ATI RN
ATI Leadership Proctored Exam 2023
1. Which of the following is a common characteristic of a high reliability organization (HRO)?
- A. Flexibility
- B. Reluctance to simplify
- C. Preoccupation with failure
- D. Deference to expertise
Correct answer: C
Rationale: A common characteristic of a high reliability organization (HRO) is a preoccupation with failure. HROs focus on identifying and addressing potential failure points to prevent errors and maintain high levels of safety and reliability. This mindset helps them anticipate and mitigate risks proactively, leading to better outcomes and performance. Choices A, B, and D are incorrect. While flexibility, reluctance to simplify, and deference to expertise may be important in various contexts, they are not the primary defining characteristics of a high reliability organization. The core focus of HROs is on continuously monitoring for potential failures and working to prevent them.
2. After a case manager completes a history and physical assessment for a client with COPD, which of the following actions should the case manager take next?
- A. Call the provider with a list of client concerns.
- B. Identify the client's current health needs.
- C. Compile a list of community resources for the client.
- D. Refer the client to a COPD support group.
Correct answer: A
Rationale: After completing a history and physical assessment for a client with COPD, the next step for the case manager should be to call the provider with a list of client concerns. This is crucial as the provider needs to be informed about any issues or changes in the client's health status to ensure appropriate management. Identifying the client's current health needs, as mentioned in option B, is important but would typically follow after communicating the client's concerns to the provider. Compiling a list of community resources (option C) and referring the client to a COPD support group (option D) are also valuable actions but are not the immediate next steps after completing the assessment.
3. A client is receiving heparin therapy. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the therapy?
- A. PT
- B. aPTT
- C. INR
- D. Platelet count
Correct answer: B
Rationale: The corrected answer is B: aPTT. The activated partial thromboplastin time (aPTT) is the laboratory value used to monitor the effectiveness of heparin therapy. The aPTT should be maintained at 1.5 to 2 times the normal level to ensure therapeutic anticoagulation. Monitoring aPTT helps healthcare providers adjust heparin doses to achieve the desired anticoagulant effects and prevent complications such as bleeding or clotting. Choice A, PT (prothrombin time), is used to monitor warfarin therapy, not heparin. Choice C, INR (international normalized ratio), is also used to monitor warfarin therapy. Choice D, platelet count, is important for assessing the risk of bleeding, but it does not directly monitor the effectiveness of heparin therapy.
4. During adolescence, the young person's vision of self becomes __________.
- A. more inconsistent
- B. more well-organized
- C. less complex
- D. unbalanced
Correct answer: B
Rationale: During adolescence, self-concept becomes more organized and consistent as individuals integrate different aspects of their identity. This process involves understanding oneself better, recognizing strengths and weaknesses, and forming a more coherent sense of identity. Choices A, C, and D are incorrect because adolescence is typically a period of increased self-awareness and growth, leading to a more structured and integrated self-concept, rather than one that is inconsistent, less complex, or unbalanced.
5. A nurse is caring for a client who has anemia and a hemoglobin level of 8 g/dL. Which of the following findings should the nurse expect?
- A. Jaundice.
- B. Bradycardia.
- C. Tachypnea.
- D. Hypertension.
Correct answer: C
Rationale: The correct answer is C: Tachypnea. Anemia leads to decreased oxygen-carrying capacity due to low hemoglobin levels, prompting the body to increase respiratory rate to enhance oxygen uptake. Jaundice (choice A) is associated with liver issues, not anemia. Bradycardia (choice B) and Hypertension (choice D) are not typically expected findings in clients with anemia; instead, tachycardia may occur as the body compensates for the decreased oxygen delivery.
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