ATI RN LEADERSHIP PROCTORED EXAM 2019 VERSION 2 (Verified 100%)

A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a change in the wound care procedure. Which of the following findings indicate wound healing. 1. Erythema on the skin surrounding a client's wound 2. Deep red color on the center of the clients wound 3. Inflammation noted on the tissue edges of a client's wound 4. Increase in serosanguineous exudate from the clients wound 2. A nurse received change of shift report at 0700 for four clients. Which of the following actions should the nurse perform first? 1. Obtain a breakfast tray for a client who received a morning dose of insulin aspart 2. Administer pain medication to a client who has rheumatoid arthritis and received the last dose at 0400 3. Restart an infiltrated IV for a client whose IV antibiotic is scheduled for 0900 4. Replace a client's enteral nutrition feeding solution that has been hanging for 24 hours. 3. A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should the nurse assign to the newly licensed nurse? 1. A client who has multiple sclerosis and ataxia 2. A client who has a brain tumor and is admitted for chemotherapy 3. A client who has guillain-barre syndrome and a tracheostomy 4. A client who sustained a concussion and is being monitored for complication