ATI RN
ATI Leadership Proctored Exam 2019
1. What is the main purpose of a patient satisfaction survey?
- A. To improve patient outcomes
- B. To evaluate nursing performance
- C. To measure patient satisfaction
- D. To assess healthcare facilities
Correct answer: C
Rationale: The main purpose of a patient satisfaction survey is to measure patient satisfaction. These surveys aim to gather feedback directly from patients regarding their experiences and perceptions of the healthcare services they have received. While patient satisfaction may impact outcomes indirectly, the primary goal of the survey is not to directly improve patient outcomes, making choice A incorrect. Choice B is incorrect because patient satisfaction surveys are not primarily focused on evaluating nursing performance specifically. Choice D is also incorrect because the main focus of the survey is on the satisfaction of patients rather than assessing healthcare facilities.
2. Which response by a 15-year-old demonstrates a common symptom observed in patients diagnosed with major depressive disorder?
- A. I'm so restless. I can't seem to sit still.
- B. I spend most of my time studying. I have to get into a good college.
- C. I'm not trying to diet, but I've lost about 5 pounds in the past 5 months.
- D. I go to sleep around 11 p.m. but I'm always up by 3 a.m. and can't go back to sleep.
Correct answer: D
Rationale: Sleep disturbances, such as early morning awakening, are common symptoms of major depressive disorder.
3. A nurse is creating a plan of care for an oncology patient and one of the identified nursing diagnoses is risk for infection related to myelosuppression. What intervention addresses the leading cause of infection-related death in oncology patients?
- A. Encourage several small meals daily.
- B. Provide skin care to maintain skin integrity.
- C. Assist the patient with hygiene, as needed.
- D. Assess the integrity of the patient’s oral mucosa regularly.
Correct answer: B
Rationale: In oncology patients, particularly those undergoing chemotherapy or radiation therapy, myelosuppression (the decrease in bone marrow activity that leads to reduced white blood cells, red blood cells, and platelets) increases the risk of infection. Maintaining skin integrity is crucial because the skin acts as the body's first line of defense against infections. If the skin becomes compromised, such as through radiation burns, rashes, or breakdowns, it provides a potential entry point for pathogens, increasing the risk of infection. Since infections in oncology patients can quickly become severe due to their weakened immune systems, maintaining skin integrity is a critical intervention to reduce infection risk, especially for patients who are immunosuppressed.
4. A nurse is teaching a client about foods that are included on a clear liquid diet. Which of the following food choices made by the client indicates the need for further teaching?
- A. Gelatin
- B. Broth
- C. Popsicle
- D. Yogurt
Correct answer: D
Rationale: The correct answer is D, Yogurt. Yogurt is not part of a clear liquid diet. A clear liquid diet includes transparent or translucent liquids such as gelatin, broth, and popsicles. Yogurt is a thicker consistency and contains solid particles, making it inappropriate for a clear liquid diet. Choices A, B, and C are suitable options for a client following a clear liquid diet.
5. Is oxygen the primary raw material for new living material?
- A. True
- B. False
- C. Not Sure
- D. None of the above
Correct answer: False
Rationale: While oxygen is essential for many living organisms, it is not the primary raw material for new living material. The primary raw materials for new living material are carbon, hydrogen, nitrogen, oxygen, phosphorus, and sulfur, collectively known as CHNOPS elements. These elements are the building blocks of biological molecules and are essential for life. Therefore, the correct answer is False. Choices C and D are incorrect because the primary raw materials for new living material are well-established in biology.
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