ATI RN
ATI Leadership Proctored Exam
1. Which of the following is an example of a tertiary prevention strategy?
- A. Administering childhood vaccinations
- B. Chemotherapy for cancer treatment
- C. Routine screening for hypertension
- D. Physical therapy for stroke rehabilitation
Correct answer: D
Rationale: The correct answer is D: Physical therapy for stroke rehabilitation. Tertiary prevention aims to prevent complications and manage existing conditions to improve the quality of life. Administering childhood vaccinations (A) is an example of primary prevention to prevent the onset of diseases. Chemotherapy for cancer treatment (B) is a form of secondary prevention focusing on early detection and treatment to stop the progression of the disease. Routine screening for hypertension (C) is also a form of secondary prevention to detect and treat hypertension early, preventing further complications.
2. Which of the following describes the concept of ratification?
- A. Contract administration
- B. Contract passage
- C. Contract denial
- D. Contract reorganization
Correct answer: B
Rationale: The correct answer is B: 'Contract passage.' Ratification refers to the approval or confirmation of a contract by a simple majority of members who vote to pass it. Choice A, 'Contract administration,' does not accurately describe ratification as it focuses more on the management of contracts rather than their approval. Choice C, 'Contract denial,' is incorrect as ratification implies acceptance or approval, not denial. Choice D, 'Contract reorganization,' is also incorrect as ratification does not involve restructuring or reorganizing a contract, but rather confirming its validity.
3. What is the primary goal of discharge planning?
- A. Reducing readmission rates
- B. Improving patient outcomes
- C. Ensuring continuity of care
- D. Ensuring medication adherence
Correct answer: C
Rationale: The primary goal of discharge planning is to ensure continuity of care for patients transitioning from one level of care to another. While reducing readmission rates and improving patient outcomes are important aspects of discharge planning, the main focus is on coordinating care to prevent gaps and ensure a seamless transition for the patient. Ensuring medication adherence is also crucial but falls under the broader goal of continuity of care.
4. A staff nurse is working with a patient who is on a critical pathway for education in preparation for home care. Which one of the following responsibilities would the nurse address first?
- A. Taking vital signs
- B. Answering the client's questions
- C. Evaluating client teaching
- D. Reviewing the information with the client and family
Correct answer: D
Rationale: The correct answer is D. Reviewing the information with the client and family should be addressed first. This step involves ensuring that the client and family fully understand the information provided, which is crucial before proceeding with any other responsibilities. Taking vital signs (choice A) is important but not the priority in this scenario. Answering the client's questions (choice B) and evaluating client teaching (choice C) can come after reviewing the information to ensure effective communication and understanding.
5. What is the main focus of a clinical governance framework?
- A. Financial performance
- B. Regulatory compliance
- C. Patient care quality
- D. Staff satisfaction
Correct answer: C
Rationale: The main focus of a clinical governance framework is patient care quality. This framework is designed to ensure that patient care is safe, effective, and patient-centered. Choice A, financial performance, is not the main focus of a clinical governance framework, although financial aspects may be considered. Choice B, regulatory compliance, is important but not the primary focus of a clinical governance framework. Choice D, staff satisfaction, is also important but is not the main focus of a clinical governance framework, which primarily centers around patient care quality.
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