ATI RN
ATI Leadership Proctored Exam 2019
1. Several factors are considered in the calculation of the amount of FTEs. Which of the following is NOT considered when calculating the FTEs?
- A. Hours of care provided
- B. Ancillary staff
- C. Procedures to be done
- D. Types of patients
Correct answer: A
Rationale: When calculating Full-Time Equivalents (FTEs), factors such as the hours of work for the staff for two weeks, average daily census, and types of patients are considered. However, the hours of care provided are not typically included in the calculation of FTEs. Therefore, the correct answer is A. Choice B, ancillary staff, can impact FTE calculations as they contribute to the overall workload. Choice C, procedures to be done, can also influence FTE calculations, especially if they affect staffing requirements. Choice D, types of patients, play a role in determining the level of care needed and subsequently impact FTE calculations.
2. A client discharges AMA (against medical advice). This is an example of the _________ type of risk category?
- A. nurse-focused
- B. physician-focused
- C. medical-legal incident
- D. Patient-focused
Correct answer: C
Rationale: When a client discharges AMA, it falls under the medical-legal incident risk category. This choice focuses on the legal aspect of the situation, as it involves the patient's right to make decisions about their care, informed consent, and the associated legal implications. Choices A and B are incorrect as they unnecessarily specify individual healthcare roles and do not encompass the broader legal implications of discharging against medical advice. Choice D, patient-focused, is also incorrect as it doesn't capture the legal and risk-related aspects of the scenario.
3. What is the primary focus of a patient safety program?
- A. To reduce healthcare costs
- B. To improve clinical outcomes
- C. To enhance patient satisfaction
- D. To comply with regulatory standards
Correct answer: C
Rationale: The primary focus of a patient safety program is to enhance patient satisfaction by ensuring safe practices. While reducing healthcare costs and improving clinical outcomes are important aspects influenced by patient safety programs, the main goal is to prioritize patient well-being and satisfaction. Complying with regulatory standards is essential but not the primary focus; it is a means to achieve safe practices for the benefit of patients.
4. Which information is most important for the nurse to report to the health care provider before a patient with type 2 diabetes is prepared for a coronary angiogram?
- A. The patient�s most recent HbA1C was 6.5%
- B. The patient�s admission blood glucose is 128 mg/dL.
- C. The patient took the prescribed metformin (Glucophage) today
- D. The patient took the prescribed captopril (Capoten) this morning.
Correct answer: C
Rationale:
5. An RN�s client with terminal pancreatic cancer asks questions about a do not resuscitate order. Which of the following statements should be included in the RN�s teaching to the client?
- A. When a heart ceases to beat, the client is pronounced clinically dead.
- B. Physicians must write do not resuscitate (DNR) orders.
- C. A DNR order can be written after the health-care provider has discussed it with the client and family.
- D. A DNR requires a court decision.
Correct answer: C
Rationale: Clients may request a DNR order, but they need to be fully informed of all the ramifications of the decision. Therefore, the health-care provider will consult with the client and family before the order is written.
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