A nurse working on a medicalsurgical unit is manag

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Question 1 of 5

A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?

A. A client who has orthostatic hypotension and is receiving IV fluids B. A client who is receiving heparin and has an aPTT of 34 seconds C. A client who has Type 1 diabetes and uses an insulin pump D. A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL

Correct Answer: D

Rationale: Pressure ulcer risk and nutritional concerns require interdisciplinary collaboration (e.g., dietitian, physical therapist) for comprehensive care.

Question 2 of 5

A nurse is teaching a client about implied consent. Which of the following information should the nurse include in the teaching?

A. The nurse's signature indicates they witnessed the client's signature. B. A client must understand risks and benefits of the proposed treatment. C. Nonverbal behavior indicates agreement. D. Consent can be verbal or written.

Correct Answer: C

Rationale: Implied consent is inferred from nonverbal actions or circumstances, unlike express consent, which involves explicit verbal or written agreement.

Question 3 of 5

A triage nurse in an emergency department is caring for a group of clients. Which of the following clients should the nurse assess first?

A. A client who has a closed femur fracture from a fall B. A client who has a superficial burn covering 10% of their total body surface area C. A client who is experiencing severe vomiting and diarrhea with tachycardia D. A client who is confused and has slurred speech

Correct Answer: D

Rationale: Confusion and slurred speech suggest a possible stroke, a time-sensitive emergency requiring immediate assessment to optimize outcomes.

Question 4 of 5

A nurse is delegating care for a client. Client has right-sided weakness following a cerebrovascular accident. Client coughs when eating and voice becomes hoarse after swallowing. Select the 3 tasks the nurse should assign to assistive personnel.

A. Assist the client with completing their food menu. B. Document the client's urine output C. Monitor the client for manifestations of aspiration pneumonia D. Initiate a referral with the speech language pathologist E. Instruct the client on swallowing techniques F. Ambulate the client. G. Obtain the client's vital signs.

Correct Answer: B,F,G

Rationale: Assistive personnel can document urine output, ambulate the client, and obtain vital signs, as these are low-risk tasks within their scope.

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?

A. A client who has peripheral vascular disease and has an absent pedal pulse in the right foot B. A client who has methicillin-resistant Staphylococcus aureus (MRSA) and has an axillary temperature of 38Â° C (101Â° F) C. A client who is postoperative following a laminectomy 12 hr ago and is unable to void D. A client who is newly diagnosed with pancreatic cancer and is scheduled to begin IV chemotherapy

Correct Answer: A

Rationale: An absent pedal pulse indicates a critical circulatory issue, potentially limb-threatening, requiring immediate attention over other less urgent conditions.

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ATI Leadership 2023 I Questions

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