ATI RN
ATI Medical Surgical Proctored Exam
1. How can a nurse manager best improve hand-off communication among the staff? (SATA)
- A. Attending hand-off rounds to coach and mentor.
- B. Conducting audits of staff using a new template.
- C. Creating a template of topics to include in the report.
- D. Utilizing the SHARE model as a tool for standardizing hand-off reports and other critical communication.
Correct answer: D
Rationale: The SHARE model is a valuable tool for standardizing hand-off reports and other critical communication. By utilizing this model, the nurse manager can ensure consistency and clarity in hand-off communication among the staff. While attending hand-off rounds to coach and mentor, conducting audits using a new template, and creating a template of topics to include in the report can all be beneficial actions, the most effective approach to achieve the goal of improving hand-off communication is by implementing a standardized tool like the SHARE model.
2. What should a healthcare provider monitor for in a patient with hypokalemia?
- A. Monitor for muscle weakness
- B. Monitor for bradycardia
- C. Check deep tendon reflexes
- D. Monitor for hyperglycemia
Correct answer: A
Rationale: Corrected Rationale: Muscle weakness is a common symptom of hypokalemia and should be closely monitored in affected patients. Hypokalemia is a condition characterized by low potassium levels in the blood, which can lead to muscle weakness, cramps, and even paralysis. While bradycardia (slow heart rate) can be associated with severe hypokalemia, monitoring for muscle weakness is more specific to the condition. Checking deep tendon reflexes is not typically a primary monitoring parameter for hypokalemia. Monitoring for hyperglycemia is not directly related to hypokalemia, as hypokalemia is primarily associated with potassium levels in the blood.
3. List 2 Dispensable amino acids
- A. Alanine
- B. Serine
- C. Glycine
- D. Proline
Correct answer: A
Rationale: Dispensable amino acids, such as alanine and serine, can be synthesized by the body and are not required to be obtained from the diet.
4. Which best describes a community-based participatory approach to health?
- A. Engaging community members in the planning process
- B. Conducting research on community health issues
- C. Implementing health policies
- D. Focusing on individual health behaviors
Correct answer: A
Rationale: A community-based participatory approach involves engaging community members in the planning and implementation of health initiatives. This approach values the active involvement of community members in decision-making processes related to health programs and initiatives, emphasizing collaboration and shared decision-making between community members and health professionals.
5. According to Freud, a person who does not appropriately resolve each psychosexual stage would be _________ at that stage.
- A. defended
- B. fixated
- C. repressed
- D. displaced
Correct answer: B
Rationale: According to Freud's theory of psychosexual development, if a person does not resolve a particular stage successfully, they become fixated at that stage. This fixation can lead to behavior patterns characteristic of that stage in later life. In this context, 'defended' is incorrect because it does not align with Freud's theory of fixation. 'Repressed' is not the correct choice as it refers to the unconscious suppression of thoughts or desires. 'Displaced' involves redirecting emotions from their original source to a substitute target, which is not the concept Freud associated with unresolved psychosexual stages.
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