ATI LPN
ATI Leadership Proctored Exam 2023
1. What is a crucial issue a healthcare worker in the late industrialization era would need to address to promote health?
- A. Reducing the spread of infection
- B. Promoting physical activity
- C. Educating on medication administration
- D. Promoting child safety in transportation
Correct answer: A
Rationale: During the late industrialization era, communicable diseases were rampant due to poor sanitation and lack of infection control measures. Healthcare workers, including nurses, played a critical role in reducing the spread of infections to prevent disease transmission and improve public health. This focus on infection control was crucial to address the prevalent health issues of the time. Choices B, C, and D, while important in healthcare, were not as pressing during the late industrialization era compared to the urgent need to control the spread of infections.
2. Which of the following statements regarding SIDS is correct?
- A. SIDS can occur in premature infants.
- B. It is most commonly a result of child abuse.
- C. Death usually occurs during sleep.
- D. SIDS can be prevented by placing the baby on its back to sleep.
Correct answer: C
Rationale: The correct statement regarding SIDS is that death usually occurs during sleep. Sudden Infant Death Syndrome (SIDS) is the unexpected death of a seemingly healthy infant, typically occurring during sleep. The exact cause of SIDS is not fully understood. While placing the baby on its back to sleep is a recommended preventive measure to reduce the risk of SIDS, it cannot guarantee prevention. Choice A is incorrect as SIDS is not limited to premature infants. Choice B is incorrect as SIDS is not primarily caused by child abuse.
3. A nurse is preparing to administer 1 unit of packed RBCs to a client. Which of the following findings should cause the nurse to delay the transfusion?
- A. Blood pressure 140/90 mm Hg
- B. Urine output of 40 mL/hr
- C. Temperature 38.2°C (100.8°F)
- D. Hemoglobin 8 g/dL
Correct answer: C
Rationale: A temperature of 38.2°C (100.8°F) suggests the possibility of an underlying infection or fever, which should be evaluated before proceeding with the transfusion to prevent complications. Elevated temperature can indicate an immune response to incompatible blood components, increasing the risk of a transfusion reaction. The other vital signs and lab results provided are within acceptable ranges for administering packed RBCs, making choices A, B, and D less likely to cause a delay in the transfusion.
4. A healthcare provider is reviewing the health history of an older adult who has a hip fracture. The healthcare provider should identify what as a risk factor for developing pressure injuries?
- A. Advanced age
- B. Urinary incontinence
- C. Regular skin assessments
- D. Adequate hydration
Correct answer: B
Rationale: Urinary incontinence is a significant risk factor for skin breakdown and pressure injuries. It can lead to prolonged skin exposure to moisture and irritants, increasing the susceptibility to pressure injuries. Advanced age (Choice A) is a risk factor due to changes in skin integrity and decreased tissue viability, but it is not as direct a risk factor as urinary incontinence. Regular skin assessments (Choice C) are important for early detection and prevention but are not a risk factor themselves. Adequate hydration (Choice D) is essential for overall skin health but is not a direct risk factor for pressure injuries.
5. Which of the following is an example of a vector-borne disease?
- A. Measles
- B. Tuberculosis
- C. Malaria
- D. Hepatitis B
Correct answer: C
Rationale: Malaria is caused by the Plasmodium parasite that is transmitted to humans through the bite of infected Anopheles mosquitoes. These mosquitoes act as vectors in transmitting the disease from one host to another. The other choices, Measles, Tuberculosis, and Hepatitis B, are not vector-borne diseases. Measles is a highly contagious airborne viral infection, Tuberculosis is an airborne bacterial infection, and Hepatitis B is a bloodborne virus.
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