Questions 63

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ATI RN Leadership 2019 Exam 2 Questions

Extract:

A client who is scheduled for coronary artery bypass surgery and does not wish to have any blood transfusions.


Question 1 of 5

Administering blood to this client is a violation of which of the following ethical principles?

Correct Answer: A

Rationale: Administering blood against the client's wishes violates their autonomy, the right to make decisions about their care.

Extract:

A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage bone cancer to an experienced assistive personnel (AP).


Question 2 of 5

Which of the following assessments should the nurse make before delegating care?

Correct Answer: C

Rationale: Checking the client's pain level ensures comfort and safety during turning, a critical assessment before delegation.

Extract:

A nurse is assessing pressure ulcers on four clients.


Question 3 of 5

Which of the following findings indicates wound healing?

Correct Answer: B

Rationale: A deep red color indicates granulation tissue, a sign of wound healing, as it forms new tissue to fill the wound bed.

Extract:

A home health nurse is performing a safety assessment of a client's home.


Question 4 of 5

Which of the following findings should the nurse identify as a safety hazard?

Correct Answer: B

Rationale: A two-prong extension cord poses a fire or shock risk, unlike the other measures which enhance safety.

Extract:

A nurse working in the emergency department is assessing several clients: a client with a raised red skin rash, a client with active bleeding from a puncture wound, a client reporting shortness of breath and left neck/shoulder pain, a client with right-sided flank pain and diaphoresis.


Question 5 of 5

Which of the following clients is the highest priority?

Correct Answer: B

Rationale: Active bleeding poses an immediate risk of hemorrhage and shock, making it the highest priority.

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