ATI RN
ATI Leadership Proctored Exam 2019 Quizlet Questions
Question 1 of 5
A diabetic patient who has reported burning foot pain at night receives a new prescription. Which information should the nurse teach the patient about amitriptyline (Elavil)?
Correct Answer: B
Rationale: The correct answer is B because amitriptyline is a tricyclic antidepressant that works by inhibiting the reuptake of serotonin and norepinephrine, thus helping to prevent the transmission of pain impulses to the brain. This mechanism of action is effective in managing neuropathic pain, such as burning foot pain in diabetic patients. Choices A, C, and D are incorrect because amitriptyline's primary mechanism of action is related to its effects on neurotransmitter reuptake, not directly related to mood improvement, blood vessel changes, or sleep improvement.
Question 2 of 5
A nurse is caring for a client who is scheduled to be transferred to a long-term care facility. The client's family questions the nurse about the reasons for the transfer. Which of the following responses made by the nurse is appropriate?
Correct Answer: A
Rationale: Step 1: The nurse's response should be professional and informative. Step 2: Response A provides a clear and professional explanation for the transfer. Step 3: Mentioning the provider's decision conveys expertise and reassurance to the family. Step 4: It shows respect for the provider's judgment and helps build trust with the family. Step 5: Responses B, C, and D do not directly address the family's concerns or provide a suitable explanation for the transfer.
Question 3 of 5
A nurse is planning care of an adolescent who is postoperative following a lumbar laminectomy. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C. Encouraging the adolescent's guardian to assist with personal hygiene is crucial after a lumbar laminectomy. Postoperatively, the adolescent may require assistance with activities of daily living due to limited mobility and risk of injury. Involving the guardian ensures proper care and promotes faster recovery. Choice A is incorrect as limiting visitors can negatively impact the adolescent's emotional well-being and support system. Choice B is incorrect as food choices are not typically restricted postoperatively unless medically necessary. Choice D is incorrect as the adolescent may not be in the optimal state to make decisions regarding their daily routine immediately after surgery.
Question 4 of 5
While caring for a client with tuberculosis, which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Use antimicrobial sanitizer for hand hygiene. Hand hygiene is crucial in preventing the spread of tuberculosis. TB is transmitted through respiratory droplets, not contact, so wearing a mask (choice B) is not effective. Limiting visitor time (choice C) may help reduce exposure, but hand hygiene is more critical. Wearing gloves for oral care (choice D) is important for standard precautions, but hand hygiene is the priority for TB prevention.
Question 5 of 5
A client who had a stroke resulting in aphasia and dysphagia needs assistance. Which of the following tasks should the nurse assign to an assistive personnel (AP)?
Correct Answer: A
Rationale: The correct answer is A: Assist the client with a partial bed bath. This task can be safely delegated to an assistive personnel (AP) because it does not require any specialized medical knowledge or skills. The AP can follow standard protocols and guidelines to assist the client with personal hygiene while ensuring safety and comfort. Choice B is incorrect because measuring the client's BP after administering medication requires clinical judgment and knowledge to interpret the results. Choice C is incorrect as testing swallowing ability involves potential risks and requires specialized training to prevent aspiration. Choice D is incorrect as using a communication board involves understanding the client's needs and preferences, which may require communication skills and knowledge of aphasia management.