Questions 63

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ATI RN Test Bank

ATI RN Leadership 2019 Exam 2 Questions

Extract:

A client who has terminal cancer and the family might benefit from respite services.


Question 1 of 5

When the client's partner asks how this service can help, which of the following responses by the nurse is appropriate?

Correct Answer: C

Rationale: Respite services provide caregivers time off to rest and attend to personal needs, supporting their well-being.

Extract:

A nurse enters the room of a client who is unconscious and finds that the client's son is reading her electronic medical records from a monitor located at the bedside.


Question 2 of 5

Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: Logging out the computer immediately stops unauthorized access, protecting the client's confidentiality as the priority action.

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 nurse on a medical-surgical unit is caring for four clients: a client who is postoperative following a laminectomy 12 hr ago and is unable to void, a client who is newly diagnosed with pancreatic cancer and is scheduled to begin IV chemotherapy, a client who has peripheral vascular disease and has an absent pedal pulse in the right foot, a client who has methicillin-resistant Staphylococcus aureus (MRSA) and has an axillary temperature of 38°C (101°F).


Question 4 of 5

Which of the following clients is the highest priority?

Correct Answer: A

Rationale: Urinary retention post-laminectomy is urgent due to risks of bladder distension, infection, renal damage, or autonomic dysreflexia, making this client the highest priority.

Extract:

A preschool-age child who has bruises on both arms and a spiral fracture of the left ulna. The child's parent says the child tripped over toys and fell.


Question 5 of 5

Which of the following actions should the nurse take?

Correct Answer: D

Rationale: The injuries are inconsistent with the explanation, suggesting possible abuse, requiring a report to Child Protective Services.

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