ATI RN
ATI Proctored Leadership Exam
1. Which of the following is one important factor in sustaining employee satisfaction?
- A. Organization culture
- B. Individual performance
- C. Performance evaluation
- D. Job satisfaction
Correct answer: D
Rationale: Job satisfaction is a crucial factor in sustaining employee satisfaction. Studies have shown that higher levels of job satisfaction lead to lower turnover rates and higher productivity. Choice A, organization culture, is important but focuses more on the overall environment rather than individual satisfaction. Choice B, individual performance, is relevant but doesn't directly address employee satisfaction. Choice C, performance evaluation, is a process rather than a factor in sustaining satisfaction.
2. When working as a professional nurse, what is the priority for a new nurse working on an inpatient medical-surgical unit with a preceptor?
- A. Attending to holistic client needs
- B. Ensuring client safety
- C. Avoiding medication errors
- D. Providing client-focused care
Correct answer: B
Rationale: The priority for a nurse working on an inpatient medical-surgical unit is to ensure client safety. This is crucial as errors in hospital care can lead to preventable deaths. While attending to holistic client needs and providing client-focused care are important aspects of nursing, ensuring client safety takes precedence to prevent harm and promote positive patient outcomes.
3. Which action exemplifies primary prevention in a community setting?
- A. Administering vaccines to children
- B. Screening for early signs of disease
- C. Offering support groups for chronic illness management
- D. Providing treatment for infectious diseases
Correct answer: A
Rationale: Administering vaccines to children is a primary prevention strategy that focuses on preventing the development of diseases before they occur. By administering vaccines, the aim is to protect individuals and the community from infectious diseases by building immunity against them. This proactive approach targets the root causes of illnesses, contributing to overall community health and well-being.
4. A parent brings their 2-year-old son in for a well visit. The nurse assesses his growth since the last appointment. Which finding should concern the nurse?
- A. Prominent abdomen
- B. Forward curve of the spine in the sacral area
- C. Increase in height of 5 inches in the past year
- D. Total weight gain of 15 lb in the past year
Correct answer: D
Rationale: The correct answer is D. A total weight gain of 15 lb in one year for a 2-year-old is excessive and may indicate an underlying issue such as a metabolic disorder or overfeeding. This rapid weight gain can put the child at risk for health problems. Choices A, B, and C are not typically concerning findings in a 2-year-old. A prominent abdomen can be normal at this age due to a toddler's slightly protruding belly, a forward curve of the spine at the sacral area is a typical finding in young children, and an increase in height of 5 inches in a year is within the expected range of growth for a 2-year-old.
5. A nurse is caring for a client who has Alzheimer's disease and demonstrates confusion and wandering behavior. Which of the following interventions should the nurse include in the plan of care?
- A. Place the client in a well-lit area to reduce wandering.
- B. Use physical restraints to prevent wandering.
- C. Ensure that the client wears an identification bracelet at all times.
- D. Keep the client's bed in the lowest position.
Correct answer: C
Rationale: The correct intervention for a client with Alzheimer's disease who demonstrates confusion and wandering behavior is to ensure that the client wears an identification bracelet at all times. This helps prevent wandering and ensures the client's safety. Placing the client in a well-lit area may be beneficial for orientation but does not directly address wandering behavior. Using physical restraints is not recommended as it can lead to agitation and other complications. Keeping the client's bed in the lowest position is important for fall prevention but does not specifically address the issue of wandering behavior.
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