

A nurse in an emergency department is admitting clients following an earthquake. The emergency disaster plan has been implemented due to the anticipated arrival of a large number of casualties. Which of the following clients should the nurse recommend the provider evaluate first?

A. A client who has a penetrating head injury and respiratory rate of 4/minB. A client who has a comminuted fracture of the femurC. A client who has a 15.2-cm (6-in) laceration to the scalp with clotted blood visibleD. A client who has a sucking chest wound

Correct Answer: D

Rationale: A sucking chest wound risks tension pneumothorax, a rapidly fatal condition requiring immediate intervention. Other injuries are less immediately life-threatening.

Extract:

Four clients with various conditions

Question 2 of 5

A nurse is caring for four clients. Which of the following assessment findings is the priority?

A. A client who has facial drooping following a stroke 8 hours agoB. A client who has a femur fracture and reports feeling short of breathC. A client who had an appendectomy 12 hours ago and reports pain as 5 on a scale of 0 to 10D. A client who had an open cholecystectomy 4 days ago and has serosanguineous drainage on the wound dressing

Correct Answer: B

Rationale: Shortness of breath with a femur fracture suggests a possible pulmonary embolism, a life-threatening emergency requiring immediate intervention.

Extract:

A client on a mental health unit

Question 3 of 5

A nurse on a mental health unit is teaching a newly licensed nurse about client rights. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A. A nurse can provide basic treatment information to the client's employerB. A nurse can inform the client about the risks and benefits of electroconvulsive therapyC. Clients on a mental health unit who are admitted voluntarily cannot leave against medical adviceD. Clients on a mental health unit can refuse their medication

Correct Answer: D

Rationale: Clients have the right to refuse medication if competent, reflecting autonomy. Other options violate confidentiality, misstate voluntary admission rights, or are incomplete.

Extract:

Staff with poor attendance at monthly staff meetings

Question 4 of 5

A charge nurse recognizes a trend of poor attendance at monthly staff meetings. To address this issue, which of the following actions should the charge nurse take first?

A. Write a memorandum emphasizing the importance of attending staff meetingsB. Appoint a task force to promote attendance at the meetingsC. Explore the reasons that staff are not attending the meetingsD. Reduce the number of meetings the staff are required to attend

Correct Answer: C

Rationale: Exploring reasons for poor attendance identifies barriers, enabling tailored solutions. Other actions are premature without understanding the underlying issues.

Extract:

A client with a central venous catheter

Question 5 of 5

A nurse is observing a newly licensed nurse perform a sterile dressing change on a client who has a central venous catheter. Which of the following actions should the newly licensed nurse take?

A. Open the top flap of the sterile package towards the bodyB. Maintain a 1.25 cm (0.5 in) border around the edges of the sterile fieldC. Pick up the first sterile glove by grasping the folded cuff edgeD. Remove soiled dressings using sterile gloves

Correct Answer: C

Rationale: Grasping the folded cuff edge maintains glove sterility, critical for the procedure. Other actions risk contamination.

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ATI RN Leadership 2019 A Questions

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