ATI LEADERSHIP RN WITH QUESTIONS AND WELL DETAILED EXAMS [ACTUAL EXAM 100%] GRADED A+

ATI LEADERSHIP RN
WITH QUESTIONS AND
WELL DETAILED EXAMS
[ACTUAL EXAM 100%]
GRADED A+
A nurse on a med surg unit is caring for four clients. The nurse
should recognize that which of the following clients is the
priority?
- A client who is scheduled for a tubal ligation in 2 hr and is
crying
- A client who has peripheral vascular disease and has an
absent pulse in the right foot
- A client who has type 1 diabetes mellitus and needs the first
dressing change for an ulcer
- A client who has methicillin-resistant Staphylococcus aureus
(MRSA) and has an axillary temperature of 38° C (100.4° F)
A client who has peripheral vascular disease and has an absent
pulse in the right foot
When using the airway, breathing, circulation approach to client
care, the nurse determines that the priority finding is an absent
pulse, which indicates no blood flow to the extremity.
Which of the following instructions provided by a nurse reflects
effective communication regarding delegation of a task to an
LNA?
- "Take vital signs every 2 hours for the client who had a
cholecystectomy in room 6122."
- "Check the urinary output at 1100 for John Doe and report it to
me immediately."
- "Report to me if the chest tube drainage is excessive for Jane
Doe in room 2438."
- "Please notify me of any clients whose vital signs or blood
glucose levels are significant."
"Check the urinary output at 1100 for John Doe and report it to
me immediately."
This instruction follows the Five Rights of Delegation by
including the requirements for right direction/communication: the
data to collect, client-specific information, a timeline for
collection, and the expectation for communicating the findings
back to the nurse.
Brainpower
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A client on a general surgical unit tells a nurse that staff
members are not answering his call light promptly. The client
requests to be transferred to another unit. Which of the following
actions should the nurse take first?
- Notify the charge nurse of the client's request for transfer.
- Assure the client that their concern has been shared with the
staff.
- Tell the client that future calls will be answered in a timely
manner.
- Ask the client to verbalize their expectations.
Ask the client to verbalize their expectations.
The first action the nurse should take using the nursing process
is to assess; therefore, the first action the nurse should take is to
assess the client's feelings and clarify expectations.