2021 ATI Leadership Proctored Exam with Answers (374 Solved Questions)

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ATI Leadership NURSING Proctored Exam Converted 2 of 3Community Health Nursing (Alcorn State University)ATI Leadership NURSING Proctored Exam Converted 2 of 3Community Health Nursing (Alcorn State University)lOMoARcPSD|6879242

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ATI LEADERSHIP - Proctored (Complete) 2021.Detailed 70 Questions And 100% CorrectAnswers.1.A client is brought to the emergency department following a motor-vehicle crash. Drug use is suspected inthe crash, and a voided urine specimen is ordered. The client repeatedly refuses to provide the specimen.Which of the following is the appropriate action by the nurse?a.Tell the client that a catheter will be inserted.b.Document the client’s refusal in the chart.c.Assess the client for urinary retention.d.Obtain a provider’s prescription for a blood alcohol level.2.A nurse is making shift assignments in a hospital. Which of the following tasks is appropriate to assign to alicensed practical nurse?a.Pick up the meal trays after lunch.b.Administer a nasogastric tube feeding.c.Plan break times for assistive personnel.d.Determine adequacy of ventilator settings.3.A nurse preceptor is evaluating a newly licensed nurse’s competency in assisting with a sterile procedure.Which of the following actions indicates the newly licensed nurse is maintaining steriletechnique? (SATA)a.Places sterile items within a 1.25 cm (0.5 in) border around the edges of the sterile fieldb.Opens the sterile pack by first unfolding the top flap away from her bodyc.Prepares a container of sterile solution on the field after putting on sterile glovesd.Removes the outside packaging of a sterile instrument before dropping itonto the sterile fielde.Holds the sterile solution bottle with the label facing up4.A nurse enters a client’s room and identifies that the client is receiving too much IV fluid because the IVpump is not working properly. Which of the following actions should the nurse take first?a.Auscultate the client’s lungs.b.Notify the provider.c.Place a faulty equipment tag on the pump.d.Complete an incident report.5.A nurse is planning care for a group of clients and can delegate care to a licensed practical nurse (LPN) andan assistive personnel. Which of the following tasks should the nurse assign to the LPN?a.Reinforcing teaching with a client who is learning to self-administer insulinb.Ambulating a client who is scheduled for discharge later in the dayc.Administering morphine IV bolus to a client who ishr postoperatived.Admitting a new client who has chronic back pain to the unit6.A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a sterilegown and gloves, which of the following actions by the newly licensed nurse demonstrates correct aseptictechnique?a.The nurse applies goggles.b.The nurse turns her back to the sterile field.c.The nurse holds her hands above her waist.d.The nurse puts on a face mask.

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7.A nurse who is caring for a group of clients delegates collection of vital signs to an assistive personnel(AP). Which of the following actions should the nurse take to evaluate the delegated task?a.Review vital sign trends at the end of the shift.b.Recheck vital signs that are outside the expected reference range.c.Ask the AP to write a summary of the delegated tasks during the shift.d.Compare the vital signs the AP obtained with those taken by another AP on a previous shift.8.A nurse is caring for four clients. Which of the following tasks can be delegated to an assistive personnel?a.Obtaining a stool sample from a client who has renal failureb.Monitoring a client who has a fluid restrictionc.Assessing a client who just returned from hemodialysisd.Reviewing dietary instructions for a client who has kidney stones9.A nurse is triaging a group of clients following a disaster. Which of the following clients should the nurserecommend for treatment first?a.A client who has a neck injury and is unable to breathe spontaneouslyb.A client who has two open chest wounds with aleft tracheal deviationc.A client who has major burns over 75% of her body surface aread.A client who has bipolar disorder and is exhibiting signs of hallucination (Class 3)10. A nurse manager is reviewing guidelines for informed consent with the nursing staff. Which of thefollowing statements by a staff nurse indicates that the teaching was effective?a.“A family member can interpret to obtain informed consent from a client who is deaf.”b.“Consent can be given by a durable power of attorney.”c.“Guardian consent is required for an emancipated minor.”d.“The nurse can answer any questions the client has about the procedure.”11. A nurse is caring for four clients. For which of the following clients should the nurse collaborate with thefacility ethics committee?a.A middle adult client who leaves the facility against medical adviceb.An older adult client who has advanced directives on filec.A young adult client who is participating in a medical research studyd.An adolescent client whose parents refuse a blood transfusion for religious reasons12. A nurse in an ambulatory care setting is orient a newly licensed nurse who is preparing to return a call to aclient. The nurse should explain that which of the following is an objective of telehealth?a.Assessing client needsb.Developing client treatment protocolsc.Providing medication reconciliationd.Establishing communication between providers (Community Health pg. 75)13. A nurse is providing discharge teaching to a client who has a new diagnosis of diabetes. The clientexpresses concern about the cost of blood-glucose monitoring supplies. Which of the following actionsshould the nurse take?a.Refer the client to the social services department.b.Provide the client with a week’s worth of supplies from the hospital (still needs help paying after)c.Ask the provider about the possibility of less frequent monitoring (pt needs to monitor often)d.Recommend the client reuse the testing lancets (breaks the safety & infection protocol)14. A charge nurse is receiving change-of-shift report. Which of the following situations should thechargenurse address first?a.A nurse on the previous shift wrote an incident report about a medication error.b.Two staff members have called to say they will be absent.c.Transport assistance is unavailable to take a client to occupational therapy.d.The emergency department nurse is waiting to give report on a new admission.15. A nurse who is precepting a newly licensed nurse is discussing the client assignment for the shift. Which ofthe following actions should the nurse preceptor take first to demonstrate appropriate time management?a.Complete required tasks.b.Review the client’s new laboratory values.c.Determine client care goals(set/plan goals)d.Document assessment data.

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16. A charge nurse is reviewing information about HIPAAwith a group of staff nurses. Which of the followingstatements by a staff nurse indicates understanding?

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a.“Clients who participate in research studies forfeit their HIPAA right to privacy.”b.“HIPAA allows facility-specific coding of client health care information to ensure privacy.”c.“HIPAA prohibits the uploading of photographs ofclient’s providersto social media sites.”d.“HIPAA allows clients to request a review of their own medical records.”17. A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, butthe client’s partner wants the surgery performed. Which of the following is the deciding factor indetermining if the surgery will be done?a.Whether the client understands the risk of refusing the procedureb.Whether the facility ethics committee reached a consensus on the casec.Whether the partner is the client’s durable power of attorney for health cared.Whether the client’s refusal is based on religious belief18. A charge nurse is planning the care of four newborns. An assistive personnel and licensed practical nurseare available for staffing. Which of the following tasks should the nurse assign to a licensed practicalnurse?a.Conduct the newborn hearing screening. (RN assessment)b.Administer a hepatitis B vaccine.c.Perform a New Ballard screening. (RN assessment)d.Obtain vital signs. (CNA)19. During a staff meeting a unit manager reviews the results for documenting client education and finds thatthey are below the benchmark. Which of the following strategies should the nurse manager implementfirst?a.Train LPNs to reinforce teaching with clients using a standardized teaching plan.b.Determine factors that interfere with the documentation of client education.c.Include documentation of client education as part of unit nurses’ annual performance evaluation.d.Offer incentives for the staff once the unit’s results are back in adherence with the benchmark.20. A nurse is explaining ethics and values to a newly licensed nurse. The nurse should explain that preventingclient injury by removing a fall hazard demonstrates which of the following ethical principles?a.Utilityb.Autonomyc.Nonmaleficenced.Veracity21.A nurse is caring for a group of clients. Which of the following clients should the nurse plan to assess first?a.A client who has congestive heart failure and has lost 0.9 kg (2 lb) in the past 24 hr (improvement)b.A client who has diabetes mellitus and reports paresthesia in his fingers and toes (ABC--circulation)c.A client who has a nasogastric tube and has crackles in the lungs (ABC--airway)d.A client who has a new diagnosis of Graves’ disease and a TSH level of 0.2 microunits/mL22. A charge nurse is planning to evacuate clients on the unit because there is a fire on another floor. Which ofthe following clients should the nurse evacuate first?a.A client who is in Buck’s traction for a left hip fracture (can’t necessarily move too much)b.A client who is 1 day postoperative following thoracic surgery and has a chest tube (possiblephysical instability)c.A client who is confused and restrained for safety (still needs continual nursing care/assessment)d.A client who is receiving IV chemotherapy and is ambulatory23. A nurse enters the room of a client who is unconscious and finds that the client’s son is reading herelectronic medical records from a monitor located at the bedside. Which of the following actions should thenurse takefirst?a.Recommend the son meet with the provider to get information about his mother’s condition.b.Report the possible violation of client confidentiality to the nurse manager.c.Complete an incident report regarding the breach of the client’s confidentiality.d.Log out the computer so that the client’s son is unable to view his mother’s information.24. A nurse is preparing a client for cardiac catheterization. Just before the procedure, the client asks the nurseabout the risks of the procedure. Which of the following actions should the nurse take?a.Explain the risks of the procedure to the client.

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b.Convey the client’s request to the nurse who witnessed the consent.c.Check to see if the medial record indicates the provider explained the procedure to the client.

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d.Notify the provider about the client’s concerns.25. A nurse is prioritizing care after receiving change-of-shift report on four clients. Which of the followingclients should the nurse assess first?a.A client who reports a headache with sensitivity to lightb.A client who reports an urge to void but has not urinated during the prior shiftc.A client who reports indigestion and pain in her jawd.A client who reports feeling lightheaded when he stands up from a lying position26. A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of thefollowing actions should the nurse takefirst?a.Discuss time management strategies with the nurses.b.Determine the reasons the nurses are not taking scheduled breaks. Assess firstc.Provide coverage for the nurses’ breaks.d.Review facility policies for taking scheduled breaks.27. A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage bonecancer to an experienced assistive personnel (AP). Which of the following assessments should the nursemake before delegating care?a.Has the AP checked the client’s pain level prior to turning her? (RN only - do not delegatewhat you can EAT = evaluate, assess, teach)b.Is the client’s family present so the AP can show them how to turn the client? (this is notnecessary)c.Has data been collected about specific client needs related to turning?(Assessment of holisticcare r/t pt needs and what the experienced AP can do)d.Does the AP have the time to change the client’s central IV line dressing after turning her? (APcannot change dressings)28. A nurse is preparing to transfer a client from the emergency department to a medical-surgical unit using theSBAR communication tool. Which of the following information should the nurse include in the backgroundportion of the report?a.A prescribed consultation -under situationb.The client’s vital signsc.The client’s name -under situationd.The client’s code status -under situation29. A nurse is planning discharge for a client who has rheumatoid arthritis. Which of the following statementsby the client should the nurse identify as an indication that a referral to anoccupationtherapistis necessary?a.“I need some help planning my meals to maintain my weight.”b.“I am tired of having pain in my joints all the time.”c.“I’m having difficulty climbing the stairs at my house.”d.“I will need assistance with bathing.”30. A nurse in the emergency department is caring for a 16-year-old client who reports abdominal pain and isaccompanied by an adult neighbor. The provider diagnoses a ruptured appendix and states that the clientrequires an emergency appendectomy. Which of the following actions should the nurse?a.Ask the adult neighbor to sign the consent form.b.Obtain consent from the hospital administrator.c.Witness the client signing the consent form.d.Attempt to notify the client’s guardian to obtain consent.31. A nurse on a medical-surgical unit is caring for four clients. Which of the following findings is the highestpriority?a.A client who had a cardiac catheterization whose capillary refill in the great toe is 4secondsb.A client who has COPD and has an oxygen saturation of 90%c.A client who had a cholecystectomy 6 hr ago and is requesting pain medicationd.A client whose TPN was discontinued 4 hr ago and is requesting clear liquids32. A charge nurse suspects that a staff nurse is chemically impaired. Which of the following actions shouldthe charge nurse take?

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a.Assign clients who are not prescribed narcotics to the staff nurse.b.Collect data about the staff nurse to support further action.c.Report the staff nurse to the facility ethics committee.

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d.Counsel the staff nurse about substance use.33. A nurse is assessing a client’s comprehension of a pulmonary function test prior to the procedure. Which ofthe following client statements indicates to the nurse an understanding of the procedure?a.“I will be given contrast dye during this test.”b.“I might have to wear a nose clip during this test.”c.“I might have a tube inserted into my airway during the test.’d.“I will run on a treadmill during this test.”34. A nurse in the emergency department is triaging four clients. Which of the following clients should thenurse recommend to be examined first?a.A toddler who has a 2 cm (0.79 in) head laceration oozing dark red bloodb.An adolescent client who has an injured ankle and reports a pain level of 8 on a scale from 0 to 10c.An older adult client who has dyspnea and a respiratory rate of 26/mind.An adult client who has large ecchymosis on both legs35. A home health nurse finds piles of newspapers in the hallway of a client’s home. The nurse explains theneed to discard the newspapers for safety reasons. The client agrees to move the newspapers into the livingroom. Which of the following conflict resolution strategies has the nurse used?a.Collaboratingb.Smoothingc.Accommodatingd.Compromising36. A nurse is planning to delegate client care assignments. Which of the following tasks should the nurse planto delegate to an assistive personnel?a.Advising a client on self-administration of acetaminophenb.Informing a family of a client’s progress in physical therapyc.Teaching a client to perform a finger-stick for testing blood glucose levelsd.Performing post mortem care prior to transferring the client to the morgue37. A nurse is providing discharge teaching to a client following a total knee arthroplasty. Which of thefollowing information should the nurse include (SATA)a.Advance directives informationb.Contact information for the physical therapistc.Medication guidelines informationd.Insurance informatione.Information about follow-up care38. A nurse is planning to discharge a client who has terminal cancer and suggests that the family might benefitfrom respite services. When the client’s partner asks how this service can help, which of the followingresponses by the nurse is appropriate?a.“This service offers psychological interventions during and after your wife’s illness.”b.“The clinicians help reduce the severity of your wife’s physical problems.”c.“This service delivers meals and supplies to reduce your errands away from home.”d.“It makes it possible for you to have some time away from caring for your wife.”39. A nurse is teaching a client how to use a finger-stick glucometer at home. Which of the followinginstructions should the nurse include?a.Warm the hands prior to piercing the skin.b.Cap the lancet prior to putting it in the trash.- never recapc.Elevate the arm for 1 min before taking the blood sample.- has to be down so gravity can assist tomilk the blood out .d.Obtain the blood sample from the finger pads.40. A nurse is assessing a client who had a recent stroke. Which of the following findings should indicate theneed for referral to anoccupational therapist?a.Receptive aphasia→ unable to understand language in its written or spoken formb.Facial drooping→ speech therapistc.Memory lossd.Unilateral neglect -is one of the disabling features of stroke, and is defined asa failure to attendto the side opposite a brain lesion.

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41. A nurse is participating in the development of a disaster management plan for a hospital. The nurse shouldrecognize that which of the following resources is the highest priority to have available in response to abioterrorism event?a.A network for communication between staff members and familiesb.A mental health specialist on the response teamc.A sufficient supply of personal protective equipmentd.A system for tracking client information42. A nurse in a clinic is reviewing laboratory reports for a group of clients. Which of the following diseasesshould the nurse report to thestate health department?a.Rotavirusb.Pertussisc.Respiratory syncytial virusd.Group B streptococcal disease43. A charge nurse is teaching a newly licensed nurse about proper cleaning of equipment used for a client whohasClostridium difficile. Which of the following solutions should the nurse recommend to cleanthe equipment?a.Chlorine bleachb.Triclosanc.Chlorhexidined.Isopropyl alcohol44. A nurse is assessing an older adult client who was brought to the emergency department by his adult son,who reports that the client fell at home. The nurse suspects elder abuse. Which of the following actionsshould the nurse take?a.Treat and discharge the client.b.Ask the client’s son to go to the waiting area.c.File an incident report.d.Ask the client about his injuries with the son present45. A nurse is completing discharge teaching with a client who is being treated for tuberculosis (TB). Which ofthe following statements by the client indicates an understanding of the teaching?a.“I need to take my prescribed medication for 3 months.”b.“I should have a sputum culture done every 2 to 4 weeks.”c.“I need to have a TB skin test done once per year.”d.“I should wear a mask while around my family.”46. An older adult client is awaiting surgery for a fractured right hip. The nurse should recognize that which ofthe following can bedelegated to an assistive personnel?a.Checking the pulses of the client’s right footb.Recording the client’s vital signsc.Turning the clientd.Determining the client’s pain level47.A charge nurse in the newborn nursery is delegating tasks to an assistive personnel (AP). Which of thefollowing is anappropriate task for the AP?a.Inspect the skin of a newborn who is receiving phototherapy. - Assessb.Answer the parents’ questions about newborn circumcision. - Teachingc.Show a new mother how to change the newborn’s diaper. - Teachingd.Obtain the weight of a newborn that is receiving formula48. A nurse is orienting a newly licensed nurse about the use of restraints. Which of the following statementsby the newly licensed nurse indicates an understanding of the teaching?a.“A provider can write a prescription for restraints ‘as needed’.”b.“I need to tie the restraint to the part of the bed frame that moves.”c.“I should tie the restraints using a square knot.”d.“I will remove a client’s restraints every 4 hours.”49. An infection control nurse is planning an education program for a group of newly licensed nurses. Whichof the following infections should the nurse include when discussing illnesses requiring dropletprecautions?

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a.Mumpsb.Rubeola

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c.Varicellad.Rotavirus50. A nurse is caring for a client who has cancer. The client and her partner are asking the nurse about hospiceare. Which of the following statements by the nurse is appropriate?a.“Hospice care will prolong the life expectancy of clients who are terminally ill.”b.“Hospice care is a multidisciplinary program for clients who are terminally ill.”c.“Hospice care is helpful for clients at various stages of chronic illness.”d.“Hospital access is no longer available for clients who are in hospice care.”51. A nurse is planning care for a client who has Addison’s disease. Which of the following tasks should thenurse plan to delegate to an assistive personnel?a.Decide how often to measure vital signs.b.Explain to the client about a 24-hr urine specimen collection.c.Determine the client’s muscle strength prior to ambulation.d.Remind the client to change positions slowly.52.A charge nurse discovers that a staff nurse on the unit has made repeated medication errors. Which of thefollowing actions should the charge nurse takefirst?a.Notify the risk management department of the situation. (4)b.Review with the nurse the principles of medication administration. (2)c.Ask the nurse to describe her medication administration procedure.(1)d.Identify education opportunities for the nurse regarding safe medication administration. (3)53. A case manager is reviewing documentation on several clients and notes a progress report that falselyidentifies a client as HIV-positive due to multiple sexual partners. The nurse manager should identify thatwhich of the following torts has occurred? P. 42 ch 3a.Libel: talking bad about someone via writing it in notesb.Battery : intentional/wrongful physical contactc.Slander : Defamation with the spoken wordd.Negligence54. A nurse is preparing a client for an elective mastectomy. The client is wearing a plain gold wedding band.Which of the following is an appropriate procedure for taking care of this client’s ring?a.Place the client’s ring in the facility safe.b.Tape the ring securely to the client’s finger.c.Place the ring in the bad with the client’s clothing.d.Agree to keep the ring for the client until after surgery.55. A nurse is prioritizing postpartum care for four clients. Which of the following actions should the nursetakefirst?a.Assist a client who requests help breastfeeding her 4-hr-old newborn.b.Administer RH immune globulin to a client who is Rh-negative and 6 hr postpartum.c.Check uterine tone for a client who received methylergonovine-if the uterine tone is notd.Instruct a client who has an episiotomy about a sitz bath.56. A hospice nurse is caring for a client who has a terminal illness and reports severe pain. After the nurseadministers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse.Which of the following actions should the nurse take?a.Withhold the benzodiazepine but continue the opioid.b.Contact the provider about replacing the opioid with an NSAID.c.Administer the benzodiazepine but withhold the opioid.d.Continue the medication dosages that relieve the client’s pain.57. A nurse is observing an assistive personnel (AP) administer 0.9% sodium chloride enema to an adult client.For which of the following actions by the AP should the nurse intervene?a.Administers the solution at room temperatureb.Points tubing in the direction of the umbilicus during insertionc.Position the client on her left side with knees flexedd.Inserts the tubing 8 cm (3.1 in) into the rectum58.A nurse is providing information to a client aboutadvance directives.The nurse should explain thatadvance directives include which of the following?P . 38 ch 3

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a.Instructions regarding treatments the client desires or does not desire-(livings wills anddurable power of attorney make up AD).

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b.Information regarding the disposition of the client’s body upon deathc.Information regarding organ donationd.A form with directions for contacting next of kin59.A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of thefollowing clients is thehighest priority?a.A client who has peripheral vascular disease ad has an absent pedal pulse in the rightfootb.A client who is newly diagnosed with pancreatic cancer and is scheduled to begin IVchemotherapy.c.A client who has methicillin-resistantStaphylococcus aureus(MRSA) and has anaxillary temperature of 38C (101F)d.A client who is postoperative following a laminectomy 12 hr ago and is unable to void60. A staff development nurse is giving an in-service presentation about advocacy in nursing. Which of thefollowing statements by a nurse indicates an understanding of the role of aclient advocate?a.“In the role of client advocate, I should take responsibility for coordinating each client’s care.”b.“As a client advocate, I will suggest the best course of action for clients who are indecisive.”c.“My role as a client advocate is to empower the clients to make informed healthcaredecisions.”d.“As a client advocate, I will adhere to the provider’s prescribed treatments.”61. A nurse manager observes an assistive personnel (AP) incorrectly transferring a client to the bedsidecommode. Which of the following actions should the nurse take first?a.Refer the AP to the facility procedure manual.b.Instruct the AP to request assistance when unsure about a task.c.Help the AP assist the client with the transfer.d.Demonstrate the proper client transfer technique for the AP.62. A nurse at the local health department is caring for four clients who have communicable diseases. Which ofthe following infections should the nurse report to the state health department?a.Chlamydia trachomatisb.Pediculosis capitisc.Impetigo contagiosad.Candida albicans63. A charge nurse witnesses two nurses having a loud discussion at the nurses’ station about not wanting tocare for a client who has drug-resistant tuberculosis. Which of the following actions should the chargenurse take?a.Escort the nurses to the nurses’ lounge to continue the discussion.b.Recommend that both nurses be terminated.c.Make arrangements to take over the client’s care.d.Contact the house supervisor to mediate the conflict.64. A newly licensed nurse is floating to an unfamiliar unit and determines that he does not have sufficientexperiences to safely care for his assigned clients. Which of the following actions should the nurse take?a.Accept the assignment with help from assistive personnel on the unit.b.Request that the charge nurse modify the assignment.c.Document the concern in the nurse’s notes.d.Notify the risk manager.65. A nurse is conducting an in-service about the nursing code of ethics with a group of newly licensed nurses.Which of the following information should the nurse include in the teaching as an example of advocacy?a.Recommending a referral for a client who requires physical therapyb.Suggesting a client’s partner attend a support group for emotional supportc.Evaluating a client’s home for safety hazardsd.Completing an incident report following a medication error66. A charge nurse in the emergency department is supervising a nurse who is floating from the medical-surgical unit. Which of the following assignments is appropriate for the float nurse?a.Administer IV nitroglycerin to a client who is experiencing chest pain.

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b.Perform a urinary catheterization for a client who has experienced acerebrovascular accident.c.Set up a trauma room for an incoming client who was in a motor-vehicle crash.d.Complete a SAD PERSONS assessment scale for a client who has attempted suicide.

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