ATI RN
ATI RN Leadership 2019 Exam 2 Questions
Extract:
A nurse is assessing pressure ulcers on four clients.
Question 1 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 is delegating tasks to an assistive personnel (AP).
Question 2 of 5
Which of the following tasks should the nurse assign to the AP?
Correct Answer: B
Rationale: Tagging malfunctioning equipment is a non-clinical task suitable for an AP, not requiring nursing judgment or client interaction.
Extract:
A client who has been admitted and diagnosed with type 1 diabetes mellitus tells the nurse she has decided to go home.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Having the client sign an AMA form ensures they understand the risks of leaving, protecting the hospital from liability.
Extract:
A client who has increased intracranial pressure and is receiving IV corticosteroids.
Question 4 of 5
Which of the following information is most important for the nurse to report at shift change?
Correct Answer: D
Rationale: The Glasgow Coma Scale score is critical for monitoring neurological status in a client with increased intracranial pressure.
Extract:
A client who had a stroke 2 days ago.
Question 5 of 5
Which of the following findings should the nurse identify as a need for a referral to speech-language pathology?
Correct Answer: B
Rationale: Impaired voluntary cough suggests swallowing or vocal cord issues, warranting a speech-language pathology referral.