ATI RN
ATI Leadership Practice B
1. Which of the following theories explains that organizations are made up of intertwined links and diversified choices that generate unanticipated consequences?
- A. Contingency theory
- B. Closed system theory
- C. Open system theory
- D. Chaos theory
Correct answer: D
Rationale: The chaos theory explains that organizations are made up of intertwined links and diversified choices that generate unanticipated consequences. Choice A, Contingency theory, focuses on how organizations adapt to their environment. Choice B, Closed system theory, suggests that organizations are self-contained and do not interact with their environment. Choice C, Open system theory, emphasizes that organizations interact with their environment but does not specifically address intertwined links and diversified choices generating unanticipated consequences.
2. Which nursing action can the nurse delegate to unlicensed assistive personnel (UAP) working in the diabetic clinic?
- A. Measure the ankle-brachial index.
- B. Check for changes in skin pigmentation.
- C. Assess for unilateral or bilateral foot drop.
- D. Ask the patient about symptoms of depression.
Correct answer: A
Rationale: The correct answer is A: Measure the ankle-brachial index. This task involves using a Doppler ultrasound device to assess blood flow, which can be safely delegated to UAP. Choices B, C, and D require a higher level of assessment and interpretation that should be performed by licensed nursing staff. Checking for changes in skin pigmentation (B) and assessing for foot drop (C) involve more complex assessments that require nursing judgment. Asking about symptoms of depression (D) involves a psychosocial assessment, which should be performed by licensed personnel qualified to address mental health concerns.
3. What laboratory finding, in conjunction with the presenting symptoms, indicates minimal change nephrotic syndrome?
- A. Low specific gravity
- B. Decreased hemoglobin
- C. Normal platelet count
- D. Reduced serum albumin
Correct answer: D
Rationale: Reduced serum albumin is a hallmark of minimal change nephrotic syndrome (MCNS) due to massive proteinuria. This results in hypoalbuminemia, which contributes to the edema characteristic of this condition.
4. Which of the following explanations for the relationship between SES and abnormal behavior is not supported by the existing data?
- A. Low SES may cause abnormal behavior.
- B. Abnormal behavior is more likely to go untreated in those of low SES.
- C. Recovery from loss of a job may be more difficult for those exhibiting signs of mental illness.
- D. High SES may cause abnormal behavior.
Correct answer: D
Rationale: The correct answer is D because high SES as a cause for abnormal behavior is not supported by existing data. Abnormal behavior is often associated with factors like stress, trauma, genetics, or environmental influences. High SES is not a known cause of abnormal behavior. Choices A, B, and C are more plausible explanations: Low SES may lead to limited access to mental health care, untreated abnormal behavior due to financial constraints, and difficulties in coping with mental health issues after job loss, respectively.
5. A nurse teaches a client with tuberculosis (TB) who is being discharged. Which statement by the client indicates a need for further teaching?
- A. I will take my medication as prescribed.
- B. I will need to have regular follow-up chest x-rays.
- C. I will be able to return to work immediately.
- D. I will use tissues to cover my mouth when I cough.
Correct answer: C
Rationale: Clients with tuberculosis should not return to work until they are no longer contagious and have been cleared by their healthcare provider. This usually requires several weeks of treatment. The other statements are correct and indicate understanding.
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