ATI RN
ATI Leadership Proctored Exam 2023
1. Which of the following laws govern nursing practice?
- A. Statutory laws
- B. Common laws
- C. Administrative laws
- D. Constitutional laws
Correct answer: A
Rationale: Statutory laws govern nursing practice. These laws are enacted by legislative bodies and regulate various aspects of nursing practice, including licensure requirements, scope of practice, and patient care standards. Common laws, administrative laws, and constitutional laws may also impact nursing practice, but statutory laws specifically outline the legal framework for nursing professionals to follow. Common laws are based on court decisions and precedents, not specific to nursing practice. Administrative laws deal with regulations set by administrative agencies. Constitutional laws relate to the fundamental rights and principles outlined in the constitution, not specifically governing nursing practice.
2. What are the expected signs of compartment syndrome?
- A. Unrelieved pain, pallor, and pulselessness
- B. Fever, swelling, and redness
- C. Muscle cramps and weakness
- D. Redness and itching
Correct answer: A
Rationale: The correct answer is A: Unrelieved pain, pallor, and pulselessness. Compartment syndrome is characterized by increased pressure within a muscle compartment, leading to inadequate blood supply. This results in severe pain that is unrelieved by rest or medication, pallor due to compromised blood flow, and pulselessness as a late sign of severe ischemia. Choices B, C, and D are incorrect. Fever, swelling, and redness are not typical signs of compartment syndrome. Muscle cramps and weakness may occur due to other conditions, but they are not primary indicators of compartment syndrome. Redness and itching are also not commonly associated with compartment syndrome.
3. A nurse manager of a rural clinic is orienting a new employee. Which of the following information should the nurse include as a characteristic of rural health?
- A. Lower rates of maternal morbidity
- B. Reduced incidence of death from motor-vehicle crashes
- C. Increased rates of chronic illness
- D. More frequent dental preventative care visits
Correct answer: C
Rationale: The correct answer is C: 'Increased rates of chronic illness.' Rural areas often face challenges such as limited access to healthcare services, healthcare provider shortages, socioeconomic factors, and lifestyle choices that contribute to higher rates of chronic illnesses. Maternal morbidity rates are typically higher in rural areas due to limited access to obstetric care. While rural areas may have fewer motor-vehicle crashes compared to urban areas, the severity of crashes is usually higher due to factors like longer emergency response times. Dental care access can also be limited in rural areas, leading to less frequent preventative care visits.
4. What should be monitored in a patient receiving insulin who is at risk for hypoglycemia?
- A. Monitor blood glucose levels
- B. Monitor for respiratory distress
- C. Monitor for hypertension
- D. Monitor for hyperkalemia
Correct answer: A
Rationale: Corrected Question: In a patient receiving insulin who is at risk for hypoglycemia, monitoring blood glucose levels is crucial. This helps in preventing and identifying hypoglycemia promptly. Choice B, monitoring for respiratory distress, is not directly related to hypoglycemia caused by insulin. Choice C, monitoring for hypertension, is not typically associated with hypoglycemia. Choice D, monitoring for hyperkalemia, is not a common concern in patients receiving insulin who are at risk for hypoglycemia.
5. Scientific research has demonstrated that the ________ parenting style is most likely to lead to healthy psychological development in children.
- A. authoritative
- B. authoritarian
- C. permissive
- D. neglectful/uninvolved
Correct answer: A
Rationale: The correct answer is A, authoritative. Authoritative parenting combines warmth and nurturing with reasonable limits and consistent discipline. This style promotes independence, self-regulation, and social competence in children, leading to healthy psychological development. Choice B, authoritarian parenting, is characterized by strict rules and harsh punishment without much warmth, which can lead to anxiety and lower self-esteem in children. Choice C, permissive parenting, involves few demands and little control, resulting in children lacking self-discipline and social skills. Choice D, neglectful/uninvolved parenting, is characterized by a lack of responsiveness to a child's emotional needs and can lead to various negative outcomes such as poor self-esteem and emotional issues.
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