ATI RN
ATI Leadership Practice A Questions
Question 1 of 5
In order to assist an older diabetic patient to engage in moderate daily exercise, which action is most important for the nurse to take?
Correct Answer: A
Rationale: Correct answer: A. Determine what type of activities the patient enjoys. Rationale: 1. By determining the patient's preferred activities, the nurse can tailor an exercise plan that is more likely to be enjoyable and sustainable for the patient. 2. Enjoyable activities increase motivation and adherence to exercise regimen, leading to better outcomes for the patient. 3. Personalized approach considers the patient's interests and abilities, promoting a positive experience with exercise. Summary: B: Reminding the patient about self-esteem doesn't address individual preferences for exercise. C: Teaching about glucose levels is important but not as crucial as personalizing the exercise plan. D: Providing a list of activities may not consider the patient's preferences and may not lead to sustained engagement.
Question 2 of 5
A 26-year-old patient with diabetes rides a bicycle to and from work every day. Which site should the nurse teach the patient to administer the morning insulin?
Correct Answer: C
Rationale: The correct site to administer morning insulin for a patient who rides a bicycle daily is the abdomen. The abdomen has consistent and faster absorption rates due to increased blood flow and muscle activity during exercise, ensuring better insulin absorption and efficacy. Insulin absorption is slower in the thigh and buttock due to less muscle movement and blood flow. The upper arm may not be as convenient for self-administration and may result in inconsistent absorption.
Question 3 of 5
A few weeks after an 82-year-old with a new diagnosis of type 2 diabetes has been placed on metformin (Glucophage) therapy and taught about appropriate diet and exercise, the home health nurse makes a visit. Which finding by the nurse is most important to discuss with the healthcare provider?
Correct Answer: C
Rationale: The correct answer is C: Glomerular filtration rate is decreased. This finding is most important to discuss because metformin can potentially worsen kidney function, especially in older adults. A decreased GFR could indicate renal impairment, making it necessary to reevaluate the medication regimen. A: Hemoglobin A1C level is 7.9% - While this indicates poor diabetic control, it is not as urgent as addressing potential renal issues with metformin. B: Last eye exam was 18 months ago - While regular eye exams are important for diabetic patients, it is not as critical as addressing renal function. D: Patient has questions about the prescribed diet - While patient education is crucial, it is not as urgent as addressing potential renal complications. In summary, the priority is to address the decreased GFR to ensure the patient's safety and well-being.
Question 4 of 5
A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Secure the restraint ties to the bed's side rails. This is important for ensuring the client's safety and preventing harm. Attaching the restraints to the side rails allows for proper immobilization without causing injury or restricting circulation. Padding the client's wrists (choice A) can be uncomfortable and ineffective. Evaluating circulation every 8 hours (choice B) is not frequent enough for monitoring potential issues. Removing restraints every 4 hours (choice D) can increase the risk of injury and should only be done as necessary.
Question 5 of 5
A client is discussing the use of herbal supplements for health promotion with a nurse. Which of the following client statements indicates an understanding of herbal supplement use?
Correct Answer: D
Rationale: The correct answer is D because ginkgo biloba is commonly used to improve memory and cognitive function, not to relieve nausea. Echinacea is known for immune support (A), feverfew for migraine prevention (B), and ginger for nausea relief (C). Understanding the intended use of each herb is crucial for safe and effective supplementation.