ATI RN
ATI Leadership Proctored Questions
Question 1 of 5
In which order will the nurse take these steps to prepare NPH 20 units and regular insulin 2 units using the same syringe? (Put a comma and a space between each answer choice [A, B, C, D, E]).
Correct Answer: C
Rationale: The correct order is C. First, rotate the NPH vial to mix the insulin. Then, inject 20 units of air into the NPH vial to prevent a vacuum. Next, inject 2 units of air into the regular insulin vial to maintain pressure. After that, withdraw the regular insulin to avoid contamination. Finally, withdraw 20 units of NPH, ensuring the correct dosage. This order ensures proper mixing, prevents contamination, and maintains accurate dosing. Other choices have incorrect sequences that may result in inaccurate dosing or contamination.
Question 2 of 5
A client is refusing a blood transfusion for religious reasons. The client's partner wants the client to have the blood transfusion. Which of the following actions should be taken?
Correct Answer: A
Rationale: The correct answer is A. Asking the client to consider a direct donation respects their religious beliefs while also addressing the partner's concerns. This option promotes patient autonomy and involves the client in decision-making. B: Withholding the blood transfusion disregards the client's autonomy and may lead to ethical issues. C: This is a repeated option and does not provide a different course of action. D: Requesting a consultation with the ethics committee may delay necessary treatment and should be considered only when there is a significant ethical dilemma beyond this situation.
Question 3 of 5
A healthcare professional is admitting a client who has rubella. Which of the following types of transmission-based precautions should the nurse initiate?
Correct Answer: B
Rationale: The correct answer is B: Protective environment. Rubella is transmitted through droplets and requires the use of protective environment precautions due to its high infectivity. This includes a private room with controlled airflow and specialized ventilation. Airborne precautions (A) are for diseases spread through small particles in the air, like tuberculosis. Contact precautions (C) are for diseases spread by direct or indirect contact with the patient or their environment. Droplet precautions (D) are for diseases transmitted through respiratory droplets, like influenza. In the case of rubella, protective environment precautions are necessary to prevent the spread of the virus to other vulnerable individuals.
Question 4 of 5
A nurse manager is preparing to review medication documentation with a group of newly licensed nurses. Which of the following statements should the nurse manager plan to include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Use the abbreviation SC when indicating a subcutaneous injection. This is important because using standardized abbreviations helps prevent medication errors. SC is the accepted abbreviation for subcutaneous injections, ensuring clear communication among healthcare providers. Choice A is incorrect as using the complete name of medications can be time-consuming and unnecessary in documentation. Choice B is incorrect as spaces should be maintained between the numerical dose and the unit of measure for clarity. Choice D is incorrect as 'U' is not the standard abbreviation for insulin dosage; instead, units should be written in full to avoid confusion.
Question 5 of 5
An RN is explaining to a student nurse what professionalism in nursing means. Which of the following statements, if made by the student nurse, demonstrates teaching has been successful?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Commitment to others implies putting patients' needs first, being honest, and taking responsibility for one's actions. 2. Being honest and accountable are key components of professionalism in nursing. 3. Accountability ensures that patients receive safe and quality care. 4. Encouraging honesty and accountability among colleagues promotes a culture of safety and trust. Summary: - Choice A is correct as it aligns with the principles of professionalism in nursing. - Choices B, C, and D do not directly address the core aspects of professionalism, such as honesty, accountability, and prioritizing patient care.