ATI RN
ATI Leadership Proctored Exam 2019 Quizlet Questions
Question 1 of 5
An active 28-year-old male with type 1 diabetes is being seen in the endocrine clinic. Which finding may indicate the need for a change in therapy?
Correct Answer: B
Rationale: The correct answer is B because a blood pressure of 146/88 mmHg indicates hypertension, which is a common complication of diabetes. High blood pressure can lead to cardiovascular complications and may warrant a change in therapy. A: Hemoglobin A1C level 6.2% is within the target range for diabetes control. C: Resting heart rate of 58 beats/minute is within the normal range for an active individual. D: HDL level of 65 mg/dL is considered high and is actually beneficial for cardiovascular health.
Question 2 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 3 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 4 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.
Question 5 of 5
A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the client's pain?
Correct Answer: D
Rationale: The correct answer is D: Is your pain sharp or dull? This question helps differentiate between different types of pain, which can provide valuable information about the underlying cause and guide appropriate interventions. Sharp pain is often associated with nerve or tissue damage, while dull pain may indicate inflammation or muscle strain. Asking about the quality of pain is crucial in pain assessment. A: Is your pain constant or intermittent? - This question focuses on the duration of pain rather than the quality. B: What would you rate your pain on a scale of 0 to 10? - This question assesses pain intensity, not quality. C: Does the pain radiate? - This question assesses pain distribution, not quality.