ATI RN
ATI Proctored Leadership Exam
1. Which of the following strategies is most effective for improving staff morale?
- A. Increasing workload
- B. Increasing salaries
- C. Providing feedback
- D. Offering incentives
Correct answer: C
Rationale: Providing feedback is the most effective strategy for improving staff morale. Feedback helps employees understand their performance, areas of improvement, and areas of strength, fostering a sense of recognition and growth. Increasing workload (choice A) can lead to burnout and decreased morale. While increasing salaries (choice B) and offering incentives (choice D) can be motivating, they may not address underlying issues or provide the same level of personal development and recognition that feedback offers.
2. Which of the following interventions is considered the most effective form of universal precautions?
- A. Cap all used needles before removing them from their syringes
- B. Discard all used uncapped needles and syringes in an impenetrable protective container
- C. Wear gloves when administering IM injections
- D. Follow enteric precautions
Correct answer: B
Rationale: The most effective form of universal precautions is to discard all used uncapped needles and syringes in an impenetrable protective container. This practice minimizes the risk of needle-stick injuries, which are a significant concern when dealing with used needles. By safely disposing of uncapped needles, healthcare providers can protect themselves and others from potential exposure to bloodborne pathogens.
3. A nurse is caring for a client who requires total parenteral nutrition (TPN). Which of the following actions should the nurse take when finding that the TPN solution is infusing too rapidly?
- A. Sit the client upright
- B. Stop the TPN infusion
- C. Turn the client on their left side
- D. Prepare to add insulin to the TPN infusion
Correct answer: B
Rationale: The correct action for the nurse to take when finding that the TPN solution is infusing too rapidly is to stop the TPN infusion. This is crucial to prevent fluid overload and ensure the client's safety. Sitting the client upright (Choice A) or turning the client on their left side (Choice C) are not appropriate responses to a rapidly infusing TPN solution and do not address the immediate issue of preventing complications from the rapid infusion. Adding insulin to the TPN infusion (Choice D) is not indicated unless specifically prescribed by the healthcare provider for the client's condition. Therefore, the priority action is to stop the TPN infusion to prevent potential harm.
4. A client is telling the nurse in the clinic that he gets a headache after taking sublingual nitroglycerin (Nitrostat) for his angina pain. Which of the following should the nurse instruct the client to do?
- A. Reduce the nitroglycerin dose
- B. Ask the provider to prescribe a strong analgesic
- C. Lie down in a cool environment and rest
- D. Ask the provider to prescribe a different medication
Correct answer: Lie down in a cool environment and rest
Rationale: The correct answer is to instruct the client to lie down in a cool environment and rest after taking sublingual nitroglycerin for angina pain. Headaches are a common side effect of nitroglycerin due to its vasodilatory effects, and resting in a cool environment can help alleviate the headache. Reducing the nitroglycerin dose is not recommended without consulting the healthcare provider as it may compromise the effectiveness of the medication in managing angina. Asking for a strong analgesic is not appropriate since the headache is likely related to the nitroglycerin and not a separate issue requiring a pain reliever. Requesting a different medication should also involve consulting the healthcare provider to ensure an appropriate alternative is prescribed for angina management.
5. The activities of an anatomist consist of ______, whereas those of a physiologist consist of _____.
- A. observing body parts; studying functions of body parts
- B. conducting experiments; making microscopic examinations
- C. studying molecules; observing forms of the body parts
- D. sketching; dissecting
Correct answer: observing body parts; studying functions of body parts
Rationale: An anatomist focuses on observing the structure and morphology of body parts, such as organs, tissues, and cells, to understand their organization. On the other hand, a physiologist is more concerned with studying the functions and processes of these body parts, including how they work individually and together to maintain homeostasis. Therefore, the correct answer is 'observing body parts; studying functions of body parts.' Choices B, C, and D are incorrect as they do not accurately reflect the primary activities of anatomists and physiologists.
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