ATI RN
ATI Leadership Proctored Exam
1. The nurse has been teaching a patient with type 2 diabetes about managing blood glucose levels and taking glipizide (Glucotrol). Which patient statement indicates a need for additional teaching?
- A. �If I overeat at a meal, I will still take the usual dose of medication.�
- B. �Other medications besides the Glucotrol may affect my blood sugar.�
- C. �When I am ill, I may have to take insulin to control my blood sugar.�
- D. �My diabetes won�t cause complications because I don�t need insulin.�
Correct answer: D
Rationale:
2. A nurse is providing teaching about formula feeding to the parents of an infant. Which of the following instructions should the nurse include?
- A. Formula that remains in the bottle should not be used for one more feeding.
- B. Formula should be changed to whole milk when the infant is 12 months old.
- C. If the infant is gaining weight too rapidly, do not dilute the formula.
- D. If the infant turns away after taking most of the feeding, stop the feeding.
Correct answer: D
Rationale: If the infant turns away after taking most of the feeding, it indicates they are full, and continuing to feed may lead to overfeeding. Choice A is incorrect because it is not safe to use formula that remains in the bottle for another feeding due to the risk of bacterial contamination. Choice B is incorrect as whole milk should be introduced after the infant is 12 months old, not 9 months old. Choice C is incorrect as diluting formula can compromise the infant's nutrition and should not be done without healthcare provider guidance.
3. Cognitive-behavioral therapy (CBT) is often used to treat which of the following conditions?
- A. Schizophrenia
- B. Bipolar disorder
- C. Posttraumatic stress disorder
- D. Generalized anxiety disorder
Correct answer: D
Rationale: Cognitive-behavioral therapy (CBT) is a widely used therapeutic approach effective in treating various mental health conditions. While CBT can be beneficial for different disorders, it is particularly well-suited for anxiety-related conditions like generalized anxiety disorder. CBT focuses on identifying and modifying negative thought patterns and behaviors contributing to anxiety, making it a suitable choice for treating generalized anxiety disorder. Therefore, the correct answer is D. Choices A, B, and C are incorrect because CBT is not typically the first-line treatment for schizophrenia, bipolar disorder, or posttraumatic stress disorder, although it may be used as a part of a comprehensive treatment plan.
4. How is pruning best defined?
- A. The process of eliminating unused synapses
- B. The process of synapse development
- C. The connection between neurons
- D. Fatty sheath that wraps around neurons and enables them to transmit information more rapidly
Correct answer: A
Rationale: Pruning is the process of eliminating unused synapses in the brain. This process helps the brain to become more efficient by strengthening important connections and eliminating unnecessary ones. Choice B is incorrect because pruning is about eliminating synapses, not developing them. Choice C is incorrect as it refers to the general concept of connections between neurons, not specifically about pruning. Choice D is incorrect as it describes the myelin sheath, which is responsible for rapid transmission of information along neurons, not pruning.
5. Through which of the following methods are values learned?
- A. Reading books
- B. Formal degrees
- C. Continuous reinforcement
- D. Meeting diverse individuals
Correct answer: C
Rationale: Values are learned through continuous reinforcement, where behaviors are positively reinforced to instill values. Reading books (choice A) may expose individuals to different perspectives but doesn't necessarily lead to internalizing values. Formal degrees (choice B) provide education but may not directly teach values. Meeting diverse individuals (choice D) can broaden perspectives but doesn't guarantee learning specific values through reinforcement.
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