ATI RN
ATI Leadership Practice A
1. The nurse is preparing to teach a 43-year-old man who is newly diagnosed with type 2 diabetes about home management of the disease. Which action should the nurse take first?
- A. Ask the patient�s family to participate in the diabetes education program.
- B. Assess the patient�s perception of what it means to have diabetes mellitus.
- C. Demonstrate how to check glucose using capillary blood glucose monitoring.
- D. Discuss the need for the patient to actively participate in diabetes management.
Correct answer: B
Rationale:
2. A nursing student is providing tracheostomy care. What action by the student requires intervention by the instructor?
- A. Holding the device securely when changing ties
- B. Suctioning the client first if secretions are present
- C. Tying a square knot at the back of the neck
- D. Using half-strength peroxide for cleansing
Correct answer: C
Rationale: When providing tracheostomy care, it is important to ensure the client's safety and prevent pressure ulcers. When securing ties that require knotting, the knot should be placed at the side of the client's neck, not at the back. Tying a square knot at the back of the neck could lead to discomfort, pressure ulcers, or accidental tightening. Holding the device securely, suctioning the client as needed, and using appropriate cleansing solutions are all essential components of tracheostomy care.
3. A client who has a new diagnosis of tuberculosis should be placed in which type of room to prevent the spread of airborne pathogens?
- A. Administer isoniazid by mouth daily.
- B. Place the client in droplet isolation.
- C. Wear a surgical mask when transporting the client.
- D. Place the client in a negative pressure room.
Correct answer: D
Rationale: Clients diagnosed with tuberculosis should be placed in a negative pressure room to prevent the spread of airborne pathogens. Option A is incorrect because administering isoniazid is a treatment for tuberculosis, not a preventive measure related to infection control. Option B is incorrect as droplet isolation is used for diseases transmitted through respiratory droplets, not airborne pathogens like tuberculosis. Option C is incorrect as wearing a surgical mask is not sufficient to prevent the spread of tuberculosis in healthcare settings; placing the client in a negative pressure room is the most effective measure.
4. A client with active tuberculosis is prescribed isoniazid, rifampin, pyrazinamide, and ethambutol. Which statement by the client indicates an understanding of the teaching?
- A. I can substitute one medication for another if I run out because they all fight infection.
- B. I will wash my hands each time I cough.
- C. I am glad I don't have to have any more sputum specimens.
- D. I don't need to worry about where I go once I start taking my medications.
Correct answer: B
Rationale: The correct statement indicating understanding of tuberculosis medication regimen is 'I will wash my hands each time I cough.' This statement shows knowledge of infection control practices to prevent the spread of tuberculosis. Washing hands after coughing helps in reducing the transmission of the disease to others. The other options are incorrect. Option A is incorrect as each medication in the regimen has a specific role, and substituting one for another can compromise the effectiveness of treatment. Option C is incorrect as obtaining sputum specimens is essential for monitoring treatment response. Option D is incorrect as the client should still adhere to infection control measures and avoid exposing others to tuberculosis.
5. Dr. Torrez believes that how conflicts between biological drives and social expectations are resolved determines the person's ability to learn, to get along with others, and to cope with anxiety. Dr. Torrez accepts the __________.
- A. psychoanalytic perspective
- B. psychosocial theory
- C. cognitive-developmental theory
- D. social learning theory
Correct answer: A
Rationale: Dr. Torrez's belief about conflicts between biological drives and social expectations influencing a person's ability to learn, get along with others, and cope with anxiety aligns with the psychoanalytic perspective. This perspective, developed by Sigmund Freud, focuses on the unconscious mind, early childhood experiences, and the resolution of inner conflicts as important factors in shaping personality and behavior. The other choices are incorrect because psychosocial theory, cognitive-developmental theory, and social learning theory do not specifically focus on conflicts between biological drives and social expectations as central to understanding human behavior and development.
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