ATI LPN
ATI Leadership Proctored Exam 2019
1. The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient's behavior but can avoid being judgmental by understanding what?
- A. Motivation
- B. State laws
- C. The patient's social history
- D. Code of ethics
Correct answer: A
Rationale: In this scenario, the nurse is experiencing negative emotions towards the patient's behavior. By understanding the patient's motivation, the nurse can gain insight into the underlying factors that led to the behavior, helping to avoid being judgmental. This approach allows the nurse to provide care and support without letting personal feelings interfere. Understanding motivation can also aid in developing a therapeutic relationship and providing appropriate care tailored to the patient's needs. Choices B, C, and D are incorrect as while state laws, the patient's social history, and the code of ethics are important aspects to consider in healthcare, they do not directly address the nurse's feelings of disgust and the need to avoid being judgmental towards the patient's behavior.
2. Which of the following diseases is targeted for eradication through the Expanded Program on Immunization (EPI)?
- A. Hepatitis B
- B. Diphtheria
- C. Poliomyelitis
- D. Tuberculosis
Correct answer: C
Rationale: Poliomyelitis is the correct answer as it is one of the diseases targeted for eradication through the Expanded Program on Immunization (EPI). The EPI aims to control and eliminate vaccine-preventable diseases globally, with a specific focus on polio due to its severe consequences and the feasibility of eradication through vaccination campaigns.
3. How many kilocalories (kcal) are provided by 35 g of fat?
- A. 140
- B. 245
- C. 315
- D. 360
Correct answer: C
Rationale: Fat provides 9 kcal per gram, so 35 grams of fat provides 315 kcal. Therefore, the correct answer is C. Choice A (140) is incorrect because it doesn't consider the energy content of fat. Choice B (245) is incorrect as it miscalculates the kilocalories provided by 35g of fat. Choice D (360) is incorrect because it overestimates the kilocalories provided by 35g of fat.
4. When caring for a patient with dissociative identity disorder, which nursing intervention is a priority?
- A. Providing detailed education about the condition
- B. Monitoring for signs of self-harm or suicidal ideation
- C. Encouraging the patient to recall traumatic events
- D. Helping the patient develop a strong sense of identity
Correct answer: B
Rationale: When caring for a patient with dissociative identity disorder, the priority nursing intervention is to monitor for signs of self-harm or suicidal ideation. Ensuring patient safety is crucial, as individuals with this disorder may be at increased risk of self-harm or suicidal behaviors. Providing education about the condition is beneficial but ensuring immediate safety takes precedence. Encouraging the patient to recall traumatic events can be detrimental and should be done cautiously under professional guidance. While helping the patient develop a strong sense of identity is important in the long term, it is not the immediate priority when safety is a concern.
5. A nurse in a provider’s office is interviewing a client who is requesting an oral contraceptive. Which of the following findings in the client’s history is a contraindication to the use of combination oral contraceptives?
- A. Thyroid disease
- B. Allergy to penicillin
- C. Impaired liver function
- D. Abnormal blood glucose
Correct answer: C
Rationale: Impaired liver function is a contraindication to combination oral contraceptives. The liver metabolizes hormones, and any impairment can affect the metabolism of hormones, potentially leading to imbalances or toxicity. Thyroid disease, allergy to penicillin, and abnormal blood glucose levels are not contraindications to combination oral contraceptives.
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