ATI RN
Leadership ATI Proctored
1. Which of the following is one of the positive benefits of conflict within an organization?
- A. Conflict leads to compromise on values and beliefs.
- B. Conflict leads to intergroup competition.
- C. Conflict helps people recognize differences and motivates people towards improved performance.
- D. Conflict always leads to a win-win resolution.
Correct answer: C
Rationale: The correct answer is C. Conflict within an organization can help people recognize legitimate differences and motivate them towards improved performance. This recognition of differences can lead to constructive discussions and solutions. Choice A is incorrect because conflict does not necessarily always lead to compromising values and beliefs. Choice B is incorrect as conflict should not be about fostering intergroup competition but rather about addressing and resolving issues. Choice D is incorrect as conflicts do not always result in a win-win resolution; sometimes, compromises or trade-offs are necessary for resolution.
2. A client with asthma asks how to use a peak flow meter. Which of the following instructions should the nurse provide?
- A. Use the peak flow meter at the same time each day.
- B. Take a slow, deep breath and blow out as hard as you can.
- C. Keep a log of your peak flow readings.
- D. Perform the test before using any bronchodilators.
Correct answer: D
Rationale: The correct answer is to instruct the client to perform the peak flow test before using any bronchodilators. This is important because it provides the most accurate baseline measurement of lung function. Choice A is not necessarily crucial for the accuracy of the test. Choice B describes the technique for spirometry, not peak flow meter use. Choice C, while important for tracking trends, is not directly related to the accuracy of the initial measurement.
3. The nurse has been assigned to train the unlicensed nursing assistant about prioritizing care. Which client should the nurse instruct the unlicensed nursing assistant to see first?
- A. The client who needs both sequential compression devices removed
- B. The elderly woman who needs assistance ambulating to the bathroom
- C. The surgical client who needs help changing the gown after bathing
- D. The male client who needs the intravenous fluid discontinued
Correct answer: A
Rationale: The correct answer is A. Removing sequential compression devices could increase the risk of thromboembolism, which is a serious complication. Therefore, this client should be seen first to prevent any potential harm. Choice B may be important, but it does not pose an immediate risk compared to thromboembolism. Choice C is a routine care task that can be delayed, and Choice D, discontinuing intravenous fluid, is important but not as urgent as preventing thromboembolism.
4. What is a condition where the heart's ability to pump blood is reduced because the heart muscle is enlarged, thickened, or stiffened?
- A. Cardiomyopathy
- B. Endocarditis
- C. Myocarditis
- D. Aortic stenosis
Correct answer: A
Rationale: Cardiomyopathy is the correct answer. It is a condition characterized by the enlargement, thickening, or stiffening of the heart muscle, leading to a reduced ability of the heart to pump blood effectively. Endocarditis (Choice B) is the inflammation of the inner lining of the heart chambers and valves, not specifically related to the heart muscle. Myocarditis (Choice C) is inflammation of the heart muscle typically caused by a viral infection, not directly related to the heart muscle's structure. Aortic stenosis (Choice D) is a condition characterized by the narrowing of the aortic valve opening, affecting blood flow from the heart's left ventricle to the aorta, different from the structural changes seen in cardiomyopathy.
5. Several patients call the outpatient clinic and ask to make an appointment as soon as possible. Which patient should the nurse schedule to be seen first?
- A. A 44-year-old with sickle cell anemia who reports his eyes always look somewhat yellow
- B. A 23-year-old with no previous health problems who has a nontender lump in the axilla
- C. A 50-year-old with early-stage chronic lymphocytic leukemia who reports chronic fatigue
- D. A 19-year-old with hemophilia who wants to learn to self-administer factor VII replacement
Correct answer: B
Rationale: The patient's young age and the presence of a nontender lump in the axilla raise concerns for possible lymphoma, which requires prompt evaluation and treatment. This patient should be seen first to rule out any serious underlying condition. Choice A is less urgent as yellowish eyes in sickle cell anemia may be due to jaundice but not necessarily an acute issue. Choice C, a 50-year-old with chronic fatigue related to early-stage chronic lymphocytic leukemia, is a known condition that can be managed on a routine basis. Choice D, a 19-year-old with hemophilia wanting to self-administer factor VII replacement, is important but less urgent compared to the potential lymphoma presentation in choice B.
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