ATI RN
ATI Leadership Proctored Exam 2019
1. Which of the following skills are essential for healthcare professionals in today's healthcare environment?
- A. Communication
- B. Supervision & Management
- C. Delegation
- D. All of the above
Correct answer: D
Rationale: In today's healthcare environment, professionals require a diverse skill set to effectively navigate the complexities of patient care. Communication is fundamental for effective patient interactions, teamwork, and collaboration. Supervision and management skills are crucial for overseeing patient care and ensuring operational efficiency. Delegation is important for distributing tasks appropriately among team members. Therefore, all the skills mentioned (communication, supervision, management, and delegation) are essential for healthcare professionals in today's healthcare environment. The correct answer is 'All of the above' because all the skills listed are crucial and interlinked in providing high-quality patient care in the current healthcare setting. Choices A, B, and C are incorrect because each skill plays a vital role in the multifaceted responsibilities of healthcare professionals, and focusing on only one aspect would be limiting in today's dynamic healthcare landscape.
2. A client with limited mobility in their lower extremities is at risk for skin breakdown. Which of the following actions should the nurse take to prevent skin breakdown?
- A. Place the client in high-Fowler's position.
- B. Increase the client's intake of carbohydrates.
- C. Massage areas of skin that are darker than the surrounding skin tissue with unscented lotion.
- D. Have the client use a trapeze bar when changing position
Correct answer: B
Rationale: The correct answer is B: Increase the client's intake of carbohydrates. Adequate nutrition, including carbohydrates, is essential for tissue repair and preventing skin breakdown. Placing the client in high-Fowler's position (choice A) may help with respiratory function but does not directly prevent skin breakdown. Massaging areas of darker skin (choice C) can cause further damage to the skin. Using a trapeze bar (choice D) may assist with changing positions but does not directly address skin breakdown prevention.
3. In a client with Crohn’s disease, which of the following symptoms should not be a direct result from antibiotic therapy?
- A. Decrease in bleeding
- B. Decrease in temperature
- C. Decrease in body weight
- D. Decrease in the number of stools
Correct answer: C
Rationale: Decrease in body weight is not a direct result of antibiotic therapy but may occur due to the underlying disease process.
4. A healthcare professional is preparing a client for a colonoscopy. Which of the following medications should the professional anticipate the provider to prescribe as an anesthetic for the procedure?
- A. Propofol
- B. Pancuronium
- C. Promethazine
- D. Pentoxifylline
Correct answer: A
Rationale: The correct answer is A, Propofol. Propofol is a short-acting anesthetic medication commonly used for procedures like colonoscopies to induce moderate sedation. Pancuronium (Choice B) is a neuromuscular blocking agent used as a paralyzing agent during surgery, not for sedation. Promethazine (Choice C) is an antihistamine often used for nausea and vomiting, not as an anesthetic. Pentoxifylline (Choice D) is a medication used to improve blood flow and is not indicated for anesthesia.
5. A client has a new prescription for Furosemide. Which of the following instructions should the nurse include?
- A. Take this medication at bedtime.
- B. Avoid eating foods high in potassium.
- C. Change positions slowly.
- D. Take this medication with meals.
Correct answer: C
Rationale: The correct instruction to include when a client is prescribed Furosemide is to change positions slowly. Furosemide is a diuretic that can lead to orthostatic hypotension, causing dizziness and increasing the risk of falls. By advising the client to change positions slowly, the nurse helps prevent these adverse effects and ensures the client's safety. Option A is incorrect because Furosemide is usually taken in the morning to prevent disturbed sleep due to frequent urination. Option B is incorrect as Furosemide can cause potassium loss, so advising to avoid foods high in potassium would not be appropriate. Option D is incorrect because taking Furosemide with meals may increase the risk of side effects and decrease its effectiveness.
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