ATI RN
ATI Leadership Proctored Exam 2023
1. Politics is defined as the art of influencing the allocation of scarce resources. An example of a scarce resource allocated by the manager of a patient care unit is:
- A. Raises for the staff.
- B. Patient supplies in the utility room.
- C. Staffing that minimizes overtime.
- D. Paper for the printer.
Correct answer: C
Rationale: In a healthcare setting, scarce resources can include money, time, personnel, and materials. Staffing decisions directly impact the allocation of personnel resources and can affect overtime costs, making it a critical resource managed by the unit manager. Patient supplies in the utility room and paper for the printer are important, but staffing decisions have a more direct impact on resource allocation within the unit. Raises for staff are typically granted by the institution and are not directly controlled by the unit manager.
2. Parenteral penicillin can be administered as an:
- A. IM injection or an IV solution
- B. IV or an intradermal injection
- C. Intradermal or subcutaneous injection
- D. IM or a subcutaneous injection
Correct answer: A
Rationale: Penicillin can be administered intramuscularly or intravenously.
3. The nurse is teaching a community class to people with Type 2 diabetes mellitus. Which explanation would explain the development of Type 2 diabetes?
- A. The islet cells in the pancreas stop producing insulin
- B. The client eats too many foods that are high in sugar
- C. The pituitary gland does not produce vasopressin
- D. The cells become resistant to the circulating insulin
Correct answer: D
Rationale: In Type 2 diabetes, the primary issue is insulin resistance, where cells do not respond effectively to insulin. Choice A is incorrect as in Type 1 diabetes the islet cells in the pancreas stop producing insulin. Choice B is incorrect as while excessive sugar intake can contribute to the development of Type 2 diabetes, it is not the primary cause. Choice C is incorrect as the pituitary gland's function is unrelated to the development of Type 2 diabetes.
4. What is the ability of cardiac cells to respond to an impulse by contracting?
- A. Excitability
- B. Contractility
- C. Rhythmicity
- D. Conductivity
Correct answer: A
Rationale: Excitability is the correct term that describes the ability of cardiac cells to respond to an impulse by contracting. Excitability refers to the cell's ability to respond to stimuli and generate an action potential. Choice B, Contractility, is incorrect as it refers to the ability of cardiac cells to contract after receiving a stimulus, not the response to the impulse itself. Choice C, Rhythmicity, is incorrect as it pertains to the heart's ability to contract rhythmically without external stimulation. Choice D, Conductivity, is incorrect as it refers to the ability of cardiac cells to transmit an impulse from cell to cell, not the direct response to the impulse by contracting.
5. Which assessment finding would necessitate action by the nurse for a 10-month-old child who is 4 hours postoperative for the placement of a urethral stent?
- A. Bloody urine
- B. One void since returning from surgery
- C. Bladder spasms responding to pharmacologic intervention
- D. Double diapering from the previous shift
Correct answer: B
Rationale: In a postoperative scenario after the placement of a urethral stent, monitoring the child's voiding frequency is crucial. Having only one void since returning from surgery could indicate potential issues like urinary retention, which necessitates prompt nursing intervention to prevent complications.
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