ATI RN
ATI Leadership Proctored
1. When a client who is in pain refuses to be repositioned, what should the nurse consider first in making a decision about what to do?
- A. Why a decision is needed.
- B. Who actually gets to make the decision?
- C. What are the alternatives?
- D. When a decision is needed.
Correct answer: A
Rationale: In this scenario, the nurse should first consider why a decision is needed. Understanding the underlying reason for the decision helps in selecting the best action to meet the desired goal. Who actually makes the decision is important but not the primary consideration. Exploring alternatives comes after determining the reason for the decision, who makes it, and when it is needed.
2. How should fluid balance be assessed in a patient receiving diuretics?
- A. Monitor daily weight
- B. Monitor intake and output
- C. Check for edema
- D. Monitor blood pressure
Correct answer: A
Rationale: Corrected Rationale: Monitoring daily weight is the most accurate method to assess fluid balance in patients receiving diuretics. Changes in weight reflect changes in fluid balance, making it a sensitive indicator. Monitoring intake and output (choice B) is important but may not provide a complete picture of overall fluid balance. Checking for edema (choice C) is a late sign of fluid imbalance and may not be sensitive enough to detect subtle changes. Monitoring blood pressure (choice D) is relevant but may not directly reflect fluid balance as it can be influenced by various other factors.
3. Many theorists believe that behaviorism and social learning theory ________.
- A. overemphasize the plasticity of cognitive development
- B. overestimate people's contributions to their own development
- C. offer too narrow a view of important environmental influences
- D. overemphasize each individual's unique life history
Correct answer: C
Rationale: Many theorists believe that behaviorism and social learning theory offer too narrow a view of important environmental influences. This is because they focus mainly on observable behaviors and external factors, neglecting the role of internal cognitive processes and individual differences in shaping development. Choices A, B, and D are incorrect because behaviorism and social learning theory do not specifically emphasize the plasticity of cognitive development, overestimate people's contributions to their own development, or overemphasize each individual's unique life history. Instead, they are criticized for providing a limited perspective by focusing predominantly on external stimuli and behaviors.
4. Which is NOT one of the functions of challenging behaviors?
- A. Avoiding a situation
- B. Escaping from an undesired object or event
- C. Obtaining a desired object or event
- D. Sensory functions
Correct answer: E
Rationale: Challenging behaviors often serve functions related to avoiding, escaping, obtaining, or sensory needs. The question is asking for the function that does not typically apply to challenging behaviors. Choices A, B, C, and D align with the common functions associated with challenging behaviors. Therefore, 'E' is the correct answer as it does not represent a typical function of challenging behaviors.
5. Recent polls have placed nursing as one of the most trusted professions because of which of the following?
- A. Nurses engage in lifelong learning.
- B. Nurses abide by a dress code.
- C. Nurses have the skills needed to care for diverse populations.
- D. Nurses must pass the NCLEX in order to obtain a license to practice.
Correct answer: C
Rationale: Recent polls have identified nursing as one of the most trusted professions due to nurses possessing the necessary skills to provide care for diverse populations. This includes understanding and addressing the unique needs of individuals from various backgrounds and cultures. Choice A is incorrect because while nurses do engage in lifelong learning, this is not the primary reason for their trustworthiness. Choice B is also incorrect as abiding by a dress code does not directly contribute to the trust placed in nurses. Choice D is incorrect because passing the NCLEX exam is a regulatory requirement for obtaining a license and does not solely determine the trustworthiness of nurses in the eyes of the public.
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