ATI RN
ATI Leadership Proctored Exam 2023
1. What is the primary purpose of a nurse staffing committee?
- A. To oversee patient safety initiatives
- B. To develop staffing policies and procedures
- C. To coordinate patient care
- D. To manage nurse recruitment
Correct answer: B
Rationale: The primary purpose of a nurse staffing committee is to develop staffing policies and procedures to ensure adequate nurse-to-patient ratios. By establishing these guidelines, the committee aims to optimize patient care by ensuring appropriate staffing levels, which in turn can enhance patient safety and coordination of care. While overseeing patient safety initiatives and managing nurse recruitment are important aspects of healthcare management, the core function of a nurse staffing committee is to create and implement policies that govern the allocation and distribution of nursing staff to meet patient care needs effectively. Therefore, choices A, C, and D, though relevant to healthcare, do not align with the primary purpose of a nurse staffing committee as outlined in the question.
2. A nurse is caring for a client who has diarrhea due to shigella. Which of the following precautions should the nurse implement for this client?
- A. Have the client wear a mask when receiving visitors.
- B. Limit the client's time with visitors to no more than 30 minutes per day.
- C. Assign the client to a room with negative-pressure airflow exchange.
- D. Wear a gown when caring for the client.
Correct answer: B
Rationale: The correct answer is B because limiting the client's time with visitors helps prevent the spread of shigella infection to others. Shigella is transmitted through the fecal-oral route, so minimizing contact time reduces the risk of transmission. Choice A is incorrect as there is no need for the client to wear a mask in this situation. Choice C is also incorrect as negative-pressure airflow exchange rooms are typically used for clients with airborne infections. Choice D is incorrect as wearing a gown is not the primary precaution needed for shigella infection.
3. In our culturally diverse society, barriers to health care result from:
- A. Prejudice
- B. Different socioeconomic status
- C. Differences in language
- D. All of the above
Correct answer: D
Rationale: In a culturally diverse society, barriers to health care can stem from various factors. These include differences in language, various socioeconomic statuses, and prejudices. These factors can create obstacles for individuals in accessing healthcare services. Therefore, the correct answer is 'All of the above' as all the provided choices contribute to barriers in healthcare access. Choice A, 'Prejudice,' is correct as biases and discrimination can prevent individuals from receiving proper care. Choice B, 'Different socioeconomic status,' is accurate as financial disparities can limit access to healthcare services. Choice C, 'Differences in language,' is also valid as language barriers can hinder effective communication and understanding between patients and healthcare providers.
4. The nurse determines a need for additional instruction when the patient with newly diagnosed type 1 diabetes says which of the following?
- A. �I can have an occasional alcoholic drink if I include it in my meal plan.�
- B. �I will need a bedtime snack because I take an evening dose of NPH insulin.�
- C. �I can choose any foods, as long as I use enough insulin to cover the calories.�
- D. �I will eat something at meal times to prevent hypoglycemia, even if I am not hungry.�
Correct answer: C
Rationale:
5. How has advanced technology in health care, such as integrated health records, benefited nurses?
- A. Skip the assessment step of the nursing process
- B. Order medications
- C. Take blood samples
- D. Track patients' vital signs
Correct answer: D
Rationale: Advanced technology in health care, like integrated health records, has enabled nurses to efficiently track patients' vital signs. This capability helps nurses monitor patients' health status closely and make informed decisions regarding their care. Choices A, B, and C are incorrect because technology does not replace the vital role of nurses in conducting assessments, ordering medications (typically done by prescribers), or collecting blood samples.
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