ATI RN
ATI Leadership Proctored Exam 2019
1. Which patient action indicates a good understanding of the nurse�s teaching about the use of an insulin pump?
- A. The patient programs the pump for an insulin bolus after eating
- B. The patient changes the location of the insertion site every week
- C. The patient takes the pump off at bedtime and starts it again each morning.
- D. The patient plans for a diet that is less flexible when using the insulin pump.
Correct answer: A
Rationale:
2. Factors that may contribute to workplace violence in a health care setting include:
- A. Lack of armed security
- B. Continuous loud noises and/or poorly monitored entrances
- C. Poor staff interactions
- D. Tense shoulders and clenched fists
Correct answer: B
Rationale: The correct answer is B. Continuous loud noises and poorly monitored entrances can contribute to workplace violence by creating a chaotic environment that can escalate tensions. Factors like lack of armed security (choice A) may not be as significant in triggering violence as environmental factors. Poor staff interactions (choice C) can contribute to a negative work culture but may not directly lead to violence. Tense shoulders and clenched fists (choice D) may indicate stress or anger in an individual but are not factors that contribute to workplace violence in general.
3. The decades between the 1960s and 1980s brought about many changes in nursing. Which of the following contributed to advances in nursing?
- A. Decreased demand for health care
- B. Development of specialty care disciplines
- C. Gender discrimination
- D. Advances in technology leading to more generalized care
Correct answer: B
Rationale: The correct answer is B because the development of specialty care disciplines, such as intensive care, neurosurgical techniques, and cardiothoracic surgery, played a significant role in advancing nursing during the specified decades. Choice A is incorrect as decreased demand for health care would not drive advances in nursing. Choice C is also incorrect as gender discrimination, while an issue in the past, does not directly relate to the advancements in nursing during this period. Choice D is incorrect because advances in technology usually lead to more specialized care rather than generalized care.
4. Which of the following best describes the role of a nurse advocate?
- A. Direct patient care provider
- B. Advocate for patient needs
- C. Manage nursing staff
- D. Ensure policy adherence
Correct answer: B
Rationale: The correct answer is B: 'Advocate for patient needs.' A nurse advocate's primary role is to stand up for the patient's rights and ensure their needs are met. Choice A, 'Direct patient care provider,' is incorrect as while nurses do provide direct patient care, the specific role of a nurse advocate goes beyond that. Choice C, 'Manage nursing staff,' is incorrect as this pertains to a nurse manager's role, not a nurse advocate. Choice D, 'Ensure policy adherence,' is also incorrect as this reflects more of a quality assurance or compliance role, rather than the advocacy role of a nurse advocate.
5. What is the primary focus of the Triple Aim in healthcare?
- A. Improving patient experience
- B. Reducing healthcare costs
- C. Improving population health
- D. Ensuring regulatory compliance
Correct answer: A
Rationale: The primary focus of the Triple Aim in healthcare is indeed improving patient experience. While reducing healthcare costs and improving population health are important components of the Triple Aim framework, the primary goal is to enhance the overall experience of patients. Ensuring regulatory compliance, although important in healthcare, is not one of the primary focuses of the Triple Aim.
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