ATI RN
ATI Leadership Proctored Exam 2019 Quizlet
1. Although technology has seen many advances, which two ethical principles may be in conflict because of technology?
- A. Beneficence and justice
- B. Beneficence and nonmaleficence
- C. Beneficence and veracity
- D. Beneficence and confidentiality
Correct answer: B
Rationale: The correct answer is B: Beneficence and nonmaleficence. Beneficence refers to the obligation to do good and act in the best interest of the patient, while nonmaleficence means to 'do no harm.' With advances in technology, there can be situations where the pursuit of benefit (beneficence) may inadvertently cause harm (nonmaleficence), leading to a conflict between these two ethical principles. Choice A, beneficence and justice, is incorrect because justice pertains to fairness and equality in the distribution of resources and treatments, not conflicting directly with beneficence. Choice C, beneficence and veracity, involves the obligation to tell the truth and is not in direct conflict with beneficence. Choice D, beneficence and confidentiality, relate to maintaining privacy and trust, which can complement rather than conflict with beneficence in most cases.
2. A client with asthma has developed viral pharyngitis. Which of the following findings should the nurse expect?
- A. Petechiae on the chest and abdomen
- B. WBC 16,000/mm3
- C. Negative throat culture
- D. Severe hyperemia of pharyngeal mucosa
Correct answer: Negative throat culture
Rationale: Viral pharyngitis is typically caused by a virus, not bacteria, so a negative throat culture is an expected finding. The presence of petechiae on the chest and abdomen (Choice A) is not a common manifestation of viral pharyngitis. Elevated WBC count (Choice B) is more indicative of a bacterial infection rather than a viral one. Severe hyperemia of the pharyngeal mucosa (Choice D) is a possible finding in pharyngitis but is not specific to viral pharyngitis.
3. The belief that effort will lead to a specific performance level in an individual is known as:
- A. Rewards.
- B. Expectancy.
- C. Valence.
- D. Instrumentality.
Correct answer: B
Rationale: The correct answer is B: Expectancy. Expectancy refers to the perceived probability that effort will lead to a specific performance level. This aligns with the concept of expectancy theory in psychology, which emphasizes the importance of individuals' beliefs regarding the link between effort and outcomes. Choices A, C, and D are incorrect. Rewards (choice A) typically refer to incentives given after achieving a goal, valence (choice C) is the value a person places on a particular outcome, and instrumentality (choice D) is the belief that a particular outcome is contingent on achieving a specific level of performance.
4. The appropriate order of steps in active management of the third stage of labor include:
- A. Cord clamping and cutting, controlled cord traction, ergometrine administration, and inspection to be sure the placenta is intact.
- B. Intravenous oxytocin, cord clamping and cutting, and fundal massage
- C. Intramuscular injection oxytocin, controlled cord traction with counter traction to the uterus, uterine massage
- D. Controlled cord traction, fundal massage and oxytocin
Correct answer: C
Rationale: Intramuscular injection of oxytocin, controlled cord traction with counter traction to the uterus, and uterine massage are the appropriate steps in active management of the third stage of labor.
5. A nurse is assessing a client who has acute pancreatitis. Which of the following findings should the nurse expect?
- A. Left upper quadrant pain.
- B. Periumbilical pain.
- C. Rebound tenderness.
- D. Flank pain.
Correct answer: A
Rationale: Corrected Rationale: The correct answer is A, left upper quadrant pain. In acute pancreatitis, inflammation of the pancreas commonly causes pain in the left upper quadrant of the abdomen. This pain can be severe and radiate to the back. Periumbilical pain (choice B) is more indicative of acute appendicitis. Rebound tenderness (choice C) is associated with peritoneal inflammation, not specifically pancreatitis. Flank pain (choice D) is more characteristic of conditions involving the kidneys or ureters, such as renal colic.
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