ATI RN
ATI Leadership Practice B
1. A nurse manager who tells the staff to 'come to me with any problem' but then keeps the office door closed is using what type of communication?
- A. Intrasender conflict
- B. Diagonal communication
- C. Metacommunication
- D. Upward communication
Correct answer: A
Rationale: The correct answer is A: Intrasender conflict. Intrasender conflict happens when there is a discrepancy between verbal and nonverbal communication. In this scenario, the nurse manager's verbal message encourages staff to communicate openly, but the closed office door sends a conflicting nonverbal message, creating intrasender conflict. Metacommunication involves nonverbal behaviors like gestures or facial expressions that support or contradict verbal communication. Upward communication refers to the flow of information from staff to management or lower to upper management. Diagonal communication involves communication between individuals or departments at different hierarchical levels.
2. Which of the following hormones is secreted by the posterior pituitary gland?
- A. Growth hormone
- B. Luteinizing hormone
- C. Adrenocorticotropic hormone
- D. Antidiuretic hormone
Correct answer: D
Rationale: The correct answer is D: Antidiuretic hormone. Antidiuretic hormone (ADH), also known as vasopressin, is produced by the hypothalamus and stored in the posterior pituitary gland. It plays a key role in regulating the body's water balance by controlling the amount of water reabsorbed by the kidneys. Choices A, B, and C are incorrect because Growth hormone is produced by the anterior pituitary gland, Luteinizing hormone is produced by the anterior pituitary gland, and Adrenocorticotropic hormone is produced by the anterior pituitary gland.
3. Each of the following accurately describes aspects of the dietary reference intakes (DRIs) published by the Food and Nutrition Board of the Institute of Medicine (IOM) except one. Which one is the exception?
- A. The DRIs replace the older recommended daily allowances
- B. Current DRIs attempt to estimate required nutrients to improve long-term health
- C. DRIs specifically address individuals whose requirements are affected by a disease state
- D. The DRIs attempt to establish maximum safe levels of tolerance for nutrients
Correct answer: C
Rationale: The correct answer is C. DRIs are intended for the general population and do not specifically address disease states, which are managed with different clinical guidelines. Choice A is correct as DRIs have replaced the older recommended daily allowances. Choice B is correct as current DRIs aim to estimate the required nutrients for long-term health. Choice D is correct as DRIs also attempt to establish maximum safe levels of tolerance for nutrients.
4. What interventions would the nurse implement to maintain the skin integrity of a preterm infant born at 30 weeks?
- A. Avoid using alkaline-based soap.
- B. Bathe the infant with sterile water.
- C. Cleanse skin with a gentle alkaline-based soap and water.
- D. Thoroughly rinse skin with plain water after bathing in a mild hexachlorophene solution.
Correct answer: B
Rationale: To maintain the skin integrity of a preterm infant born at 30 weeks, the nurse should bathe the infant with sterile water no more than two or three times per week. The eyes, oral and diaper areas, and pressure points should be cleansed daily. It is essential to avoid using alkaline-based soaps as they might destroy the 'acid mantle' of the skin. Additionally, cleansing with mild solutions and rinsing thoroughly with plain water is recommended to prevent skin irritation and maintain skin integrity. Therefore, options A, C, and D are incorrect as they do not align with the best practices for preterm infant skin care.
5. A client with a urinary tract infection is prescribed ciprofloxacin. Which instruction should the nurse provide?
- A. Continue taking this medication until you feel better
- B. Take this medication with milk or food
- C. Take the medication with an antacid
- D. Avoid caffeine while taking this medication
Correct answer: D
Rationale: The correct instruction for the nurse to provide to a client taking ciprofloxacin for a urinary tract infection is to avoid caffeine. Ciprofloxacin can interact with caffeine, potentially leading to increased side effects or reduced effectiveness. Choice A is incorrect because antibiotics should be taken for the full prescribed course, even if the client starts feeling better. Choice B is incorrect as ciprofloxacin should not be taken with dairy products or antacids as they can interfere with the absorption of the medication.
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