ATI LPN
ATI Leadership Proctored Exam 2023
1. A healthcare provider is caring for a patient who is to receive an antibiotic drug that causes severe skin damage when infiltrated. The order reads 'Infuse over one hour by port-a-cath.' When the healthcare provider assesses the personal digital assistant that lists the steps to access a port-a-cath, which type of computer software is being used?
- A. Data management
- B. Electronic health records
- C. Point-of-care technology
- D. Telehealth
Correct answer: C
Rationale: Point-of-care technology refers to the use of devices like personal digital assistants that allow healthcare providers to access and input data directly at the patient's bedside. It aids in providing timely and accurate information for patient care management. In this scenario, the healthcare provider is using the personal digital assistant for immediate access to information on accessing a port-a-cath, demonstrating the use of point-of-care technology. Choices A, B, and D are incorrect because data management typically involves organizing and storing data, electronic health records focus on patient health information management, and telehealth involves providing healthcare services remotely, none of which directly apply to the situation described.
2. A healthcare professional is interested in locating reliable information concerning non-invasive blood glucose monitoring. Information is found, and the author is a scientist who conducted studies within the last year on the effectiveness of a non-invasive blood glucose monitor. The scientist received funding from a pharmaceutical company to support the studies. The URL indicates the pharmaceutical company excite.com. The healthcare professional is concerned about what component associated with this information?
- A. Accuracy
- B. Currency
- C. Authority
- D. Objectivity
Correct answer: D
Rationale: Objectivity is questioned when there is a potential conflict of interest, such as funding from a pharmaceutical company. In this scenario, the scientist's ties to the pharmaceutical company through funding may introduce bias, affecting the objectivity of the information provided. The author's connection to the pharmaceutical company may influence the objectivity of the research findings, making it essential for the healthcare professional to consider this aspect when evaluating the reliability of the information.
3. Which action directly resulted from the contribution made by Linda Richards?
- A. Using an antiseptic before administering an injection
- B. Exploring the psychosocial needs of the patient
- C. Documenting patient care in the medical record
- D. Listening to a patient describe his or her symptoms
Correct answer: C
Rationale: The correct answer is C: Documenting patient care in the medical record. Linda Richards' contribution was developing a system for recording patient details and care, leading to modern medical records. This innovation directly resulted in the practice of documenting patient care in medical records, ensuring accurate and organized patient information for effective healthcare delivery. Choices A, B, and D are incorrect because they do not directly stem from Richards' specific contribution related to medical records.
4. How can the nurse best advocate for a patient who will be discharged from acute care to home?
- A. Arranging for Meals on Wheels to provide in-home meals
- B. Administering pain medication prior to discharge
- C. Teaching the patient how to take medications at home
- D. Taking the patient by wheelchair to the car
Correct answer: A
Rationale: Arranging for in-home support services like Meals on Wheels is crucial for ensuring the patient receives proper nutrition and support after discharge. This goes beyond simply administering medications or providing transportation. By arranging for in-home meals, the nurse addresses the patient's nutritional needs, promotes their overall well-being, and supports their ongoing care requirements. Administering pain medication or teaching medication management, while important, do not directly address the patient's need for nutritional support. Taking the patient by wheelchair to the car is focused on physical transportation and does not encompass the holistic care approach needed for a successful transition to home care.
5. What is the most caring response the student can make in this situation?
- A. Tell the other students that they are being mean and then leave the table.
- B. Shame the students for being so uncaring and cruel.
- C. Ask the other students why they think the instructor is so picky.
- D. Laugh and tell a story of a personal reprimand received from the instructor.
Correct answer: C
Rationale: Choosing to ask the other students why they think the instructor is so picky is a caring response as it opens up a constructive conversation. This approach can help shift the focus from making fun of the instructor to understanding the reasons behind their behavior, fostering empathy, and potentially promoting a more respectful environment. Option A may address the behavior but does not promote understanding. Option B focuses on shaming, which may escalate the situation. Option D diverts attention from the issue and may perpetuate a negative atmosphere.
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