ATI RN
ATI Proctored Leadership Exam
1. Which of the following is a common characteristic of a high-performing healthcare team?
- A. Effective communication
- B. Shared leadership
- C. Collaborative decision making
- D. Hierarchical structure
Correct answer: C
Rationale: Collaborative decision making is a key characteristic of a high-performing healthcare team because it involves team members working together to make decisions that lead to the best outcomes for patients. Effective communication is important in any team, but collaborative decision making goes beyond communication by involving team members in the decision-making process. Shared leadership is also crucial for a high-performing team, as it promotes equality and empowerment among team members. On the other hand, a hierarchical structure can hinder effective communication and teamwork by creating barriers between team members and limiting input from all team members, which is counterproductive to achieving optimal healthcare outcomes.
2. A client has a new prescription for Iron supplements. Which of the following instructions should be included in the teaching?
- A. Take the medication with a glass of orange juice.
- B. Avoid taking the medication with milk.
- C. Increase fiber intake to prevent constipation.
- D. Expect stools to be dark.
Correct answer: C
Rationale: The correct answer is to increase fiber intake to prevent constipation when taking iron supplements. Iron supplements can lead to constipation as a common side effect. Increasing fiber intake helps promote healthy bowel movements and counteracts the constipating effects of iron. Choice A is incorrect because iron absorption is hindered by calcium found in milk. Choice B is incorrect as orange juice enhances iron absorption due to its vitamin C content. Choice D is incorrect as iron supplements can cause stools to appear dark, not bright red.
3. A client has a prescription for a Nicotine transdermal patch. Which of the following instructions should the nurse include?
- A. Apply the patch at the same time each day.
- B. Remove the patch at bedtime.
- C. Apply the patch to the same location daily.
- D. Place the patch over an area of the body with hair.
Correct answer: A
Rationale: The correct instruction for a client using a Nicotine transdermal patch is to apply the patch at the same time each day. This helps maintain consistent blood levels of nicotine throughout the treatment period, which can aid in reducing cravings for smoking. Consistency in the application time is essential for the effectiveness of the patch. Choices B, C, and D are incorrect. Removing the patch at bedtime may disrupt the continuous delivery of nicotine, applying the patch to the same location daily can cause skin irritation, and placing the patch over an area with hair may affect its adhesion and absorption.
4. Which of the following statements best describes the role of a community health nurse?
- A. Provides direct patient care in hospital settings
- B. Conducts health education and community organizing activities
- C. Coordinates care for individuals and families
- D. Advocates for health policies and programs
Correct answer: B
Rationale: The correct answer is B. Community health nurses play a crucial role in conducting health education and community organizing activities within the community. They focus on promoting health, preventing diseases, and improving the overall well-being of the community members by organizing educational programs and initiatives. While they may be involved in coordinating care to some extent, their primary focus lies in health education and community outreach.
5. What is the primary action when caring for a patient with a stage 3 pressure ulcer?
- A. Apply a hydrocolloid dressing
- B. Provide wound debridement
- C. Change the dressing daily
- D. Apply moist gauze to the ulcer
Correct answer: A
Rationale: The correct answer is to apply a hydrocolloid dressing. This type of dressing helps maintain a moist environment that is conducive to healing in stage 3 pressure ulcers. Providing wound debridement (choice B) is more suitable for higher stages of pressure ulcers where there is necrotic tissue. Changing the dressing daily (choice C) may be necessary but is not the primary action for a stage 3 pressure ulcer. Applying moist gauze (choice D) is not the recommended approach as it does not provide the same benefits as a hydrocolloid dressing.
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