ATI RN
ATI Leadership Proctored
1. An RN knows that sometimes, when working through an ethical dilemma, the decision makers are unable to arrive at a mutually agreed upon decision. Which of the following is a reason why an agreement cannot be reached?
- A. One or more of the parties may be able to reconcile their values.
- B. The patient�s point of view is recognized as valuable.
- C. The dilemma involves two or more equally unpleasant choices.
- D. The institution is unable to honor the patient�s request.
Correct answer: C
Rationale: An agreement cannot be reached because the dilemma involves two or more equally unpleasant choices.
2. What is the main focus of the Magnet Recognition Program?
- A. Nurse satisfaction
- B. Patient outcomes
- C. Financial performance
- D. Nursing excellence
Correct answer: D
Rationale: The main focus of the Magnet Recognition Program is nursing excellence. While nurse satisfaction and patient outcomes are important aspects influenced by the program, the primary goal is to recognize and promote nursing excellence. Financial performance is not the main focus of this program.
3. When caring for a client with a wound infection, which action should the nurse perform first in the plan of care?
- A. Administer antibiotic medication.
- B. Obtain a wound specimen for culture.
- C. Review WBC laboratory findings.
- D. Apply a dressing to the wound.
Correct answer: B
Rationale: The priority action when caring for a client with a wound infection is to obtain a wound specimen for culture before initiating antibiotic therapy. This step is crucial to identify the specific microorganism causing the infection, allowing for targeted antibiotic treatment. Reviewing WBC laboratory findings and applying a wound dressing are important steps, but obtaining a wound specimen for culture takes precedence as it guides appropriate antibiotic therapy by identifying the causative organism.
4. In the management of nausea due to gastroparesis in a client with Diabetes, which of the following medications may be prescribed?
- A. Lubiprostone
- B. Metoclopramide
- C. Bisacodyl
- D. Loperamide
Correct answer: B
Rationale: Metoclopramide, as a dopamine antagonist, is commonly prescribed to manage nausea and improve gastric motility in clients with diabetic gastroparesis. By enhancing gastric emptying, it can help alleviate symptoms like bloating and nausea associated with gastroparesis. Choice A, Lubiprostone, is primarily used to treat chronic idiopathic constipation and irritable bowel syndrome with constipation, not nausea due to gastroparesis. Choice C, Bisacodyl, is a stimulant laxative used for the treatment of constipation and bowel preparation before procedures, not for nausea associated with gastroparesis. Choice D, Loperamide, is an antimotility agent used to manage diarrhea, not nausea or gastric motility issues seen in gastroparesis.
5. Which practice is recommended to prevent human immune deficiency virus (HIV) transmission by health care workers?
- A. Wearing a mask within three feet of the client
- B. Intentional
- C. Using standard precautions
- D. Proliferative
Correct answer: Using standard precautions
Rationale:
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