Questions 65

ATI RN

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ATI RN Leadership 2023 Exam 2 Questions

Extract:

Client has active bleeding from a puncture wound of the left groin area; Client has a raised red skin rash on his arms, neck, and face; Client reports right-sided flank pain and is diaphoretic; Client reports shortness of breath and left neck and shoulder pain.


Question 1 of 5

A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?

Correct Answer: D

Rationale: Shortness of breath with neck and shoulder pain suggests a possible cardiac event, which is life-threatening and requires immediate intervention, making this client the highest priority.

Question 2 of 5

A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?

Correct Answer: D

Rationale: Shortness of breath with neck and shoulder pain suggests a possible cardiac event, which is life-threatening and requires immediate intervention, making this client the highest priority.

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 3 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.

Extract:

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


Question 4 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:


Question 5 of 5

A nurse is orienting a newly licensed nurse about the use of restraints. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer: C

Rationale: Tying restraints to the movable bed frame prevents injury during bed adjustments, demonstrating proper technique.

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