ATI RN
ATI Community Health Proctored Exam 2023
1. After 3 days, the nurse notes that James has chest indrawing and stridor. His mother returned him to the health center immediately. The nurse should:
- A. Change the medication to the second-line antibiotics
- B. Advise the mother to observe the child and continue giving the antibiotics
- C. Give the first dose of antibiotics and refer urgently
- D. Observe the child at the center
Correct answer: C
Rationale: In the scenario described, the presence of chest indrawing and stridor indicates respiratory distress, which requires immediate attention. Giving the first dose of antibiotics and referring urgently is the correct course of action to ensure prompt and appropriate management of the child's condition.
2. By force of law, therefore, the PRC-Board of Nursing released Resolution No. 14 Series of 1999 entitled: "Adoption of a Nursing Specialty Certification Program and Creation of Nursing Specialty Certification Council." This rule-making power is called:
- A. Quasi-Judicial Power
- B. Regulatory Power
- C. Quasi-Legislative Power
- D. Executive/Promulgating Power
Correct answer: B
Rationale: The correct answer is B: Regulatory Power. Regulatory power involves the authority to create rules and regulations that govern a specific area. In this case, the PRC-Board of Nursing's release of Resolution No. 14 Series of 1999 for the Nursing Specialty Certification Program falls under regulatory power as it establishes guidelines and standards for nursing specialty certification. Choices A, C, and D are incorrect. Quasi-judicial power involves making decisions on rights and obligations, quasi-legislative power involves creating regulations with the force of law, and executive/promulgating power involves enforcing and implementing laws and regulations.
3. A 12-year-old child is injured in a bicycle accident. When considering the possibility of renal trauma, the nurse should consider what factor?
- A. Flank pain rarely occurs in children with renal injuries.
- B. Few nonpenetrating injuries cause renal trauma in children.
- C. Kidneys are immobile, well protected, and rarely injured in children.
- D. The amount of hematuria is not a reliable indicator of the seriousness of renal injury.
Correct answer: D
Rationale: The amount of hematuria is not a reliable indicator of the severity of renal trauma, as even minor injuries can cause significant bleeding, while severe injuries may result in little or no visible blood. Renal trauma should be evaluated through imaging and clinical assessment.
4. Which of the following statements regarding leadership and management is true?
- A. Leadership is focused on the achievement of organizational goals.
- B. One must develop the ability to adapt in order to lead.
- C. Management occurs when an individual attempts to influence another.
- D. Successful managers encourage others to work together toward a common goal.
Correct answer: D
Rationale: The correct answer is D. Successful managers play a key role in encouraging collaboration among team members to achieve a common goal. This statement accurately reflects the essence of effective management, emphasizing the importance of fostering teamwork and cooperation to drive success. Choices A, B, and C are incorrect because leadership, adaptation, and influence are not exclusively tied to the definition of successful management.
5. A nurse is teaching a client who has type 1 DM about hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching?
- A. Exercise reduces the risk for hypoglycemia.
- B. I can skip my insulin when I don't eat.
- C. I can drink 4 oz of soda if my blood sugar is low.
- D. Diabetic pills don't cause hypoglycemia; only insulin does.
Correct answer: C
Rationale: The client can correct any development of hypoglycemia with a quick intake of glucose. The client should have 15 g carbohydrates on hand to treat hypoglycemic episodes, like 4 oz of regular soda.
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