ATI RN
ATI Leadership Proctored Exam 2019
1. When planning to run for the local school board, which of the following sources of power would a nurse find important?
- A. Connection
- B. Reward
- C. Charisma
- D. Expertise
Correct answer: A
Rationale: When a nurse is planning to run for the local school board, the important source of power would be 'Connection.' In politics, building relationships and forming connections are crucial for gaining support, forming coalitions, and accessing valuable information. Being charismatic is not a necessary attribute for utilizing power effectively in this context. While expertise is valuable, especially in education-related matters, it is not specified as a primary source of power for a political candidate. Rewards are not typically within the purview of a candidate running for a position such as the local school board.
2. A healthcare provider is assisting with mass casualty triage following an explosion at a local factory. Which of the following clients should the healthcare provider identify as the priority?
- A. A client who has massive head trauma
- B. A client who has full-thickness burns to the face and trunk
- C. A client with indications of hypovolemic shock
- D. A client with an open fracture of the lower extremity
Correct answer: C
Rationale: In a mass casualty situation, a client with hypovolemic shock should be the priority as they require immediate intervention to restore fluid volume and prevent further deterioration. Hypovolemic shock can lead to organ failure and death if not addressed promptly. While clients with other severe conditions like massive head trauma, full-thickness burns, or an open fracture also need urgent care, hypovolemic shock directly threatens the client's life due to inadequate circulating blood volume. Therefore, stabilizing the client with indications of hypovolemic shock takes precedence over others in this scenario.
3. The purpose of ECT in clients with depression is to:
- A. Stimulation in the brain to increase brain conduction and counteract depression
- B. Mainly Biologic, increasing the norepinephrine and serotonin level
- C. Creates a temporary brain damage that will increase blood flow to the brain
- D. Involves the conduction of electrical current to the brain to charge the neurons and combat depression
Correct answer: A
Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.
4. If a pair of monozygotic twins raised in the same environment end up being different from one another (e.g., interests, hobbies, etc.), it is highly likely due to:
- A. Cephalocaudal pattern
- B. Proximodistal pattern
- C. Cephamodistal pattern
- D. Gene-environment correlation
Correct answer: B
Rationale: The correct answer is B: Proximodistal pattern. Differences between monozygotic twins raised in the same environment are likely due to non-shared environmental influences, which lead to differences in interests, hobbies, and other individual characteristics. Choices A, C, and D are incorrect. Cephalocaudal pattern refers to the principle of development from head to toe, not relevant in explaining differences between twins. Cephamodistal pattern is not a recognized developmental term. Gene-environment correlation does not directly explain the differences between identical twins raised in the same environment.
5. Which of the following is the least likely reason that osteoporosis is more prevalent in women?
- A. women have smaller bodies
- B. women have lower bone mass
- C. women consume less calcium
- D. bone loss begins later in women
Correct answer: D
Rationale: The correct answer is D. Contrary to the statement, bone loss begins earlier in women, particularly after menopause, due to the decrease in estrogen levels. This drop in estrogen accelerates bone loss, contributing to the higher prevalence of osteoporosis in women. Choices A, B, and C are more likely reasons for the increased prevalence of osteoporosis in women. Women generally have smaller bodies, lower bone mass compared to men, and may consume less calcium, all of which are significant factors contributing to the higher incidence of osteoporosis in women.
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