ATI RN
ATI Leadership Proctored Exam
1. What is the term used for assigning a rating based on an overall impression?
- A. Recency error.
- B. Leniency error.
- C. Absolute judgment.
- D. Halo error.
Correct answer: D
Rationale: The correct answer is 'Halo error.' Halo error occurs when a rating is given based on a general impression rather than specific performance criteria. Choice A, 'Recency error,' refers to rating an employee based on recent events rather than the entire evaluation period. Choice B, 'Leniency error,' is when a manager consistently rates employees higher than they deserve. Choice C, 'Absolute judgment,' involves evaluating based on established standards rather than an overall impression.
2. Which of the following is classified as a class IA Sodium Channel blocker?
- A. Quinidine
- B. Disopyramide
- C. Aminodarone
- D. Propafenone
Correct answer: A
Rationale: Quinidine is classified as a class IA sodium channel blocker. Class IA antiarrhythmics, like quinidine, work by blocking sodium channels and delaying repolarization. Propafenone, mentioned in the original rationale, is actually a class IC antiarrhythmic agent, not a class IA sodium channel blocker.
3. You’re assessing the stoma of a patient with a healthy, well-healed colostomy. You expect the stoma to appear:
- A. Pale, pink and moist
- B. Red and moist
- C. Dark or purple colored
- D. Dry and black
Correct answer: B
Rationale: A healthy, well-healed colostomy stoma should appear red and moist.
4. A nurse is reviewing the medical record of a client who has a new prescription for spironolactone. Which of the following findings should the nurse report to the provider?
- A. Potassium 4.0 mEq/L
- B. Calcium 9.5 mg/dL
- C. Magnesium 2.0 mEq/L
- D. Serum creatinine 3.0 mg/dL
Correct answer: D
Rationale: A serum creatinine level of 3.0 mg/dL indicates impaired kidney function, which is a concern when prescribing spironolactone as it can further affect renal function. Elevated serum creatinine levels may suggest decreased renal clearance of spironolactone, leading to potential toxicity. Potassium, calcium, and magnesium levels are within normal ranges and not directly related to spironolactone therapy. Therefore, the nurse should report the elevated serum creatinine level to the provider for further evaluation and possible dosage adjustment.
5. A client is experiencing severe anxiety. Which of the following is an appropriate intervention?
- A. Encourage the client to participate in group therapy sessions.
- B. Encourage the client to verbalize feelings of anxiety.
- C. Encourage the client to limit caffeine intake.
- D. Encourage the client to avoid stressful situations.
Correct answer: B
Rationale: Encouraging the client to verbalize feelings of anxiety is an appropriate intervention for severe anxiety. Verbalizing emotions can help the client process their feelings and reduce the intensity of anxiety. It promotes emotional expression and may lead to a better understanding of the underlying causes of anxiety, paving the way for effective coping strategies. Choices A, C, and D are not the most appropriate interventions for severe anxiety. While group therapy can be beneficial, it may not be suitable for someone experiencing severe anxiety. Limiting caffeine intake and avoiding stressful situations are helpful strategies but may not address the root of the severe anxiety or provide immediate relief.
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