ATI RN
ATI Proctored Leadership Exam
1. A recent nursing school graduate is preparing to take the NCLEX. The graduate knows which of the following is true?
- A. Upon graduation from nursing school, she cannot use the title RN.
- B. Because the NCLEX is a national examination, her RN license will allow her to practice in all states and territories of the United States.
- C. If her home state participates in the compact agreement, she may practice in other states participating in the agreement, but should renew her license in her home state.
- D. The RN license is a mandatory license.
Correct answer: C
Rationale: Choice C is correct because if the nurse's home state participates in the compact agreement, she can practice in other states that are part of the agreement, but she must still renew her license in her home state. This is necessary to maintain an active license in her home state. Choice A is incorrect because upon graduation, the nurse can use the title RN if licensed, but it's not automatic. Choice B is incorrect because while the NCLEX is a national exam, the nurse needs to meet individual state requirements for licensure in each state. Choice D is incorrect because an RN license is not permissive but rather a mandatory license to practice nursing.
2. Verbal interventions with an agitated patient may be calming. These interventions include:
- A. Holding and reassuring the patient
- B. Encouraging other staff to distract the patient
- C. Remaining calm and keeping an arm's distance
- D. Standing close to the patient while talking
Correct answer: C
Rationale: The correct answer is C: Remaining calm and keeping an arm's distance. Agitated individuals benefit from minimal verbal and physical stimulation. They respond to their environment based on how nurses interact with them. If an individual feels threatened or cornered, the response will generally be self-protective and reactive. Standing close to the patient (choice D) can be perceived as invasive and may escalate the situation. Holding and reassuring the patient (choice A) may not be effective if the patient perceives it as intrusive. Encouraging other staff to distract the patient (choice B) may introduce unnecessary stimulation. Therefore, the recommended approach is to remain calm and keep a safe distance to provide a non-threatening environment for the agitated patient.
3. A nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. Which of the following precautions should the nurse plan for this client?
- A. Wear an N95 respirator when giving direct care to the client.
- B. Place the client in a private room with negative-pressure airflow.
- C. Ensure the client's room has at least six air exchanges per hour.
- D. Ensure the client wears a mask when outside their room if there is construction in the area.
Correct answer: A
Rationale: In a protective environment for a client with an allogeneic stem cell transplant, the nurse needs to wear an N95 respirator when providing direct care to the client. This precaution is essential to protect the client, whose immune system is compromised after the transplant, from exposure to potential pathogens. Placing the client in a private room with negative-pressure airflow (choice B) is more appropriate for clients with airborne infections. Ensuring the client's room has sufficient air exchanges (choice C) is important for maintaining air quality but is not the primary precaution for protecting an immunocompromised client. Making the client wear a mask when outside the room due to construction (choice D) focuses on external factors and does not directly address the risk of infection during direct care.
4. When in opposition to an immediate superior, a nurse manager should use which important strategy in a confrontation?
- A. Using 'I' language
- B. Using absolutes
- C. Using 'why' questions
- D. Using negative assertions
Correct answer: A
Rationale: When in a confrontation, using 'I' language is crucial for a nurse manager. This approach allows the manager to express personal feelings without sounding accusatory, which can help reduce defensiveness and promote open communication. Choices B, C, and D are incorrect. Using absolutes can come off as rigid and may escalate the conflict. 'Why' questions can be perceived as confrontational and may put the other person on the defensive. Negative assertions can lead to a more hostile exchange rather than fostering a constructive dialogue.
5. One of the most important driving forces behind health care policy changes is which of the following?
- A. New technology
- B. Outsourcing of services
- C. Emerging role of nurse practitioners
- D. Ability to pay for health care
Correct answer: D
Rationale: The correct answer is D, 'Ability to pay for health care.' One of the primary factors influencing health care policy changes is the financial aspect, as the ability to afford healthcare services affects access, quality, and equity. While new technology, outsourcing of services, and the emerging role of nurse practitioners may also impact health care policies, the fundamental driver often revolves around individuals' and societies' financial capacity to pay for healthcare.
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