ATI RN
ATI Leadership Proctored Exam 2019 Quizlet
1. Which of the following clients would most likely be selected for case management?
- A. An adolescent with a gunshot wound who is in the ER.
- B. A young adult with a fractured pelvis.
- C. An elderly client awaiting a hip replacement.
- D. A 41-year-old client admitted for outpatient tonsillectomy.
Correct answer: C
Rationale: The correct answer is C, an elderly client awaiting a hip replacement. This choice is most likely selected for case management because hip replacements are common surgical procedures with high volume in hospitals, making it appropriate for case management. Choices A, B, and D involve acute care conditions but do not typically require the same level of coordination and management that a hip replacement case would. Therefore, they are less likely to be selected for case management.
2. What is the main purpose of the NCLEX examination?
- A. Ensure that individuals have passed nursing classes.
- B. Provide assurance that nursing schools are part of the service agency.
- C. Enable potential students to determine the best nursing schools.
- D. Ensure the safety of the public.
Correct answer: D
Rationale: The main purpose of the NCLEX examination is to ensure the safety of the public by determining if candidates have the knowledge and skills necessary to provide safe and effective nursing care. Choice A is incorrect as the exam evaluates if individuals are ready to begin nursing practice, not just passed classes. Choice B is incorrect as the exam is not related to the affiliation of nursing schools with service agencies. Choice C is incorrect as the exam is not designed to help potential students choose the best nursing schools, but rather to assess individual readiness for nursing practice to protect public safety.
3. The process by which registered nurses assess and judge the performance of peers against some predetermined standard is called:
- A. Group evaluation.
- B. Peer review.
- C. Forced distribution evaluation.
- D. Essay evaluation.
Correct answer: B
Rationale: The correct answer is B: Peer review. Peer review is a process in which professional peers assess and judge the performance of their colleagues against predetermined standards. Essay evaluations involve describing an employee's performance through a detailed written narrative. Forced distribution evaluation is a method where employees are rated based on a fixed distribution, similar to grading on a curve. Group evaluation, on the other hand, involves managers comparing individual and group performance against organizational standards.
4. What is the main purpose of a nursing code of ethics?
- A. To protect the rights and dignity of patients
- B. To ensure compliance with healthcare laws
- C. To set standards for clinical practice
- D. To provide a framework for ethical decision-making in nursing practice
Correct answer: D
Rationale: The main purpose of a nursing code of ethics is to provide a framework for ethical decision-making in nursing practice. While choice A is important, the primary focus of a nursing code of ethics is not solely to protect the rights and dignity of patients but to guide nurses in making ethical decisions. Choice B is more related to legal requirements, not the ethical aspects covered by a code of ethics. Choice C, setting standards for clinical practice, is important but distinct from the primary purpose of a code of ethics, which is centered on ethical decision-making.
5. When should a critical pathway be revised?
- A. When variances show a new trend.
- B. When the variances show a new trend.
- C. When a member of the team retires.
- D. When the client leaves the hospital.
Correct answer: B
Rationale: A critical pathway should be revised when variances in the patient's progress indicate a new trend or deviation from the expected course of treatment. This allows healthcare providers to adjust the pathway to ensure optimal patient care and outcomes. Changes in the critical pathway are not typically driven by its length or external factors like team member retirements or client discharges. Therefore, the correct answer is B. Choice A is a better phrasing of the correct answer, emphasizing the importance of variances showing a new trend. Choices C and D are irrelevant to the patient's progress and treatment plan, making them incorrect.
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