ATI LPN
ATI Leadership Proctored Exam 2023
1. In an underdeveloped country, the nurse observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?
- A. Pathogens and genetics
- B. Evil spirits
- C. Tides and planets
- D. Plants and animals
Correct answer: B
Rationale: The behavior of lighting fires and pounding on drums to promote recovery suggests a belief in evil spirits causing illness. In many cultures, rituals like these are performed to ward off evil spirits or negative energies that are thought to be the cause of sickness. Choices A, C, and D are incorrect as the described behavior aligns more with spiritual or supernatural beliefs rather than scientific explanations related to pathogens, genetics, tides, planets, plants, or animals.
2. After absorption, the end products of carbohydrate and protein digestion enter the:
- A. enterohepatic circulation.
- B. gastrointestinal circulation.
- C. common bile duct.
- D. portal blood system.
Correct answer: D
Rationale: The correct answer is D: portal blood system. After absorption, carbohydrates and proteins are transported via the portal blood system to the liver for further processing and distribution to the rest of the body. Choices A, B, and C are incorrect. Enterohepatic circulation refers to the recycling of compounds between the liver and the intestines, not the direct route for absorbed nutrients. Gastrointestinal circulation is a vague and non-specific term, not specifically related to the transport of absorbed nutrients. The common bile duct is involved in transporting bile from the liver and gallbladder to the small intestine, not the end products of carbohydrate and protein digestion.
3. What principle should guide a nurse's fear about 'saying the wrong thing' to a patient in nurse-patient communication?
- A. Patients tend to appreciate a well-meaning person who conveys genuine acceptance, respect, and concern for their situation.
- B. The patient is more interested in talking to you than listening to what you have to say and is not likely to be offended.
- C. Considering the patient's history, there is little chance that the comment will do any actual harm.
- D. Most people with a mental illness have, by necessity, developed a high tolerance for forgiveness.
Correct answer: A
Rationale: Effective nurse-patient communication is guided by the principle that patients value sincere and respectful interactions. A nurse's well-meaning approach that conveys acceptance, respect, and concern helps establish trust and rapport with patients, even if the nurse is apprehensive about making mistakes. It is essential for the nurse to focus on genuine intent and respect for the patient's situation rather than being consumed by the fear of saying something wrong.
4. A client at 38 weeks gestation with a history of herpes simplex virus 2 is being admitted. Which of the following questions is most appropriate to ask the client?
- A. Have your membranes ruptured?
- B. Do you have any active lesions?
- C. Are you positive for beta strep?
- D. How far apart are your contractions?
Correct answer: B
Rationale: The most appropriate question to ask a client with a history of herpes simplex virus 2 at 38 weeks gestation is whether they have any active lesions. Active herpes lesions during labor can necessitate a cesarean delivery to prevent neonatal transmission. Asking about ruptured membranes (choice A), beta strep status (choice C), or contraction timing (choice D) is important but not the priority when managing a client with a history of herpes simplex virus 2 due to the high risk of neonatal transmission.
5. Which action directly resulted from the contribution made by Linda Richards?
- A. Using an antiseptic before administering an injection
- B. Exploring the psychosocial needs of the patient
- C. Documenting patient care in the medical record
- D. Listening to a patient describe his or her symptoms
Correct answer: C
Rationale: The correct answer is C: Documenting patient care in the medical record. Linda Richards' contribution was developing a system for recording patient details and care, leading to modern medical records. This innovation directly resulted in the practice of documenting patient care in medical records, ensuring accurate and organized patient information for effective healthcare delivery. Choices A, B, and D are incorrect because they do not directly stem from Richards' specific contribution related to medical records.
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