ATI LPN
ATI Leadership Proctored Exam 2023
1. How can the nurse best advocate for a patient who will be discharged from acute care to home?
- A. Arranging for Meals on Wheels to provide in-home meals
- B. Administering pain medication prior to discharge
- C. Teaching the patient how to take medications at home
- D. Taking the patient by wheelchair to the car
Correct answer: A
Rationale: Arranging for in-home support services like Meals on Wheels is crucial for ensuring the patient receives proper nutrition and support after discharge. This goes beyond simply administering medications or providing transportation. By arranging for in-home meals, the nurse addresses the patient's nutritional needs, promotes their overall well-being, and supports their ongoing care requirements. Administering pain medication or teaching medication management, while important, do not directly address the patient's need for nutritional support. Taking the patient by wheelchair to the car is focused on physical transportation and does not encompass the holistic care approach needed for a successful transition to home care.
2. Public health services are given free of charge. Is this statement true or false?
- A. The statement is true; it is the responsibility of government to provide these services
- B. The statement is false; people pay indirectly for public health services
- C. The statement may be true or false; depending on the Specific service required
- D. The statement may be true or false; depending on policies of the government concerned.
Correct answer: B
Rationale: Community health services, including public health services, are prepaid paid services, through taxation, for example.
3. What is a standard of care?
- A. A relationship in which a nurse has assumed responsibility for the care of a patient
- B. A policy or procedure established by a health care agency or professional association
- C. The norm for what a reasonable individual would do in a similar circumstance
- D. A public law that, if violated, can result in liability for the nurse
Correct answer: C
Rationale: A standard of care is the level of care that a reasonably prudent person with similar training and experience would provide in a similar circumstance. Choice A is incorrect because it describes the nurse-patient relationship. Choice B is incorrect as it refers to specific policies or procedures. Choice D is incorrect as it describes a law rather than the expected level of care.
4. A healthcare provider is preparing to administer a scheduled dose of intravenous (IV) metoprolol (Lopressor) to a client. The client's apical pulse is 58 beats/minute. What action should the healthcare provider take?
- A. Administer the medication as prescribed.
- B. Hold the medication and notify the healthcare provider.
- C. Give half the prescribed dose and recheck the pulse in 30 minutes.
- D. Administer the medication and then recheck the pulse in 30 minutes.
Correct answer: B
Rationale: In the scenario described, with the client's apical pulse being 58 beats/minute, holding the medication and notifying the healthcare provider is the correct action. A low pulse rate may indicate bradycardia and may necessitate dose adjustment or further evaluation by the healthcare provider to prevent potential complications.
5. A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of the following statements by the client indicates a need for further teaching?
- A. I will notify my doctor if I develop a cough.
- B. I will avoid using salt substitutes.
- C. I will increase my intake of potassium-rich foods.
- D. I will monitor my blood pressure regularly.
Correct answer: C
Rationale: The correct answer is C. Clients taking lisinopril should avoid potassium-rich foods because ACE inhibitors can increase potassium levels, potentially leading to hyperkalemia. Choices A, B, and D are all correct statements. Clients should notify their doctor if they develop a cough as it can indicate a potential side effect of lisinopril. Avoiding salt substitutes is important as they may contain potassium chloride, which can also raise potassium levels. Monitoring blood pressure regularly is essential when taking an antihypertensive medication like lisinopril.
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