ATI RN
ATI Proctored Leadership Exam
1. The nurse determines a need for additional instruction when the patient with newly diagnosed type 1 diabetes says which of the following?
- A. �I can have an occasional alcoholic drink if I include it in my meal plan.�
- B. �I will need a bedtime snack because I take an evening dose of NPH insulin.�
- C. �I can choose any foods, as long as I use enough insulin to cover the calories.�
- D. �I will eat something at meal times to prevent hypoglycemia, even if I am not hungry.�
Correct answer: C
Rationale:
2. Listed below are five categories that identify the responsibilities of the practical nurse manager in personnel management. Which of these categories is most appropriate for the task of 'Educate soldiers in the history and traditions of the service'?
- A. Accountability
- B. Personal/professional development
- C. Individual training
- D. Military appearance/physical condition
Correct answer: B
Rationale: The correct answer is B, 'Personal/professional development.' This category involves educating individuals in various aspects, including history and traditions. In this case, educating soldiers in the history and traditions of the service falls under personal/professional development rather than the other options provided. Choice A, 'Accountability,' focuses on responsibility and answerability, not education. Choice C, 'Individual training,' pertains more to specific skill development rather than broader education on history and traditions. Choice D, 'Military appearance/physical condition,' is related to maintaining physical standards and image, which is not directly relevant to educating soldiers in history and traditions.
3. Dr. Anderson wants to conduct a study to determine the cause-and-effect relationship between domestic violence and anger in children. Dr. Anderson should use a(n) __________ design.
- A. structured
- B. observational
- C. correlational
- D. experimental
Correct answer: D
Rationale: Dr. Anderson should use an experimental design to determine the cause-and-effect relationship between domestic violence and anger in children. In an experimental design, the researcher manipulates the independent variable (in this case, exposure to domestic violence) to observe its effect on the dependent variable (anger in children). This design allows for the establishment of a cause-and-effect relationship by controlling for other variables that may influence the outcomes. Observational design (Choice B) involves observing subjects in their natural environment without interference, correlational design (Choice C) examines the relationship between variables without manipulating them, and structured design (Choice A) typically refers to a study with predetermined procedures and data collection methods, which may not be suitable for establishing cause-and-effect relationships.
4. A client is being assessed by a nurse who is 30 minutes postoperative following an arterial thrombectomy. Which of the following findings should the nurse report?
- A. Chest pain
- B. Muscle spasms
- C. Cool, moist skin
- D. Incisional pain
Correct answer: Chest pain
Rationale: Chest pain is a critical finding postoperatively, especially after an arterial thrombectomy, as it could indicate complications like myocardial infarction or pulmonary embolism. It requires immediate attention and further evaluation. Muscle spasms, cool moist skin, and incisional pain are important to assess but not as urgent as chest pain in this scenario.
5. The unit manager of a 32-bed medical-surgical unit allows the staff nurses to do self-governance for scheduling, client care assignments, and committee work. The manager would be considered which type of leader?
- A. Autocratic
- B. Democratic
- C. Bureaucratic
- D. Laissez-faire
Correct answer: D
Rationale: The correct answer is D, Laissez-faire. In a laissez-faire leadership style, the manager exerts very little control and allows the staff to have a high degree of autonomy in decision-making and problem-solving. This type of leader provides guidance when needed but largely leaves the decision-making process to the staff. Autocratic leadership (choice A) is characterized by centralizing decision-making authority, democratic leadership (choice B) involves shared decision-making, and bureaucratic leadership (choice C) relies on adherence to rules and procedures.
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