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Practice Question

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?

Answer Choices:

Correct Answer:

A client who has peripheral vascular disease and has an absent pedal pulse in the right foot

Rationale:

🌐An absent pedal pulse in a client with peripheral vascular disease (PVD) may indicate acute arterial occlusion, which is a limb-threatening emergency that can result in tissue necrosis if not promptly treated.

🌐This condition requires immediate assessment and intervention to restore circulation.

🌐Other options, such as MRSA with fever or postoperative urinary retention, are concerning but not as immediately life-threatening.

🌐This prioritization reflects the ABC framework and urgency in addressing circulation compromise.

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This question is from RN Leadership 2023 Exam 3 which contains 52 questions.

More Questions from This Exam
A nurse is caring for a client who has early-stage Alzheimer's disease. In which of the following actions is the nurse acting as a client advocate?

Answer Choices:

A. Requesting a referral for the client to attend reminiscence therapy sessions
B. Performing an updated cognitive assessment on the client
C. Providing assistance for the client when ambulating down the hall
D. Reorienting the client several times throughout the day
A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first?

Answer Choices:

A. Provide coverage for the nurses' breaks
B. Review facility policies for taking scheduled breaks
C. Determine the reasons the nurses are not taking scheduled breaks
D. Discuss time management strategies with the nurses
A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?

Answer Choices:

A. A multigravida client who has preeclampsia and is receiving misoprostol for induction of labor
B. A client who has gestational diabetes and is receiving biweekly nonstress tests
C. A client who is at 32 weeks of gestation and has premature rupture of membranes
D. A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump
A pediatric nurse is caring for multiple clients and reviewing each of their care plans. Which of the following client care interventions requires revising?

Answer Choices:

A. Administer a bronchodilator two times a day for a child who has cystic fibrosis.
B. Check the neurovascular status every 4 hr of a child who had a hip spica cast placed 6 hr ago
C. Maintain eye shields for a newborn receiving phototherapy for hyperbilirubinemia.
D. Teach an adolescent who has an exacerbation of ulcerative colitis about a high-protein, low-fiber diet
From Exam
RN Leadership 2023 Exam 3

52 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Leadership & Management
  • Answer Choices: 4
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