ATI RN
ATI Leadership Questions
Question 1 of 5
A female patient is scheduled for an oral glucose tolerance test. Which information from the patient’s health history is most important for the nurse to communicate to the health care provider?
Correct Answer: A
Rationale: The correct answer is A: The patient uses oral contraceptives. This information is important because oral contraceptives can affect glucose tolerance test results. The hormones in oral contraceptives can impact insulin sensitivity, potentially leading to inaccurate test results. It is crucial for the healthcare provider to be aware of this as it may influence the interpretation of the test. Other choices are incorrect: B: The patient runs several days a week - This information is not directly relevant to the oral glucose tolerance test and does not impact the test results. C: The patient has been pregnant three times - While pregnancy can affect glucose tolerance, the current pregnancy status of the patient is not as pertinent as the use of oral contraceptives in this specific context. D: The patient has a family history of diabetes - Although family history is a risk factor for diabetes, it is not as immediately relevant to the oral glucose tolerance test as the use of oral contraceptives.
Question 2 of 5
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching they received about pain management?
Correct Answer: D
Rationale: Step 1: The client is verbalizing pain as a 2 indicating mild pain. Step 2: The client understands the preoperative teaching if they prioritize mobility despite mild pain. Step 3: Choice D reflects this understanding, as the client is aware of the importance of walking postoperatively. Step 4: Choices A, B, and C do not demonstrate understanding of preoperative teaching as they focus on increasing medication, distracting from pain, and using music for comfort rather than prioritizing mobility. Summary: Choice D is correct as it aligns with the goal of postoperative pain management, while choices A, B, and C do not address the importance of mobility in pain management.
Question 3 of 5
In preparation for a client's procedure with a latex allergy, which of the following precautions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Wear hypoallergenic latex gloves that do not contain powder. This is the best precaution because it minimizes the risk of the client having an allergic reaction to latex during the procedure. Powdered latex gloves can release latex particles into the air, increasing the likelihood of a reaction. Hypoallergenic gloves are designed to reduce the risk of allergic responses. Choice A is incorrect as ethylene oxide is used for sterilization of medical equipment, not specifically for latex allergy precautions. Choice C is incorrect because cleansing latex ports with chlorhexidine does not address the risk of latex exposure. Choice D is also incorrect as wrapping monitoring cords does not directly address the issue of latex allergy.
Question 4 of 5
A middle adult client tells the nurse, 'I feel so useless now that my children do not need me anymore.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because it validates the client's feelings by acknowledging the common experience of middle adults feeling a sense of purpose through nurturing others. This response shows empathy and understanding, which can help the client feel heard and supported. Choice B is incorrect because it immediately delves into exploring the reasons behind the feelings without first acknowledging or validating them. This approach may come off as dismissive or insensitive. Choice C is incorrect because it brushes off the client's feelings by emphasizing the positive aspect of children becoming independent, without addressing the client's emotional distress. Choice D is incorrect because it makes a generalization about happiness related to children leaving home without directly addressing the client's specific feelings of uselessness. It does not acknowledge or validate the client's emotions.
Question 5 of 5
A nurse is assessing a client who received an IV fluid bolus for dehydration. Which of the following findings should the nurse identify as an indication of fluid volume excess?
Correct Answer: B
Rationale: The correct answer is B: Distended neck veins. When a client has fluid volume excess, there is an accumulation of fluid in the intravascular space, leading to increased venous pressure. Distended neck veins are a classic sign of fluid overload as they indicate increased central venous pressure. Hypotension (A) is more commonly associated with fluid volume deficit. Slow capillary refill (C) and weak, thready pulse (D) are indicative of poor tissue perfusion, which is more commonly seen in fluid volume deficit rather than excess.