ATI RN
Contemporary Issues in Nursing Questions
Question 1 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 2 of 9
A nurse is asked to "float" to another area where the patients require total care. The nurse smiles, picks up her stethoscope, and says, "I'll come back and eat lunch with everyone here." When she enters the elevator she hits the wall and mutters, "Always me. Don't I have any rights"? The nurse is demonstrating which communication style?
Correct Answer: D
Rationale: The correct answer is D, passive-aggressive. The nurse is indirectly expressing her displeasure and resistance to floating by smiling and agreeing to come back for lunch, but then displaying negative body language and muttering under her breath. This behavior is passive on the surface but aggressive in the underlying tone. The nurse is not openly confronting the issue but is still showing resistance and frustration. A: Assertive communication involves expressing one's needs and feelings in a direct and respectful manner. The nurse is not openly communicating her feelings or needs in this scenario. B: Aggressive communication involves expressing needs and feelings in a forceful and hostile manner. The nurse's behavior is not openly hostile towards others. C: Passive communication involves avoiding conflict and not expressing one's needs or feelings. The nurse is indirectly expressing her displeasure, so it's not purely passive.
Question 3 of 9
A nurse is interested in locating reliable information concerning noninvasive blood glucose monitoring. Information is located, and the author is a scientist who conducted studies within the last year on the effectiveness of a particular noninvasive blood glucose monitor. The scientist received funding from a pharmaceutical company to support the studies. The URL indicates the pharmaceutical company site.com. The nurse is concerned about this information's:
Correct Answer: B
Rationale: The correct answer is B: objectivity. The nurse should be concerned about the objectivity of the information due to the potential bias introduced by the funding received from a pharmaceutical company. This could influence the scientist's findings and conclusions to favor the interests of the company, affecting the accuracy of the information. Authority (choice A) refers to the expertise of the author, not the potential bias. Accuracy (choice C) is impacted by objectivity and the potential conflict of interest. Currency (choice D) relates to how up-to-date the information is, which is not the main concern in this scenario.
Question 4 of 9
The number of IV site infections has more than doubled on a nursing unit. The staff determine common causes include the site is cleaned using inconsistent methods, dressing frequently becomes wet when patient showers, IV tubing is not changed every 48 hours per protocol, and inadequate hand washing of RN prior to insertion. A bar graph demonstrates the frequency in descending order, with 80% of infections being attributed to inadequate hand washing. The quality tool used is a:
Correct Answer: C
Rationale: The correct answer is C: Pareto chart. A Pareto chart is a quality tool used to prioritize issues by identifying the most significant factors contributing to a problem. In this case, the Pareto chart is appropriate because it helps visually show that inadequate hand washing is the primary cause of IV site infections, as it accounts for 80% of all infections. The chart allows the staff to focus their efforts on addressing this key issue first, which is crucial for effectively reducing the overall infection rate. Incorrect choices: A: Cause-and-effect diagram - This tool is used to identify and analyze potential causes of a problem, but it does not prioritize them in the same way a Pareto chart does. B: Run chart - A run chart is used to track data over time to identify trends and patterns, but it does not prioritize the causes of a problem like a Pareto chart. D: Flowchart - Flowcharts are used to map out a process or workflow, but they do not prioritize issues
Question 5 of 9
When planning health care, the nurse should be mindful that members of the Asian culture tend to:
Correct Answer: C
Rationale: The correct answer is C because Asian culture tends to be future-oriented, emphasizing planning and preparation. This is reflected in their approach to health care where they prioritize preventive measures and long-term health goals. Choice A is incorrect as missing appointments is not a common behavior due to cultural time perception. Choice B is incorrect as while ancestors may hold significance, they do not guide health care decisions. Choice D is incorrect as Asians are often punctual and value time.
Question 6 of 9
An older adult client was admitted to the hospital with the condition classified as "pneumonia." Reimbursement was based on a predetermined fixed price. This classification system is referred to as:
Correct Answer: A
Rationale: The correct answer is A: diagnosis-related groups (DRGs). This classification system assigns a fixed price to specific diagnoses or procedures, such as pneumonia, for reimbursement purposes. DRGs aim to standardize payment based on patient diagnosis and treatment, promoting efficiency and cost containment in healthcare. B: Subjective symptom management is not a classification system for reimbursement but rather a method of addressing patient symptoms. C: Acuity classification system refers to determining the level of care a patient needs based on severity, not reimbursement. D: Organized managed care involves coordination of healthcare services and providers, not specific classification for reimbursement.
Question 7 of 9
To conduct a productive meeting, the nurse should:
Correct Answer: C
Rationale: The correct answer is C because creating an agenda with specific times allotted for each agenda item helps in ensuring a focused and efficient meeting. It allows for proper time management, ensures all important topics are covered, and keeps the meeting on track. Providing unlimited time for each person (A) can lead to inefficiency and derail the meeting. Covering emotional topics first (B) may not be appropriate for all meetings and could affect the flow. Waiting for latecomers and asking for excuses (D) disrupts the meeting schedule and sets a precedent for unpunctuality.
Question 8 of 9
A nurse realizes that much time is wasted during shift report when coworkers discuss personal items such as recent movies or department store sales. Which statement would help with time management during this critical interaction?
Correct Answer: D
Rationale: The correct answer is D because it directly addresses the issue of time management during shift report by focusing on the essential tasks that need to be discussed. By starting with revisions to the plan of care and scheduled activities for the next shift, the nurse ensures that the most critical information is covered efficiently. This approach helps prioritize the discussion and prevent unnecessary time spent on non-essential topics. Option A is incorrect because limiting the discussion to just one movie does not address the overall time management issue during shift report. Option B is incorrect because discussing department store sales while walking between patient rooms may still lead to distractions and inefficiencies in the report. Option C is incorrect as it focuses on what went wrong during the shift rather than addressing the need for efficient time management during the report. The correct answer, D, is the most effective choice as it directly tackles the issue of time wasted during shift report by emphasizing the essential tasks that need to be covered.
Question 9 of 9
Studies conducted to determine enrollment trends in nursing schools have found that in the last years:
Correct Answer: A
Rationale: The correct answer is A because it directly addresses the enrollment trends in nursing schools. The statement indicates that a greater number of individuals have chosen nursing as a career but could not meet entrance requirements, implying an increase in interest but a barrier to entry. Explanation: - Choice A directly relates to enrollment trends by highlighting an increase in interest but a challenge in meeting requirements. - Choice B is incorrect as the question focuses on enrollment trends, not the age of individuals entering nursing. - Choice C is incorrect as it suggests a decrease in career opportunities and projects a negative outlook for women, which is not supported by the question. - Choice D is incorrect as it introduces a gender dynamic not mentioned in the question and does not address enrollment trends.