ATI Leadership Proctored Exam - Nurselytic

Correct Answer: B

Rationale: The correct answer is B: Wipe the top of the formula can with alcohol. This is the first action the nurse should take because it ensures the cleanliness and sterility of the formula before administering it to the client through the NG tube, reducing the risk of contamination and infection.

A: Making sure the enteral formula is at room temperature is important but not the first action to take.
C: Rinsing the feeding bag with water between feedings is not necessary for every feeding and does not address the immediate need to ensure the cleanliness of the formula.
D: Instructing the client to keep the head of the bed elevated is important for preventing aspiration but is not the first action to take in this scenario.

Correct Answer: A

Rationale: The correct answer is A: Moral suffering. This is because moral suffering refers to the emotional and psychological distress experienced when one's moral values or beliefs are compromised. In this scenario, the nurses are feeling uneasiness and discomfort due to an ethical issue, which aligns with the concept of moral suffering.

Incorrect choices:
B: Moral distress: While moral distress involves the awareness of the morally right course of action but feeling unable to follow it due to external constraints, it doesn't fully capture the emotional turmoil experienced by the nurses in this situation.
C: Ethical dilemma: An ethical dilemma involves having to choose between two conflicting moral principles or courses of action, which may not fully encapsulate the emotional distress experienced by the nurses.
D: Veracity: Veracity refers to truthfulness or accuracy in communication, which is not directly related to the emotional distress experienced by the nurses in this scenario.

Correct Answer: B

Rationale: The correct answer is B: Number of scheduled days missed.
Total time lost refers to the actual working days that were missed as per the employee's schedule.
Choice A considers only the days off requested, which may not align with the actual days missed.
Choice C is incorrect because it does not specify if the days missed were part of the schedule.
Choice D is incorrect as it refers to perception rather than actual days missed.
Therefore, B is the most accurate measure of total time lost in terms of work productivity.

Correct Answer: B

Rationale: The correct answer is B because cultural competence in nursing involves adapting care to meet the cultural needs and preferences of each individual patient. This includes understanding and respecting their beliefs, values, and practices to provide effective and respectful care. Ignoring cultural differences (
A) goes against the core principle of cultural competence. Simply learning about different cultures (
C) is not enough; it is essential to apply that knowledge in practice. Teaching cultural awareness (
D) is important but does not fully capture the holistic approach of adapting care to meet cultural needs.

Correct Answer: D

Rationale: The correct answer is D: Physical therapy for stroke rehabilitation. Tertiary prevention focuses on minimizing the impact of an existing disease or condition. Physical therapy for stroke rehabilitation is an example of tertiary prevention because it aims to improve the quality of life and functionality of an individual who has already experienced a stroke. Administering childhood vaccinations (
A) is an example of primary prevention to prevent the onset of diseases. Chemotherapy for cancer treatment (
B) is an example of secondary prevention to detect and treat existing cancer. Routine screening for hypertension (
C) is an example of secondary prevention to identify and manage hypertension before it progresses.