ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 9
Consumers are concerned with security issues related to their confidential health information being placed in an electronic health record (EHR). However, when the security of the EHR is compared with that of paper-and-pencil records, the EHR is:
Correct Answer: A
Rationale: The correct answer is A: more secure. Electronic Health Records (EHR) typically have built-in security features such as encryption, access controls, and audit trails, making it more secure than paper-and-pencil records. EHRs offer better protection against unauthorized access, tampering, and loss compared to traditional paper records. This is due to the ability to restrict access to specific users, track changes made to the records, and implement authentication measures. Therefore, the security of EHRs surpasses that of paper-and-pencil records. Choices B, C, and D are incorrect because they do not acknowledge the enhanced security measures and advantages that EHRs provide over traditional paper records.
Question 2 of 9
"A patient with end-stage renal disease has a potassium level of 5 mEq/L. Based on this laboratory result, the nurse interprets which symptom as significant prompting which action?
Correct Answer: C
Rationale: Rationale for Correct Answer C: Irregular heartbeat is a significant symptom of hyperkalemia, which can be life-threatening. The nurse should evaluate capillary refill to assess perfusion. High potassium levels can affect cardiac function, leading to arrhythmias. Monitoring capillary refill provides insight into tissue perfusion, helping to assess the severity of the condition and guide appropriate interventions. Summary of Incorrect Choices: A: Drowsiness is not a typical symptom of hyperkalemia. Stimulating the patient every 30 minutes does not address the underlying issue. B: Confusion is not a common symptom of hyperkalemia. Asking the patient to state their name and birthdate does not address the cardiac implications of high potassium levels. D: Muscle cramps may occur with hyperkalemia but are not as critical as irregular heartbeat. Elevating the affected limb is not the priority in this situation.
Question 3 of 9
A nurse who is conducting a staff in-service on the phases of a disaster continuum teaches participants that, during the impact/response stage, activities focus on:
Correct Answer: D
Rationale: The correct answer is D because during the impact/response stage of a disaster, the main focus is on initiating immediate response activities to address the immediate needs of individuals affected by the disaster. This includes activities such as search and rescue, providing medical care, and establishing emergency shelters. Choice A is incorrect because community awareness and anticipation of disasters typically occur during the preparedness phase, not the impact/response stage. Choice B is incorrect because determining the effectiveness of DMAT is more relevant to the recovery phase of a disaster, not the immediate response phase. Choice C is incorrect because the all-hazards approach refers to a comprehensive strategy for addressing various types of disasters, but it does not specifically relate to the activities carried out during the impact/response stage of a disaster.
Question 4 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 5 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 6 of 9
A nurse is newly employed by a state-owned hospital that provides health care insurance requiring a deductible paid by the employee with the majority of the premium cost covered by the employer. The insurance provided to the nurse is:
Correct Answer: A
Rationale: The correct answer is A: private health insurance. In this scenario, the nurse's insurance is provided by the state-owned hospital, meaning it is not a federal program like PPACA (B) or state-subsidized Medicaid (C). Additionally, it is not a single-payer system (D) since the employer is covering the majority of the premium cost, indicating a private insurance plan. Private health insurance typically involves a deductible paid by the employee, as mentioned in the question. Therefore, the nurse's insurance in this case aligns with the characteristics of private health insurance, making choice A the correct answer.
Question 7 of 9
A new mother is experiencing pain after delivering an infant with Down syndrome. The staff nurse states, "I don't think she is really hurting. Let the next shift give the pain medication." The team leader notices the staff nurse looks agitated and anxious and asks about any concerns in providing care to this new mom. The staff nurse admits having a stillborn infant with Down syndrome. This is an example of which component of communication?
Correct Answer: B
Rationale: The correct answer is B: Past experiences. In this scenario, the staff nurse's past experience of having a stillborn infant with Down syndrome is influencing her perception and behavior towards the new mother. This past experience is shaping her emotions, thoughts, and actions, demonstrating how personal experiences can impact communication in healthcare settings. This highlights the importance of self-awareness and reflection to understand how past experiences can influence interactions with patients. Incorrect choices: A: Personal perception - While personal perception plays a role in communication, the key factor in this scenario is the staff nurse's past experience, not just her perception. C: Filtration - Filtration refers to the process of selectively interpreting information. In this case, the staff nurse's behavior is more influenced by her past experience rather than selective filtering of information. D: Preconceived idea - While the staff nurse may have preconceived ideas about individuals with Down syndrome due to her past experience, the primary focus is on her past experience itself rather
Question 8 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 9 of 9
Organizations measure the effectiveness of their budgets by examining actual revenues and expenditures versus:
Correct Answer: A
Rationale: The correct answer is A: planned variances. Organizations compare actual revenues and expenditures to planned variances to measure budget effectiveness. Planned variances show the differences between the budgeted amounts and the actual results, highlighting areas of over or underperformance. This analysis helps organizations identify reasons for deviations and adjust future budgets accordingly. Explanation for other choices: B: Incremental budgets focus on adjusting previous budgets by a fixed amount, not on comparing actual versus planned amounts. C: Productivity metrics measure the efficiency of resources used, not specifically related to budget effectiveness. D: Expected performance is a vague term that does not directly address comparing actual versus planned financial data.