ATI RN
Assessment of High Risk Pregnancy NCLEX Questions Questions
Question 1 of 5
A nurse is teaching the staff about managed care. Which information should the nurse include in the teaching session?
Correct Answer: D
Rationale: Managed care describes health care systems in which the provider or the health care system receives a predetermined capitated (fixed amount) payment for each patient enrolled in the program. Therefore, the focus of care shifts from individual illness care to prevention, early intervention, and outpatient care.
Question 2 of 5
A nurse provides immunization to children and adults through the public health department. Which type of health care is the nurse providing?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Preventive care. Preventive care focuses on avoiding the onset of diseases or illnesses by promoting health and wellness through measures such as immunizations. The nurse providing immunizations through the public health department is engaging in preventive care by taking proactive steps to prevent the spread of communicable diseases among both children and adults. Option A) Primary care involves the provision of basic healthcare services to individuals seeking medical attention for common illnesses or injuries. While immunizations can be a part of primary care, the broader scope of care provided by the nurse in this context is preventive rather than primary. Option C) Restorative care is centered around helping individuals recover from an illness or injury. Administering immunizations is not considered restorative care as it is aimed at preventing illness rather than restoring health. Option D) Continuing care involves ongoing healthcare services provided to individuals with chronic conditions or long-term illnesses. While immunizations may be part of a broader plan of continuing care, the immediate focus of providing immunizations is on prevention rather than ongoing management of existing conditions. In an educational context, understanding the different levels of healthcare services is crucial for healthcare professionals to provide appropriate care to their patients. Recognizing the distinctions between preventive care, primary care, restorative care, and continuing care helps nurses make informed decisions about the type of care they are providing and ensures they deliver the most effective interventions for their patients' needs.
Question 3 of 5
The nurse is trying to determine how well a certain health plan compares with other health plans. To gather this type of data, which information will the nurse utilize?
Correct Answer: B
Rationale: The correct answer is B) Healthcare Effectiveness Data and Information Set (HEDIS). In the context of high-risk pregnancy assessment, HEDIS is a standardized set of performance measures developed to assess the quality of healthcare services provided by health plans. It includes measures related to prenatal care, postpartum care, and other aspects crucial for managing high-risk pregnancies. By utilizing HEDIS data, the nurse can compare how well a specific health plan performs in managing high-risk pregnancies compared to other health plans. Option A) Pew Health Professions Commission is not directly related to gathering data on health plan comparisons for high-risk pregnancies. It focuses more on healthcare workforce issues. Option C) American Nurses Credentialing Center (ANCC) Magnet Recognition Program is a designation for nursing excellence and does not provide data on health plan performance in managing high-risk pregnancies. Option D) Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a survey tool that collects feedback on patients' hospital experiences, which is different from assessing health plan performance specifically for high-risk pregnancies.
Question 4 of 5
A nurse working in a community hospital’s emergency department provides care to a patient having chest pain. Which level of care is the nurse providing?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) Tertiary care. Tertiary care is specialized consultative healthcare, usually for inpatients and on referral from a primary or secondary healthcare professional, in a center that has personnel and facilities for advanced medical investigation and treatment. In the case of a patient presenting with chest pain in the emergency department, this level of care involves specialized diagnostic procedures and treatments to address the acute and potentially life-threatening nature of the patient's condition. Option A) Continuing care typically refers to the provision of long-term healthcare services, which is not the immediate focus when a patient presents with chest pain in the emergency department. Option B) Restorative care involves rehabilitative services to help a patient regain maximum function and independence, which is not the primary concern in the emergent situation of chest pain. Option C) Preventive care aims to prevent illness or detect conditions early, which is not the primary goal when a patient is already experiencing chest pain and requires immediate intervention. In an educational context, understanding the levels of care is crucial for nurses to provide appropriate interventions based on the patient's needs. This knowledge ensures that patients receive the right level of care at the right time, optimizing outcomes and promoting patient safety and well-being.
Question 5 of 5
A nurse is using research findings to improve clinical practice. Which technique is the nurse using?
Correct Answer: A
Rationale: The correct answer is A) Performance improvement. In the context of pharmacology and high-risk pregnancy, utilizing research findings to enhance clinical practice involves a systematic approach to identifying areas for improvement, implementing changes based on evidence-based practices, and evaluating the outcomes to ensure better patient care. Option B) Integrated delivery networks may involve coordination of care among different healthcare providers but does not specifically address the nurse's use of research findings to improve practice in high-risk pregnancy. Option C) Nursing-sensitive outcomes pertain to the impact of nursing care on patient outcomes, which is important but not directly related to the nurse using research findings to enhance clinical practice. Option D) Utilization review committees focus on assessing the appropriateness and efficiency of healthcare services, which is different from utilizing research findings to improve clinical practice in high-risk pregnancy. In an educational context, understanding the significance of performance improvement in integrating research findings into practice is crucial for nurses caring for high-risk pregnancy patients. It ensures that patient care is evidence-based, safe, and effective, ultimately leading to better outcomes for both the mother and the baby.