ATI RN
Leadership ATI Proctored Questions
Question 1 of 5
A 26-year-old female with type 1 diabetes develops a sore throat and runny nose after caring for her sick toddler. The patient calls the clinic for advice about her symptoms and a blood glucose level of 210 mg/dL despite taking her usual glargine (Lantus) and lispro (Humalog) insulin. The nurse advises the patient to
Correct Answer: C
Rationale: The correct answer is C: monitor blood glucose every 4 hours and notify the clinic if it continues to rise. In this scenario, the patient is experiencing an illness (sore throat and runny nose) which can lead to elevated blood glucose levels due to increased stress hormones. It is essential to closely monitor blood glucose levels to prevent hyperglycemia-related complications. The nurse's advice aligns with the goal of closely monitoring the patient's condition and seeking medical attention if blood glucose levels continue to rise. Choice A is incorrect because using only lispro insulin may not be sufficient to manage the elevated blood glucose levels caused by illness. Choice B is incorrect as limiting calorie intake may not be the appropriate action to take in this situation. Choice D is incorrect because decreasing carbohydrate intake based on glycosylated hemoglobin levels is not an immediate solution to address the current elevated blood glucose levels due to illness.
Question 2 of 5
Which nursing action can the nurse delegate to unlicensed assistive personnel (UAP) working in the diabetic clinic?
Correct Answer: A
Rationale: The correct answer is A, "Measure the ankle-brachial index." This task involves using a blood pressure cuff and Doppler ultrasound to assess blood flow in the lower extremities, which is within the scope of practice for UAPs. It is a non-invasive procedure that does not require specialized training. Choice B, "Check for changes in skin pigmentation," involves assessing for potential skin changes related to circulation issues, which requires more in-depth knowledge and interpretation than what UAPs are trained for. Choice C, "Assess for unilateral or bilateral foot drop," involves evaluating muscle strength and nerve function, which requires clinical judgment and knowledge beyond the scope of UAP practice. Choice D, "Ask the patient about symptoms of depression," involves assessing mental health and requires communication skills and training that UAPs do not typically have.
Question 3 of 5
During a physical assessment of adult clients, which of the following techniques should the nurse use?
Correct Answer: B
Rationale: Step 1: Palpating the client's abdomen before auscultating bowel sounds is the correct technique during a physical assessment. This sequence is important because palpation can potentially disrupt bowel sounds, leading to inaccurate assessment results. Step 2: Palpation helps to identify any tenderness, masses, or abnormalities in the abdomen before proceeding to auscultate bowel sounds. This way, any abnormal findings during palpation can be correlated with bowel sound assessment. Step 3: By following this sequence, the nurse ensures a systematic and accurate assessment of the client's abdomen, which is crucial for detecting any gastrointestinal issues or abnormalities. In summary, option B is correct because it follows the appropriate sequence of assessment techniques, ensuring a thorough and accurate evaluation of the client's abdomen. Options A, C, and D are incorrect because they do not pertain to the correct sequence or technique for assessing the abdomen during a physical assessment.
Question 4 of 5
A nurse is talking with the partner of a client who has dementia. The client's partner expresses frustration about finding time to manage household responsibilities while caring for their partner. The nurse should identify that the partner is experiencing which of the following types of role-performance stress?
Correct Answer: C
Rationale: The correct answer is C: Role conflict. Role conflict occurs when an individual experiences conflicting demands from different roles they hold, causing stress. In this scenario, the partner is struggling to balance the roles of caregiver and managing household responsibilities, leading to frustration. A: Role ambiguity refers to uncertainty or lack of clarity about one's responsibilities, which is not evident in the scenario. B: Role overload is when an individual has too many responsibilities to manage effectively, but in this case, the partner is specifically struggling with conflicting roles. D: Sick role is when an individual's illness affects their ability to fulfill their roles, which is not the primary issue in this scenario. In summary, the partner's frustration in balancing caregiving and household responsibilities indicates role conflict as the correct type of role-performance stress being experienced.
Question 5 of 5
A nurse is assessing a client's readiness to learn about insulin self-administration. Which of the following statements should the nurse identify as an indication that the client is ready to learn?
Correct Answer: D
Rationale: The correct answer is D because it shows the client is willing to involve their partner in the learning process, indicating readiness for education. Involving a partner can enhance support and understanding, leading to better adherence. A: Time preference does not directly relate to readiness to learn about insulin. B: Difficulty reading instructions due to glasses is a practical issue, not an indicator of readiness. C: Expressing doubt or questioning the necessity of learning indicates potential resistance or lack of motivation.