ATI RN
ATI Leadership Questions
Question 1 of 5
Which question during the assessment of a diabetic patient will help the nurse identify autonomic neuropathy?
Correct Answer: A
Rationale: Rationale: Autonomic neuropathy affects digestion, leading to bloating after eating. This symptom is related to the dysfunction of the autonomic nervous system. Skin changes, insulin dosage changes due to stress, and new ulcerations are not specific to autonomic neuropathy. Bloated feeling after eating is a classic symptom of autonomic neuropathy due to impaired gastrointestinal motility.
Question 2 of 5
1. To monitor for complications in a patient with type 2 diabetes, which tests will the nurse in the diabetic clinic schedule at least annually (select one that doesn't apply)?
Correct Answer: C
Rationale: Step-by-step rationale for correct answer (C): 1. Chest x-ray is not routinely recommended for monitoring complications of type 2 diabetes. 2. Annual blood pressure monitoring is crucial for assessing cardiovascular risk in diabetic patients. 3. Serum creatinine test helps evaluate kidney function, which is often impaired in diabetes. 4. Urine microalbuminuria test detects early signs of kidney damage, common in diabetes. Summary of incorrect choices: A: Blood pressure monitoring is essential for assessing cardiovascular risk in diabetes. B: Serum creatinine test is important for evaluating kidney function in diabetic patients. D: Urine microalbuminuria test helps detect early kidney damage in diabetes.
Question 3 of 5
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching they received about pain management?
Correct Answer: D
Rationale: Step 1: The client is verbalizing pain as a 2 indicating mild pain. Step 2: The client understands the preoperative teaching if they prioritize mobility despite mild pain. Step 3: Choice D reflects this understanding, as the client is aware of the importance of walking postoperatively. Step 4: Choices A, B, and C do not demonstrate understanding of preoperative teaching as they focus on increasing medication, distracting from pain, and using music for comfort rather than prioritizing mobility. Summary: Choice D is correct as it aligns with the goal of postoperative pain management, while choices A, B, and C do not address the importance of mobility in pain management.
Question 4 of 5
In preparation for a client's procedure with a latex allergy, which of the following precautions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Wear hypoallergenic latex gloves that do not contain powder. This is the best precaution because it minimizes the risk of the client having an allergic reaction to latex during the procedure. Powdered latex gloves can release latex particles into the air, increasing the likelihood of a reaction. Hypoallergenic gloves are designed to reduce the risk of allergic responses. Choice A is incorrect as ethylene oxide is used for sterilization of medical equipment, not specifically for latex allergy precautions. Choice C is incorrect because cleansing latex ports with chlorhexidine does not address the risk of latex exposure. Choice D is also incorrect as wrapping monitoring cords does not directly address the issue of latex allergy.
Question 5 of 5
A middle adult client tells the nurse, 'I feel so useless now that my children do not need me anymore.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because it validates the client's feelings by acknowledging the common experience of middle adults feeling a sense of purpose through nurturing others. This response shows empathy and understanding, which can help the client feel heard and supported. Choice B is incorrect because it immediately delves into exploring the reasons behind the feelings without first acknowledging or validating them. This approach may come off as dismissive or insensitive. Choice C is incorrect because it brushes off the client's feelings by emphasizing the positive aspect of children becoming independent, without addressing the client's emotional distress. Choice D is incorrect because it makes a generalization about happiness related to children leaving home without directly addressing the client's specific feelings of uselessness. It does not acknowledge or validate the client's emotions.