ATI RN
ATI Leadership Proctored Exam 2019 Quizlet
1. Which of the following best describes the role of a clinical nurse specialist (CNS)?
- A. Direct patient care provider
- B. Administrator of healthcare facilities
- C. Consultant for nursing staff
- D. Policy maker in healthcare organizations
Correct answer: C
Rationale: The correct answer is C. A clinical nurse specialist (CNS) serves as a consultant for nursing staff, providing expert advice and guidance on clinical practice. Choice A, 'Direct patient care provider,' is incorrect as CNS typically focus more on education, research, and consultation rather than direct patient care. Choice B, 'Administrator of healthcare facilities,' is incorrect as this role is usually fulfilled by nurse administrators or nurse managers. Choice D, 'Policy maker in healthcare organizations,' is incorrect as policy-making roles are typically held by individuals in healthcare administration or government positions.
2. An active 28-year-old male with type 1 diabetes is being seen in the endocrine clinic. Which finding may indicate the need for a change in therapy?
- A. Hemoglobin A1C level 6.2%
- B. Blood pressure 146/88 mmHg
- C. Heart rate at rest 58 beats/minute
- D. High-density lipoprotein (HDL) level 65 mg/dL
Correct answer: B
Rationale: The correct answer is B. In a young adult with type 1 diabetes, a blood pressure of 146/88 mmHg may indicate the need for a change in therapy as it is above the recommended target levels. High blood pressure can increase the risk of cardiovascular complications in diabetic patients. Choices A, C, and D are within normal ranges and do not necessarily indicate the need for an immediate change in therapy. A Hemoglobin A1C level of 6.2% is generally considered good control for a diabetic patient, a resting heart rate of 58 beats/minute is normal for an active individual, and an HDL level of 65 mg/dL is considered to be in the desirable range for heart health.
3. A client who had a stroke resulting in aphasia and dysphagia needs assistance. Which of the following tasks should the nurse assign to an assistive personnel (AP)?
- A. Assist the client with a partial bed bath.
- B. Measure the client's BP after the nurse administers an antihypertensive medication.
- C. Test the client's swallowing ability by providing thickened liquids.
- D. Use a communication board to ask what the client wants for lunch.
Correct answer: A
Rationale: The correct answer is A because assisting the client with a partial bed bath is within the scope of practice for an assistive personnel and does not require specialized medical knowledge. Choice B involves measuring BP, which requires specific training and assessment skills that an assistive personnel may not have. Choice C involves testing swallowing ability, which should be done by a healthcare provider due to the risks involved in dysphagia. Choice D involves communication, which is crucial but should be done by someone with training in managing aphasia to ensure effective communication with the client.
4. Knowing the different modes of communication used by men and women is important for the nurse manager. Which of the following is a difference in communication in unpleasant situations?
- A. Men tend to talk more, and women withdraw.
- B. Men tend to use tag questions.
- C. Women disagree more.
- D. Women talk longer and faster, men disclose more.
Correct answer: A
Rationale: The correct answer is A. In unpleasant situations, men tend to talk more, while women tend to withdraw. Women are more likely to use tag questions and disclose more. Men, on the other hand, tend to talk longer and may be more inclined to disagree. Therefore, option A is the most accurate choice that highlights a difference in communication styles between men and women in unpleasant situations.
5. Although technology has seen many advances, which two ethical principles may be in conflict because of technology?
- A. Beneficence and justice
- B. Beneficence and nonmaleficence
- C. Beneficence and veracity
- D. Beneficence and confidentiality
Correct answer: B
Rationale: The correct answer is B: Beneficence and nonmaleficence. Beneficence refers to the obligation to do good and act in the best interest of the patient, while nonmaleficence means to 'do no harm.' With advances in technology, there can be situations where the pursuit of benefit (beneficence) may inadvertently cause harm (nonmaleficence), leading to a conflict between these two ethical principles. Choice A, beneficence and justice, is incorrect because justice pertains to fairness and equality in the distribution of resources and treatments, not conflicting directly with beneficence. Choice C, beneficence and veracity, involves the obligation to tell the truth and is not in direct conflict with beneficence. Choice D, beneficence and confidentiality, relate to maintaining privacy and trust, which can complement rather than conflict with beneficence in most cases.
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