ATI RN
ATI Leadership Proctored Exam 2019 Quizlet
1. While caring for a client with tuberculosis, which of the following actions should the nurse take?
- A. Use antimicrobial sanitizer for hand hygiene.
- B. Wear a surgical mask when providing client care.
- C. Limit each visitor to 2-hour increments.
- D. Wear gloves when assisting the client with oral care.
Correct answer: A
Rationale: The correct action for the nurse to take when caring for a client with tuberculosis is to use antimicrobial sanitizer for hand hygiene. Tuberculosis is primarily spread through the air, so wearing a surgical mask when providing care (choice B) would be more appropriate for diseases transmitted via droplets. Limiting visitors (choice C) and wearing gloves for oral care (choice D) are important infection control measures but are not specifically tailored to tuberculosis transmission.
2. Positive feedback mechanisms usually result in
- A. changes returning values away from a set point.
- B. stable conditions around a set point.
- C. unstable conditions.
- D. long-term changes.
Correct answer: unstable conditions.
Rationale: Positive feedback mechanisms usually result in unstable conditions. In a positive feedback loop, the output enhances or amplifies the changes that are occurring, leading to a deviation from the initial set point. Therefore, positive feedback does not bring values back towards the set point (Choice A). Choice B is incorrect because positive feedback does not promote stability around a set point. Choice D is also incorrect as positive feedback mechanisms typically do not lead to long-term changes; instead, they intensify the initial change, causing instability.
3. What laboratory value would be considered a high-risk measure for coronary heart disease assessment?
- A. triglycerides > 150 mg/dL
- B. BMI > 31
- C. LDL cholesterol < 128 mg/dL
- D. blood pressure of 128/82 mmHg
Correct answer: B
Rationale: The correct answer is B: BMI > 31. A BMI over 31 is considered a high-risk factor for coronary heart disease as it indicates obesity, which is strongly linked to cardiovascular issues. Triglycerides > 150 mg/dL (choice A) can contribute to heart disease risk but are not as specific as BMI in assessing overall risk. LDL cholesterol < 128 mg/dL (choice C) is actually a desirable level, indicating lower risk. A blood pressure of 128/82 mmHg (choice D) is within normal range and not a high-risk measure specifically for coronary heart disease.
4. The mental health team is determining treatment options for a male patient experiencing psychotic symptoms. Which question shouldn't the team answer to determine whether a community outpatient or inpatient setting is most appropriate?
- A. Is the patient expressing suicidal thoughts?
- B. Does the patient have intact judgment and insight into his situation?
- C. Does the patient have experiences with either community or inpatient mental healthcare facilities?
- D. Does the patient require a therapeutic environment to support the management of psychotic symptoms?
Correct answer: C
Rationale: Assessing suicidal thoughts, judgment, insight, and the need for a therapeutic environment are crucial factors in determining the appropriate treatment setting for a patient experiencing psychotic symptoms. Past experiences with mental healthcare facilities do not play a direct role in deciding between a community outpatient or inpatient setting.
5. A patient is starting on medroxyprogesterone acetate (Provera) for endometriosis. What should the nurse include in the patient teaching?
- A. Take the medication with food to prevent nausea.
- B. Take the medication at the same time each day to maintain consistent hormone levels.
- C. Avoid prolonged sun exposure while taking this medication.
- D. Discontinue the medication if side effects occur.
Correct answer: B
Rationale: The correct answer is B. Patients starting on medroxyprogesterone acetate (Provera) for endometriosis should be instructed to take the medication at the same time each day to maintain consistent hormone levels and effectiveness. Choice A is incorrect because medroxyprogesterone acetate can be taken with or without food. Choice C is unrelated to the medication and not a specific concern with its use. Choice D is incorrect as patients should not discontinue the medication without consulting their healthcare provider, even if side effects occur.
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