ATI RN
ATI Nursing 232 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is learning about the Institute of Medicine (IOM) (now National Academy of Medicine (NAM)) characteristics of Healthcare Quality. Which of the following best describes the characteristics of the efficiency domain in Healthcare Quality initiatives?
Correct Answer: A
Rationale: Reducing wait times optimizes resource use, aligning with the efficiency domain of healthcare quality.
Question 2 of 5
In the context of developing a care plan for a patient on a ventilator to prevent ventilator-associated pneumonia, which interventions should be included? Select all that apply.
Correct Answer: A,B,D
Rationale:
Choice A: Implementing ventilator-weaning protocols minimizes exposure to mechanical ventilation, a significant risk factor for ventilator-associated pneumonia.
Choice B: Frequent oral care reduces respiratory pathogens in the oral cavity, preventing their aspiration.
Choice D: Positioning in a semi-upright position (30 to 45 degrees), not prone, reduces aspiration risk.
Choices C and E are incorrect as suctioning should be based on clinical need, not a fixed schedule, and avoiding suctioning could increase infection risk.
Question 3 of 5
The nurse is assigned to a quality improvement committee to decide on a quality improvement project for the unit. Which issues should the nurse discuss at the committee meeting?
Correct Answer: B
Rationale: Addressing systemic barriers to nursing tasks directly improves unit quality and patient care.
Question 4 of 5
A nurse instructor is teaching nursing students about safety, quality, and patient-centered care. What recommendations should the students recognize that promote safe, quality, patient-centered care? Select all that apply.
Correct Answer: A,C,D,E
Rationale:
Choice A: Critical thinking ensures informed decisions.
Choice C: Communication aligns care with patient needs.
Choice D: Planning and reporting track progress.
Choice E: End-of-shift evaluation assesses intervention effectiveness.
Choice B is incorrect as evaluation is ongoing.
Question 5 of 5
A patient reports that they avoid being around sick people, however, they have experienced repeated colds over the past several weeks. A nurse should respond to the patient's concern by providing which of the following teaching?
Correct Answer: C
Rationale: The common cold virus can be spread before symptoms appear, explaining why avoiding sick people may not prevent infection, addressing the patient's concern directly.