ATI NU2508 Leadership Final Exam

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ATI NU2508 Leadership Final Exam Questions

Extract:

Question 1 of 5

A nurse is caring for four clients on a medical-surgical unit. Which of the following clients should the nurse assess first?

A. A client who has COPD and the capillary refill time on both hands is 4 seconds B. A client who has late-stage cirrhosis and whose breath has a fruity odor C. A client who has a nasogastric tube for decompression and the gastric aspirate is green with a pH of 5.3 D. A client who had an indwelling urinary catheter removed 5 hr ago and has not voided

Correct Answer: D

Rationale: The correct answer is D. The nurse should assess the client who had an indwelling urinary catheter removed 5 hours ago and has not voided first. This situation raises concerns about urinary retention, which can lead to bladder distension, discomfort, and potential complications like urinary tract infections. Prompt assessment and intervention are necessary to prevent further issues.

Choice A is incorrect because a capillary refill time of 4 seconds in a client with COPD may suggest impaired circulation but is not as urgent as urinary retention.
Choice B is incorrect as fruity odor in late-stage cirrhosis may indicate hepatic encephalopathy but is not an immediate priority.
Choice C is incorrect as green gastric aspirate with a pH of 5.3 may indicate bile reflux but not as urgent as urinary retention.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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ATI NU2508 Leadership Final Exam | Nurselytic

Nurselytic

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