Questions 65

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ATI RN Leadership 2023 Exam 2 Questions

Extract:

Client has full-thickness burns on 72% of his body.


Question 1 of 5

A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which of the following triage tag colors should the nurse instruct the group to apply to a client who has full-thickness burns on 72% of his body?

Correct Answer: A

Rationale: Severe burns covering 72% of the body are likely unsurvivable with limited resources, warranting a black tag to prioritize care for others.

Extract:

Client fell.


Question 2 of 5

A charge nurse is supervising the actions taken by a staff nurse following a client fall. Which of the following actions by the staff nurse indicates an understanding of the procedure?

Correct Answer: C

Rationale: Including the client's account in the incident report ensures accurate documentation of the event, which is essential for proper follow-up.

Extract:

Client had a lung resection.


Question 3 of 5

A nurse is planning discharge for a client who had a lung resection. The nurse initiates a referral for a social worker. Which of the following assessment data supports this referral?

Correct Answer: D

Rationale: A social worker can assist with financial resources for equipment, addressing the client's need to access support programs, which justifies the referral.

Extract:

Client is unconscious with extensive internal injuries.


Question 4 of 5

A client who is unconscious and has extensive internal injuries arrives via ambulance to the emergency unit. Which of the following permits the staff to proceed with emergency surgery?

Correct Answer: A

Rationale: Implied consent allows emergency treatment for unconscious patients to prevent harm, justifying surgery.

Extract:

Client with peripheral vascular disease and absent pedal pulse; Client with MRSA and temperature of 38°C; Client 12 hr post-laminectomy unable to void; Client newly diagnosed with pancreatic cancer scheduled for IV chemotherapy.


Question 5 of 5

A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the following clients is the highest priority?

Correct Answer: A

Rationale: An absent pedal pulse indicates potential arterial occlusion, a critical condition requiring immediate intervention to prevent tissue damage.

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