ATI LPN
ATI Leadership Proctored Exam 2023
1. Where do many people get medical insurance from?
- A. The primary care physician
- B. The local clinic
- C. Social security office
- D. The employer
Correct answer: D
Rationale: Many people obtain medical insurance through their employer. This is a common practice where employers offer health insurance benefits to their employees as part of their employment package. Choice A, primary care physician, is incorrect as they provide medical care, not insurance. Choice B, the local clinic, is incorrect as clinics offer medical services, not insurance. Choice C, social security office, is incorrect as it is not a typical source for obtaining medical insurance.
2. What is the appropriate amount of fluid to be administered per hour using an infusion pump?
- A. 108.3mL
- B. 68.75mL
- C. 58.3mL
- D. 1400mL
Correct answer: A
Rationale: The correct answer is 108.3mL. This amount is calculated based on the total daily fluid requirement, ensuring a consistent infusion rate over the hour.
3. An 18-month-old child presents with fever, nasal flaring, intercostal retractions, and a respiratory rate of 50 bpm. What is the most appropriate nursing diagnosis?
- A. High risk for altered body temperature - hyperthermia
- B. Ineffective breathing pattern
- C. Ineffective individual coping
- D. Knowledge deficit
Correct answer: B
Rationale: In this case, the child is showing signs of respiratory distress, such as nasal flaring, intercostal retractions, and an increased respiratory rate. These are indicative of an ineffective breathing pattern. The child's compromised respiratory function requires immediate attention and intervention, making 'Ineffective breathing pattern' the most appropriate nursing diagnosis. Choices A, C, and D do not address the respiratory distress the child is experiencing and are not the priority in this situation.
4. What are the principles of aseptic technique in wound care?
- A. Use sterile gloves and a clean dressing
- B. Apply a clean dressing using sterile scissors
- C. Wash hands thoroughly before applying the dressing
- D. Use a clean glove and avoid contact with the wound
Correct answer: A
Rationale: The correct answer is A: 'Use sterile gloves and a clean dressing.' Aseptic technique in wound care requires the use of sterile gloves to prevent infection. Choice B is incorrect as the method of application does not primarily focus on maintaining asepsis. Choice C, while important for infection control, is not specific to aseptic technique in wound care. Choice D is incorrect because using a single clean glove does not ensure the level of sterility needed for aseptic wound care.
5. What is essential for student nurses to perform at their physical and emotional best?
- A. Engaging in adequate exercise.
- B. Eating plenty of carbohydrates the day before.
- C. Drinking caffeinated beverages before clinical.
- D. Studying late into the night to be prepared.
Correct answer: A
Rationale: To perform at their physical and emotional best, it is essential for student nurses to engage in adequate exercise. Regular physical activity not only helps maintain physical health but also contributes to emotional well-being, which is crucial for optimal clinical performance. Exercise can help reduce stress, improve mood, increase energy levels, and enhance overall cognitive function, all of which are essential for students to perform effectively in clinical settings. Choices B, C, and D are incorrect. Eating plenty of carbohydrates the day before, drinking caffeinated beverages before clinical, and studying late into the night may not necessarily lead to optimal physical and emotional performance. While nutrition is important, a balanced diet is more effective than simply focusing on carbohydrates. Caffeinated beverages can lead to dehydration and interfere with sleep patterns, and studying late into the night can impair cognitive function and increase stress levels, which are counterproductive to performing at one's best.
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