ATI RN
ATI Leadership Proctored Exam 2019 Quizlet
1. A diabetic patient who has reported burning foot pain at night receives a new prescription. Which information should the nurse teach the patient about amitriptyline (Elavil)?
- A. Amitriptyline decreases the depression caused by your foot pain.
- B. Amitriptyline helps prevent transmission of pain impulses to the brain.
- C. Amitriptyline corrects some of the blood vessel changes that cause pain.
- D. Amitriptyline improves sleep and reduces awareness of nighttime pain.
Correct answer: B
Rationale: The correct answer is B. Amitriptyline is a tricyclic antidepressant that works by inhibiting the reuptake of serotonin and norepinephrine, which helps in reducing the transmission of pain impulses to the brain. Choice A is incorrect because amitriptyline primarily works on pain transmission rather than directly on depression. Choice C is inaccurate as amitriptyline's mechanism of action is not related to correcting blood vessel changes. Choice D is partially true as amitriptyline can improve sleep, but the primary mechanism related to pain relief is by preventing pain impulses from reaching the brain.
2. A nurse is caring for a client who has a nasogastric (NG) tube and is receiving intermittent feedings through an open system. Which of the following actions should the nurse take first?
- A. Make sure the enteral formula is at room temperature.
- B. Wipe the top of the formula can with alcohol.
- C. Rinse the feeding bag with water between feedings.
- D. Tell the client to keep the head of the bed elevated at least 30�
Correct answer: B
Rationale:
3. Knowing the different modes of communication used by men and women is important for the nurse manager. Which of the following is a difference in communication in unpleasant situations?
- A. Men tend to talk more, and women withdraw.
- B. Men tend to use tag questions.
- C. Women disagree more.
- D. Women talk longer and faster, men disclose more.
Correct answer: A
Rationale: The correct answer is A. In unpleasant situations, men tend to talk more, while women tend to withdraw. Women are more likely to use tag questions and disclose more. Men, on the other hand, tend to talk longer and may be more inclined to disagree. Therefore, option A is the most accurate choice that highlights a difference in communication styles between men and women in unpleasant situations.
4. Which of the following is an example of total time lost?
- A. Number of days off that an employee asks for
- B. Number of scheduled days missed
- C. Number of days missed
- D. Number of days perceived to be absent
Correct answer: B
Rationale: The correct answer is B. Total time lost refers to the number of scheduled days that an employee misses. This includes days that were planned to be worked but were not. Choice A, 'Number of days off that an employee asks for,' is not necessarily time lost as these are approved absences. Choice C, 'Number of days missed,' is vague and does not specify if they are scheduled or unscheduled. Choice D, 'Number of days perceived to be absent,' is subjective and does not clearly relate to scheduled time lost.
5. A registered nurse (RN) is caring for a patient who is one of Jehovah�s Witnesses and has refused a blood transfusion even though her hemoglobin is dangerously low. After providing information about all the alternatives available and risks and benefits of each, the health-care provider allows the patient to determine which course of treatment she would prefer. The RN knows this is an example of which ethical principle?
- A. Autonomy
- B. Nonmaleficence
- C. Beneficence
- D. Distributive justice
Correct answer: A
Rationale: This is an example of the ethical principle of autonomy.
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