ATI RN
ATI Leadership Proctored Exam
1. Which leadership style is most effective in a crisis situation?
- A. Democratic
- B. Autocratic
- C. Transformational
- D. Laissez-faire
Correct answer: B
Rationale: An autocratic leadership style is most effective in a crisis situation because it allows for quick decision-making without the need for extensive consultation or deliberation. In a crisis, immediate and decisive actions are often required to address the situation effectively. Democratic leadership, on the other hand, may slow down the decision-making process due to the need for consensus and input from team members. Transformational leadership focuses on inspiring and motivating followers, which may not always be as effective in a crisis where urgent actions are needed. Laissez-faire leadership, characterized by a hands-off approach, is generally ineffective in crisis situations as it lacks the necessary direction and guidance required to navigate through the challenges efficiently.
2. A nurse is providing the client with biliary obstruction a simple overview of the anatomy of the liver and gallbladder. The nurse tells the client that normally the liver stores bile in the gallbladder, which is connected to the liver by the?
- A. Liver canaliculi
- B. Common bile duct
- C. Cystic duct
- D. Right hepatic duct.
Correct answer: C
Rationale: The gallbladder receives bile from the liver through the cystic duct. The liver collects bile in the canaliculi. Bile then flows into the common hepatic duct. From the common hepatic duct, the bile can be stored in the gallbladder through the cystic duct. Otherwise, the bile can flow directly into the duodenum by way of the common bile duct.
3. A healthcare provider is reviewing the laboratory data of a client who is receiving total parenteral nutrition. Which of the following findings should the healthcare provider report?
- A. Serum calcium 8.5 mg/dL
- B. Blood glucose level 120 mg/dL
- C. Serum sodium 138 mEq/L
- D. Serum albumin 3.5 g/dL
Correct answer: D
Rationale: The correct answer is D: Serum albumin 3.5 g/dL. A low serum albumin level indicates protein deficiency, which can be a complication of TPN therapy and requires prompt intervention. The other laboratory findings provided (serum calcium 8.5 mg/dL, blood glucose level 120 mg/dL, and serum sodium 138 mEq/L) are within normal ranges and do not specifically indicate complications related to TPN therapy.
4. What is an advantage of the ventrogluteal muscle as an injection site in young children?
- A. Easily accessible from many directions
- B. Free of significant nerves and vascular structures
- C. Can be used until the child reaches a weight of 9 kg (20 lb)
- D. Increased subcutaneous fat, which provides sustained drug absorption
Correct answer: B
Rationale: The ventrogluteal site is free of significant nerves and vascular structures, making it a safer choice for intramuscular injections in young children compared to other sites that may be more prone to complications.
5. A nurse is planning care for a client who has ascites secondary to liver disease. Which of the following interventions should the nurse include in the plan of care?
- A. Reduce complex carbohydrates to 30% of total calories.
- B. Restrict protein intake to less than 0.8 g/kg/day.
- C. Decrease daily caloric intake by 20%.
- D. Limit sodium to 2000 mg or less per day.
Correct answer: D
Rationale: The correct answer is to limit sodium to 2000 mg or less per day. Ascites, which is the abnormal accumulation of fluid in the abdominal cavity, is commonly associated with liver disease. Limiting sodium intake helps manage fluid retention by reducing the fluid accumulation in the abdomen. Choices A, B, and C are incorrect because reducing complex carbohydrates, restricting protein intake, or decreasing caloric intake are not the primary interventions for managing ascites in liver disease.
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