ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 9
A nurse manager is preparing a budget that does not base annual budgets on the revenue and expenditures of the prior year and has the advantage that outdated information is not integrated into the budget. The manager is using which budget method?
Correct Answer:
Rationale: Correct Answer: A: Zero-based Rationale: 1. Zero-based budgeting starts from scratch, evaluating each expense regardless of the prior year. 2. It helps eliminate inefficiencies and ensures resources are allocated to high-priority areas. 3. By not relying on past data, outdated information does not influence the budget decisions. Summary: B: Incremental budgeting builds on the previous year's budget, not starting from zero. C: Labor budget focuses specifically on labor costs, not the overall budgeting approach. D: Operational budget typically considers historical data and current operations, unlike zero-based budgeting.
Question 2 of 9
The nurse caring for a patient who practices Ayurveda would assess for:
Correct Answer: C
Rationale: The correct answer is C, as Ayurveda is a traditional Indian medicine system using herbal remedies. Assessing for over-the-counter remedies aligns with Ayurvedic practices. A: Stool osmolality gap and dehydration are not directly related to Ayurveda. B: Petechiae from fine-needle punctures are not typically associated with Ayurveda. D: Magnets on joints are not a common Ayurvedic practice. In summary, assessing for over-the-counter remedies is the most relevant choice for a patient who practices Ayurveda.
Question 3 of 9
A director of nursing (DON) asks the staff to list how their nursing unit can help the organization meet its goal to "provide quality patient care with attention to compassion and excellence." An ad hoc committee is formed to develop a timeline of identified actions. The DON coaches the committee to reach desired outcomes. This DON is demonstrating which other role of leadership and management?
Correct Answer: B
Rationale: The correct answer is B: Clinical consultant. In this scenario, the DON is providing guidance and expertise to the ad hoc committee in developing strategies to meet the organization's goal of providing quality patient care. As a clinical consultant, the DON utilizes their clinical knowledge and experience to coach and support the committee in achieving desired outcomes related to patient care. The other choices are incorrect because: A: Transactional leadership focuses on exchanging rewards for performance and does not align with the DON's role in providing clinical guidance. C: Corporate supporter role involves advocating for organizational goals at a higher level and is not directly related to coaching a committee on clinical matters. D: Autocratic leadership style is characterized by making decisions without input from others, which is not demonstrated in the scenario where the DON is coaching and guiding the committee.
Question 4 of 9
A nurse in an acute care facility helps patients understand how to prevent diabetic neuropathies. This nurse is functioning in the role of:
Correct Answer: B
Rationale: The correct answer is B: educator. The nurse is providing information and teaching patients about preventing diabetic neuropathies, which aligns with the role of an educator. Educators focus on imparting knowledge and empowering individuals to make informed decisions about their health. The other choices are incorrect because: A: Change agents initiate and lead changes within an organization, not directly related to patient education. C: Managers oversee daily operations and resources within a healthcare setting, not specifically focused on patient education. D: Coordinators facilitate communication and collaboration among healthcare team members, but not primarily responsible for patient education.
Question 5 of 9
This certificate of inspection is health policy enforced at which level of government?
Correct Answer: B
Rationale: The correct answer is B: State. State governments are responsible for enforcing health policies such as certificates of inspection within their own jurisdiction. They have the authority to regulate and monitor health standards at the state level. Local governments (A) typically focus on implementing policies within their specific region, while federal governments (C) oversee broader health policies that apply across the entire country. International (D) level does not have jurisdiction over local health policies. Therefore, the state level is the most appropriate answer for enforcing a certificate of inspection in this context.
Question 6 of 9
A nurse who was recently certified in chemotherapy administration fails to check compatibility of phenytoin (Dilantin) before injecting into a continuous infusion of D W leading to occlusion of the line. Which statement by the nurse demonstrates a red herring?
Correct Answer: D
Rationale: The correct answer is D because it is a red herring statement that distracts from the main issue. Phenytoin is not known to be viscous enough to cause line occlusion. Step 1: Identify the issue - failure to check compatibility. Step 2: A, B, and C address the issue directly or indirectly, while D deflects blame to the drug's viscosity. Step 3: A acknowledges the mistake, B deflects by attacking the supervisor, and C blames the IV setup. In summary, D is incorrect as it diverts attention from the main issue, making it a red herring.
Question 7 of 9
A Southeast Asian woman brings her baby into the clinic because the baby is lethargic. The nurse determines that the baby has had diarrhea and vomiting for several days, resulting in dehydration. Physical examination reveals small, round burns on the abdomen. These burns probably are the result of cigarettes or burning cotton used to:
Correct Answer: A
Rationale: The correct answer is A: try to quiet the child and is considered child abuse. The small, round burns on the baby's abdomen are likely caused by cigarettes or burning cotton as a form of child abuse known as "cigarette burns." This type of abuse is characterized by deliberately causing harm to a child by burning them with cigarettes or other hot objects. The other choices (B, C, D) are incorrect as they do not address the intentional harm and abuse inflicted upon the child in this scenario. Choice B about bringing out toxic wind is not a valid cultural or medical practice and is not relevant in this context. Choice C about balancing heat loss is not related to the burns observed. Choice D about brushing the body with ruda for spirits to return is not a known or appropriate intervention for addressing burns or abuse.
Question 8 of 9
A patient is admitted for a hysterectomy, and the RN develops and implements the plan of care but also delegates to the LPN/LVN the responsibility of administering oral medications. While off duty, this RN receives a call requesting a change in the plan of care because the patient has developed deep vein thrombosis. The nurse who originally planned the care is practicing which type of nursing care delivery?
Correct Answer: B
Rationale: The correct answer is B: Primary nursing care delivery. In primary nursing, one nurse assumes 24-hour responsibility for planning, implementing, and evaluating the care of a patient. In this scenario, the RN developed and implemented the plan of care and delegated specific tasks to the LPN/LVN. The RN remains responsible for the overall care even while off duty, as evidenced by receiving a call regarding a change in the plan of care. The other choices are incorrect because: A: Modular nursing involves a team of healthcare providers working together, sharing responsibilities, and providing care collectively. C: Team nursing involves a team of healthcare providers with different levels of expertise working collaboratively to deliver patient care. D: Functional nursing divides tasks among different team members based on their skill sets, which is not the case in the scenario provided.
Question 9 of 9
A nurse is interested in understanding the meaning of the human experience of surviving polio. Subject recruitment targets persons who have been diagnosed with the disease. The researcher reflects on the data and identifies common themes in order to understand the "lived experience." These characteristics are consistent with the qualitative research method known as:
Correct Answer: C
Rationale: The correct answer is C: phenomenology. Phenomenology focuses on exploring and understanding individuals' lived experiences to uncover the essence of a phenomenon. In this case, the nurse is interested in understanding the meaning of surviving polio from the perspective of those diagnosed with the disease. By reflecting on the data and identifying common themes, the researcher aims to capture the essence of the human experience of surviving polio. Grounded theory (A) is a method used to develop theories from data, not necessarily focusing on the lived experience. Ethnography (B) involves studying cultures and societies, which is not directly aligned with understanding individual experiences. Case study (D) typically focuses on in-depth analysis of a specific individual or group, rather than exploring common themes across individuals' experiences.