ATI RN
ATI Leadership Practice A
1. Which of the following best describes the purpose of benchmarking in healthcare?
- A. To compare performance metrics across organizations
- B. To identify best practices and implement them
- C. To ensure compliance with standards
- D. To develop new clinical guidelines
Correct answer: B
Rationale: The correct answer is B: 'To identify best practices and implement them.' Benchmarking in healthcare aims to compare performance metrics across organizations to identify the most effective practices and implement them. This helps healthcare providers improve their performance and outcomes by adopting proven successful strategies. Choices A, C, and D are incorrect because while benchmarking may involve comparing performance metrics and ensuring standards compliance, its primary purpose is to identify and implement best practices.
2. According to psychosexual theory, what is crucial for healthy personality development?
- A. Children actively construct knowledge as they manipulate and explore the world.
- B. Directly observable events are the appropriate focus of psychological study.
- C. How parents manage their child's sexual and aggressive drives in the first few years.
- D. The ego makes a positive contribution to development, acquiring attitudes and skills.
Correct answer: C
Rationale: According to psychosexual theory, developed by Sigmund Freud, how parents manage their child's sexual and aggressive drives in the first few years is crucial for healthy personality development. This theory suggests that personality development is heavily influenced by a child's experiences during early stages of development, particularly related to handling sexual and aggressive impulses. Choices A, B, and D are incorrect as they do not align with the core principles of psychosexual theory, which focuses on the importance of early childhood experiences, especially in the context of sexual and aggressive drives.
3. Which clinical manifestations should the nurse anticipate when assessing a child for hypoglycemia?
- A. Lethargy
- B. Thirst
- C. Nausea and vomiting
- D. Shaky feeling and dizziness
Correct answer: D
Rationale: The correct answer is D: 'Shaky feeling and dizziness.' Hypoglycemia in children often presents with symptoms like shakiness, dizziness, sweating, hunger, and irritability. These symptoms occur because the brain and body are deprived of the glucose they need to function properly. Choices A, B, and C are incorrect because lethargy, thirst, nausea, and vomiting are not typically primary manifestations of hypoglycemia in children.
4. A healthcare professional is assessing a client who is 24 hours postoperative following an open cholecystectomy. Which of the following findings should the healthcare professional report to the provider?
- A. Urinary output of 100 mL in 4 hours
- B. Serosanguineous wound drainage
- C. Heart rate of 94/min
- D. WBC count of 15,000/mm³
Correct answer: D
Rationale: A WBC count of 15,000/mm³ is elevated and may indicate infection, which should be reported. High WBC count is a sign of inflammation or infection, and in a postoperative client, it can be indicative of surgical site infection or another complication. Urinary output, serosanguineous wound drainage, and a heart rate of 94/min are all within normal ranges for a client post cholecystectomy and do not raise immediate concerns for infection or complications.
5. Which of the following ethical principles refers to the duty to do good?
- A. Beneficence
- B. Fidelity
- C. Veracity
- D. Nonmaleficence
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.
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