ATI RN
ATI Leadership Practice A
1. What is the main goal of a nursing quality improvement (QI) program?
- A. To enhance patient safety
- B. To reduce healthcare costs
- C. To ensure regulatory compliance
- D. To maintain high patient satisfaction
Correct answer: A
Rationale: The main goal of a nursing quality improvement (QI) program is to enhance patient safety. While reducing healthcare costs, ensuring regulatory compliance, and maintaining high patient satisfaction are important aspects of healthcare delivery, the primary focus of a QI program in nursing is to improve patient safety through practices such as error reduction, risk management, and enhancing the quality of care provided.
2. Which medical problem is not generally associated with malnutrition?
- A. incontinence
- B. pressure sores
- C. celiac disease
- D. major surgery
Correct answer: A
Rationale: Incontinence is not typically associated with malnutrition, whereas conditions like pressure sores and celiac disease are directly linked to nutritional deficiencies and malabsorption.
3. A client in a critical care unit is postoperative following a right pneumonectomy. After extubation from the ventilator, in which of the following positions should the client be placed?
- A. Prone
- B. On the nonoperative side
- C. Sims'
- D. Semi-Fowler's
Correct answer: D
Rationale: After a pneumonectomy, positioning the client in a semi-Fowler's position is crucial for optimal ventilation. This position helps improve lung expansion on the remaining side, facilitating better oxygenation and preventing complications like atelectasis. Placing the client prone, on the nonoperative side, or in Sims' position would not provide the same respiratory benefits post-pneumonectomy.
4. Nurse Lisa is assessing a client who has just completed radiation therapy to the neck area. Which of the following findings is most concerning?
- A. Erythema in the treated area
- B. Difficulty swallowing
- C. Dry, peeling skin
- D. Hoarseness
Correct answer: B
Rationale: Difficulty swallowing (dysphagia) following radiation therapy to the neck area is a significant concern because it can indicate serious complications such as esophageal stricture, inflammation, or damage to the surrounding tissues, including the esophagus. This can lead to malnutrition, dehydration, or aspiration, all of which require prompt intervention. Radiation therapy can cause irritation and scarring in the esophageal and throat tissues, which may progressively worsen if not treated. Therefore, dysphagia should be addressed immediately to prevent further complications.
5. According to ecological systems theory, interactions between Marina and her child, Tyler, occur in the __________. Copyright © 2018 Laura E. Berk. All Rights Reserved. 20 Test Bank for Berk, Development Through the Lifespan, 7e
- A. microsystem
- B. mesosystem
- C. exosystem
- D. macrosystem Answer: A Page Ref: 23 Skill Level: Apply Topic: Recent Theoretical Perspectives Difficulty Level: Moderate
Correct answer: A
Rationale: According to ecological systems theory, interactions between Marina and her child, Tyler, occur in the microsystem. The microsystem refers to the immediate social context in which an individual lives, such as interactions with family members, friends, and teachers. Marina and Tyler's interactions within their family unit would be considered part of the microsystem.
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