ATI RN
ATI Proctored Leadership Exam
1. A nurse is caring for a client with a diagnosis of terminal cancer. Which of the following statements by the client should indicate to the nurse that the client is ready to hear information regarding palliative care?
- A. "I am ready to learn about chemotherapy to help cure my cancer."
- B. "I just want you to give me something to get this over with soon."
- C. "I want you to tell me about measures available to keep me comfortable."
- D. "I know that many people have recovered fully from cancer, and so will I."
Correct answer: C
Rationale: Choice C is the correct answer because the client expressing a desire to know about measures available to keep comfortable indicates readiness for palliative care. Palliative care focuses on providing comfort, symptom management, and improving the quality of life for patients with serious illnesses such as terminal cancer. Choices A, B, and D are incorrect. Choice A indicates a desire for chemotherapy to cure the cancer, which does not align with palliative care goals. Choice B expresses a wish to end the situation quickly, which may not be in line with palliative care that focuses on comfort and quality of life. Choice D shows optimism about a full recovery, which may not be realistic for a client with terminal cancer who needs palliative care.
2. A client is having difficulty breathing while receiving supplemental oxygen via a nasal cannula in a supine position. Which of the following interventions should the nurse take first?
- A. Suction the client's airway.
- B. Instruct the client to perform incentive spirometry every hour.
- C. Assist the client to an upright position.
- D. Humidify the client's supplemental oxygen.
Correct answer: C
Rationale: When a client is experiencing difficulty breathing, the priority intervention is to assist the client to an upright position. This position helps improve ventilation by maximizing lung expansion and promoting better oxygenation. Suctioning the airway may be necessary if there is an obstruction, but repositioning the client is the initial step. Instructing the client to perform incentive spirometry and humidifying oxygen are important interventions but not the first priority in this scenario.
3. Which of the following may be considered an absenteeism management strategy?
- A. Holding regular meetings to address absenteeism
- B. Limiting career growth opportunities
- C. Reducing job stress
- D. Neglecting the issue
Correct answer: C
Rationale: Reducing job stress is an effective absenteeism management strategy because it creates a positive work environment, potentially decreasing the number of sick days taken by employees. Holding regular meetings to address absenteeism is not a strategy to reduce absenteeism but may add to the stress levels of employees. Limiting career growth opportunities is not a recommended strategy and can lead to employee dissatisfaction and higher absenteeism rates. Neglecting the issue of absenteeism by ignoring it can exacerbate the problem and create a negative work culture.
4. 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?
- A. �I may feel hungrier than usual when I take this medicine.�
- B. �I will not need to worry about hypoglycemia with the Byetta.�
- C. �I should take my daily aspirin at least an hour before the Byetta.�
- D. �I will take the pill at the same time I eat breakfast in the morning.�
Correct answer: C
Rationale:
5. What is a potential benefit of social media?
- A. Sharing the fun side of nursing by posting a video of nurses singing and dancing in the hallways of the hospital while on duty
- B. Connecting with clients to keep up with their health status
- C. Connecting with the public to encourage healthy behaviors
- D. Sharing pictures of interesting clinical experiences with friends
Correct answer: C
Rationale: The correct answer is C. Connecting with the public to encourage healthy behaviors is a significant benefit of social media. While sharing the fun side of nursing (choice A) and sharing pictures of clinical experiences (choice D) can showcase the profession, they do not directly promote healthy behaviors. Connecting with clients (choice B) is important for healthcare but is more specific to individual patient care rather than a broad public health impact.
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