ATI RN
ATI Leadership Proctored Exam 2023
1. When preparing for a meeting to discuss the annual budget, what would be the best approach to ensure all relevant points are covered?
- A. Prepare an agenda
- B. Use visual aids
- C. Invite only key stakeholders
- D. Review previous budgets
Correct answer: A
Rationale: Preparing an agenda is the best approach when discussing the annual budget to ensure that all relevant points are covered. An agenda helps structure the meeting, outline key topics, allocate time efficiently, and keep the discussion focused on important budget-related matters. It also assists in setting clear objectives and expectations for the meeting participants, ensuring that all necessary points are addressed and that the meeting stays on track. While using visual aids, inviting only key stakeholders, and reviewing previous budgets can be important steps in the budget discussion process, none of these can replace the crucial role of having a well-prepared agenda.
2. A healthcare provider is assessing a newborn who is 12 hours old. Which of the following findings should the provider report?
- A. Respiratory rate 50/min
- B. Blood glucose 30 mg/dL
- C. Blood pressure 60/40 mm Hg
- D. Heart rate 140/min
Correct answer: B
Rationale: A blood glucose level of 30 mg/dL in a newborn is significantly low and indicates hypoglycemia, which can be dangerous in a newborn. Hypoglycemia in a newborn can lead to neurological issues and requires immediate attention. The other findings provided, such as a respiratory rate of 50/min, blood pressure of 60/40 mm Hg, and a heart rate of 140/min, are within normal ranges for a newborn and do not require immediate reporting unless accompanied by clinical signs of distress.
3. A client is being assessed by a healthcare provider while taking Digoxin to manage heart failure. Which of the following findings is a manifestation of digoxin toxicity?
- A. Bruising
- B. Report of metallic taste
- C. Muscle pain
- D. Report of anorexia
Correct answer: D
Rationale: The correct manifestation of digoxin toxicity is anorexia, not bruising, metallic taste, or muscle pain. Other symptoms of digoxin toxicity include blurred vision, stomach pain, and diarrhea. It is crucial for healthcare providers to promptly identify these signs to prevent severe complications.
4. What is a common sign of moderate dehydration in children?
- A. Dry mucous membranes
- B. Normal capillary refill
- C. Hyperactive bowel sounds
- D. Edema
Correct answer: A
Rationale: Dry mucous membranes are a common sign of moderate dehydration in children, indicating a loss of bodily fluids. When a child is moderately dehydrated, the mucous membranes in the mouth and nose may appear dry. This condition can occur due to various factors such as vomiting, diarrhea, or inadequate fluid intake. Normal capillary refill (choice B) is not typically associated with dehydration; it is a measure of circulatory status. Hyperactive bowel sounds (choice C) can be present in conditions like gastroenteritis but are not specific to dehydration. Edema (choice D) is the retention of fluid in the body and is not a typical sign of dehydration.
5. A nurse is providing discharge teaching to a client who has a new prescription for lisinopril. Which of the following instructions should the nurse include?
- A. Take this medication in the morning.
- B. You may experience a persistent cough while taking this medication.
- C. Avoid taking this medication with a potassium supplement.
- D. Take this medication with a full glass of water.
Correct answer: B
Rationale: The correct answer is B: 'You may experience a persistent cough while taking this medication.' Lisinopril is known to cause a persistent cough as a common side effect. It is essential for the nurse to educate the client about this potential side effect, as it should be reported to the healthcare provider. Choice A is incorrect because lisinopril is usually taken once daily, but not necessarily at bedtime. Choice C is incorrect because lisinopril can actually increase potassium levels, so taking it with a potassium supplement may lead to hyperkalemia. Choice D is incorrect because antacids may reduce the effectiveness of lisinopril, so it should not be taken with them.
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