ATI LPN
ATI Leadership Proctored Exam 2019
1. What does valuing respect for the individual as defining high-quality patient care describe about the nurse's approach to patient care?
- A. Critical thinking
- B. Caritas
- C. Paradigm
- D. Hierarchy of needs
Correct answer: C
Rationale: Valuing respect for the individual as defining high-quality patient care describes the nurse's paradigm, which is the overall way of thinking and approaching patient care that guides their actions and decisions. It reflects their fundamental beliefs and values regarding patient interactions and care delivery. Critical thinking involves analyzing information objectively and evaluating situations to make informed decisions. Caritas refers to acts of loving kindness and compassionate care in nursing practice. The hierarchy of needs is a theory that describes the hierarchical nature of human needs, such as physiological needs, safety needs, and social needs.
2. What are the early signs of heart failure in a patient?
- A. Shortness of breath and weight gain
- B. Fatigue and chest pain
- C. Nausea and vomiting
- D. Cough and elevated blood pressure
Correct answer: A
Rationale: The correct answer is A: Shortness of breath and weight gain. Early signs of heart failure typically manifest as shortness of breath due to fluid accumulation in the lungs and weight gain due to fluid retention in the body. Choices B, C, and D are incorrect. Fatigue and chest pain are symptoms commonly associated with heart conditions but are not specific early signs of heart failure. Nausea and vomiting are not typically early signs of heart failure. Cough can be a symptom of heart failure, but it is usually associated with other symptoms like shortness of breath rather than being an isolated early sign. Elevated blood pressure is not an early sign of heart failure; in fact, heart failure is more commonly associated with low blood pressure.
3. A client has been prescribed phenytoin. Which of the following should the nurse monitor to prevent toxicity?
- A. Blood pressure
- B. Complete blood count
- C. Serum phenytoin levels
- D. Liver function tests
Correct answer: C
Rationale: Corrected Rationale: Serum phenytoin levels should be regularly monitored to prevent toxicity because the therapeutic range is narrow. Monitoring blood pressure (choice A), complete blood count (choice B), and liver function tests (choice D) are not directly related to preventing phenytoin toxicity.
4. In addition to protein, which nutrients contribute to the building and repair of tissue?
- A. Vitamins
- B. Carbohydrates
- C. Fats
- D. Enzymes
Correct answer: A
Rationale: The correct answer is A: Vitamins. Vitamins play a crucial role in tissue building and repair along with protein. Carbohydrates (choice B) are primarily a source of energy and not directly involved in tissue building. Fats (choice C) are important for energy storage and insulation but are not the main contributors to tissue building. Enzymes (choice D) are biological catalysts and do not directly contribute to tissue building and repair.
5. A nurse is providing teaching to a client who is scheduled for electromyography (EMG). Which of the following information should the nurse include in the teaching?
- A. “You will receive a fixed dose of radioisotope 2 hours before the procedure.”
- B. “Momentary flushing may occur at the beginning of the procedure.”
- C. “You should inform your provider if you are claustrophobic.”
- D. “You should expect insertion of small needle electrodes into the muscles.”
Correct answer: D
Rationale: The correct answer is D. During an electromyography (EMG) procedure, small needle electrodes are inserted into the muscles to identify muscle weakness and evaluate local nerve responses. This information is crucial for the client to know beforehand. Choice A is incorrect because radioisotopes are not used in EMG procedures. Choice B is incorrect because flushing is not a common occurrence during EMG. Choice C is incorrect because claustrophobia is more relevant to MRI or CT scans, not EMG procedures.
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