ATI RN
ATI Leadership Proctored
1. Which level in Maslow's hierarchy is rarely met?
- A. Esteem
- B. Safety
- C. Self-actualization
- D. Belongingness
Correct answer: C
Rationale: The correct answer is C, 'Self-actualization.' Self-actualization, the highest level in Maslow's hierarchy, involves developing one's full potential and achieving personal growth. It is considered rarely met because it requires a deep understanding of oneself, a strong sense of purpose, and the ability to pursue intrinsic goals. Esteem (choice A) focuses on respect, recognition, and self-esteem, which are more commonly achieved than self-actualization. Safety (choice B) and belongingness (choice D) are also more commonly attained as they relate to basic needs for security and social connections, which are essential for overall well-being.
2. A nurse is talking with a client who is about to start using transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. Which of the following statements should the nurse identify as an indication that the client needs further teaching?
- A. I wish I didn't have to attach the electrodes to my skin
- B. I will need to shave the hair off the skin where I place the electrodes
- C. I hope I don't have to take as many pain pills
- D. It's unfortunate that I have to be in the hospital for this treatment
Correct answer: D
Rationale: TENS is a portable treatment that can be done at home, so the client should not expect to remain in the hospital for this treatment.
3. In the morning, a healthcare professional receives change-of-shift report on four pediatric clients, each of whom has some form of fluid-volume excess. Which of the children should the healthcare professional see first?
- A. The child with tachypnea and pulmonary congestion
- B. The child with hepatomegaly and normal respiratory rate
- C. The child with dependent and sacral edema and regular pulse
- D. The child with periorbital edema and normal respiratory rate
Correct answer: A
Rationale: The child with tachypnea and pulmonary congestion should be seen first. Tachypnea indicates an increased respiratory rate, a sign of possible respiratory distress. Pulmonary congestion suggests fluid accumulation in the lungs, posing a serious risk to respiratory function. Immediate attention is crucial in this case. Choice B is incorrect as hepatomegaly alone does not indicate an acute issue requiring immediate attention. Choices C and D, while showing signs of fluid-volume excess, do not present the same level of respiratory compromise as tachypnea and pulmonary congestion, making them lower priority.
4. At which age can most infants sit steadily unsupported?
- A. 4 months
- B. 6 months
- C. 8 months
- D. 12 months
Correct answer: C
Rationale: Most infants can sit steadily without support by 8 months, indicating advanced gross motor skill development.
5. The stages of grieving identified by Elizabeth Kubler-Ross are:
- A. Numbness, anger, resolution and reorganization
- B. Denial, anger, identification, depression and acceptance
- C. Anger, loneliness, depression and resolution
- D. Denial, anger, bargaining, depression and acceptance
Correct answer: C
Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.
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