ATI RN
ATI Proctored Leadership Exam Questions
Question 1 of 5
A nurse needs to know how to increase her power base. Which of the following are ways nurses can generate power as described by Umiker?
Correct Answer: D
Rationale: The correct answer is D because all the options mentioned contribute to increasing a nurse's power base. A: Using body language and standing when talking can convey confidence and assertiveness, enhancing power. B: Listening for feelings builds rapport and empathy, leading to influence and power. C: Using words effectively and avoiding clichés demonstrates communication skills, influencing power dynamics. Therefore, by combining these strategies, nurses can maximize their power base effectively.
Question 2 of 5
The nurse determines a need for additional instruction when the patient with newly diagnosed type 1 diabetes says which of the following?
Correct Answer: C
Rationale: The correct answer is C because stating "I can choose any foods, as long as I use enough insulin to cover the calories" shows a lack of understanding of diabetes management. In type 1 diabetes, it's crucial to follow a balanced diet to regulate blood sugar levels. Choosing any foods without considering their impact on blood sugar control can lead to unstable glucose levels. Explanation for why the other choices are incorrect: A: Choosing to have an occasional alcoholic drink if included in the meal plan is acceptable as long as it's done in moderation and accounted for in the overall diabetes management plan. B: Needing a bedtime snack with NPH insulin is appropriate to prevent hypoglycemia overnight. D: Eating something at meal times to prevent hypoglycemia, even if not hungry, is a good practice to maintain stable blood sugar levels.
Question 3 of 5
The nurse identifies a need for additional teaching when the patient who is self-monitoring blood glucose
Correct Answer: B
Rationale: The correct answer is B because choosing a puncture site in the center of the finger pad can lead to increased pain and potential nerve damage. Washing the puncture site with warm water and soap (A) is important for hygiene. Hanging the arm down before puncturing (C) can help with blood flow. Interpreting a blood sugar level of 120 mg as good control (D) is incorrect as it is above the normal range. By selecting the center of the finger pad, the patient risks causing unnecessary pain and nerve damage.
Question 4 of 5
Which action by a patient indicates that the home health nurse’s teaching about glargine and regular insulin has been successful?
Correct Answer: D
Rationale: Step 1: Glargine and regular insulin should not be mixed in the same syringe as they have different onset and duration of action. Step 2: Administering glargine 30 minutes before each meal is incorrect as it is a long-acting insulin. Step 3: Pre-filling syringes weekly with the mix of insulins can lead to incorrect dosing or contamination. Step 4: Disposing of open vials after 4 weeks is the correct action to ensure potency and safety of the insulin. Summary: Choice D is correct because it demonstrates proper insulin storage and disposal practices. Choices A, B, and C are incorrect as they involve incorrect administration techniques or storage practices.
Question 5 of 5
After the nurse has finished teaching a patient who has a new prescription for exenatide (Byetta), which patient statement indicates that the teaching has been effective?
Correct Answer: C
Rationale: The correct answer is C. This statement indicates effective teaching because taking aspirin at least an hour before exenatide (Byetta) helps prevent any potential interactions between the two medications. By understanding the importance of timing, the patient shows comprehension of medication management and potential risks. Incorrect choices: A: This choice is incorrect because exenatide is known to reduce appetite, not increase hunger. B: This choice is incorrect because hypoglycemia is still a risk with exenatide, especially if used with other medications that lower blood sugar. D: This choice is incorrect because exenatide is injected, not taken as a pill, and should be taken before meals, not with breakfast.