ATI RN
ATI Proctored Leadership Exam Questions
Question 1 of 5
A healthcare professional is caring for a client who has a sodium level of 125 mEq/L (136 to 145 mEq/L). Which of the following findings should the healthcare professional expect?
Correct Answer: D
Rationale: The correct answer is D: Abdominal cramping. A sodium level of 125 mEq/L indicates hyponatremia, which can lead to abdominal cramping due to electrolyte imbalance affecting muscle function. Chvostek's sign (choice A) is associated with hypocalcemia, not hyponatremia. Bradycardia (choice B) is more commonly seen in hyperkalemia. Numbness of the extremities (choice C) is a symptom of hypocalcemia or peripheral neuropathy, not specifically related to hyponatremia. In summary, the healthcare professional should expect abdominal cramping as a result of the low sodium level in this client.
Question 2 of 5
A nurse is caring for a client with a diagnosis of terminal cancer. Which of the following statements by the client should indicate to the nurse that the client is ready to hear information regarding palliative care?
Correct Answer: C
Rationale: The correct answer is C because the client's statement demonstrates a desire for comfort-focused care, which is the essence of palliative care for terminal cancer patients. The client is expressing a clear preference for measures that prioritize comfort and quality of life over aggressive treatment. This indicates readiness to receive information about palliative care. Choice A is incorrect because the client mentions chemotherapy for a cure, indicating a focus on curative treatment rather than comfort care. Choice B is incorrect as the client seems to be expressing a desire for a quick end to their suffering, which may not align with palliative care goals. Choice D is incorrect because the client is expressing unrealistic optimism about recovery, which may hinder acceptance of palliative care.
Question 3 of 5
A nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. Which of the following precautions should the nurse plan for this client?
Correct Answer: A
Rationale: The correct answer is A: Wear an N95 respirator when giving direct care to the client. This is correct because allogeneic stem cell transplant recipients are at high risk for infection due to immunosuppression. An N95 respirator helps protect the nurse from inhaling airborne pathogens when in close contact with the client. Choice B is incorrect because negative-pressure airflow rooms are typically used for clients with airborne infections, not for those at risk due to immunosuppression. Choice C is incorrect because although adequate air exchanges are important for infection control, it is not the specific precaution needed for a client with an allogeneic stem cell transplant. Choice D is incorrect because wearing a mask outside the room is not as effective in preventing transmission of infections as wearing an N95 respirator during direct care.
Question 4 of 5
A recent nursing school graduate is preparing to take the NCLEX. The graduate knows which of the following is true?
Correct Answer: C
Rationale: Step 1: The correct answer is C because the nurse can practice in other compact states if her home state participates in the compact agreement. Step 2: The Nurse Licensure Compact (NLC) allows nurses to practice in other compact states with one multistate license. Step 3: Nurses must maintain an active license in their home state and follow the regulations of the compact agreement. Step 4: Answer A is incorrect as graduates can use the title RN upon passing the NCLEX. Step 5: Answer B is incorrect as the nurse must meet each state's requirements to practice there with the compact license. Step 6: Answer D is incorrect as the RN license is not mandatory if the nurse does not intend to practice.
Question 5 of 5
A registered nurse (RN) is caring for a patient who is one of Jehovah’s Witnesses and has refused a blood transfusion even though her hemoglobin is dangerously low. After providing information about all the alternatives available and risks and benefits of each, the health-care provider allows the patient to determine which course of treatment she would prefer. The RN knows this is an example of which ethical principle?
Correct Answer: A
Rationale: The correct answer is A: Autonomy. Autonomy refers to the patient's right to make their own decisions about their healthcare, including the choice to refuse treatment. In this scenario, the healthcare provider respects the patient's autonomy by providing information and allowing her to make an informed decision, even if it goes against medical advice. This upholds the patient's right to self-determination and control over her own body. Summary: B: Nonmaleficence - This principle focuses on doing no harm to the patient, but in this case, respecting the patient's autonomy takes precedence. C: Beneficence - This principle involves acting in the patient's best interest, but in this scenario, respect for autonomy is the primary consideration. D: Distributive justice - This principle is about fair distribution of resources and care, which is not directly relevant to the patient's right to make decisions about her own treatment.