ATI RN
ATI NURS 252 Leadership Final Exam Questions
Extract:
Patient Profile
Name: Meredith Flenderson
Age: 54
Gender: F
DOB: 3/16/1969
Medical History: Diabetes
Admission Notes
Vital signs
Labs
Blood glucose level: 380 mg/dL
- Serum ketones: 6.5 mmol/L PH: 7.20
Orders
- Start normal saline infusion at 0.9% NaCl at 250 mL/hour for the first 2 hours.
- Initiate regular insulin infusion at 0.1 units/kg/hour.
Monitor blood glucose levels every hour and adjust insulin infusion rate to target glucose reduction of 50-75 mg/dL per hour.
Question 1 of 5
A nurse is reviewing the chart of a patient admitted for Diabetic Ketoacidosis (DKA). Analyze the entries found in each component (tab) of the patient's chart. For each component (tab), select the appropriate category that BEST describes that component. Each row must have only 1 answer selected.
Correct Answer:
Rationale:
Correct Answer:
Rationale:
- Admission notes provide initial information about the patient's condition, including the reason for admission and relevant history.
- Orders indicate the treatment plan prescribed by the healthcare provider.
- Laboratory findings show results of diagnostic tests.
- Patient profile contains demographic details and medical history.
- Vital signs are not mentioned in the question and typically appear in a separate section, not under the patient profile.
Extract:
Question 2 of 5
You are in the process of designing a patient education program that will provide education and monitoring for patients with hypertension. To support your planning, you draw out and present patient data from:
Correct Answer: C
Rationale: The correct answer is C: A clinical database. This choice is correct because a clinical database contains comprehensive and accurate patient data, including medical history, lab results, medication lists, and vital signs. Utilizing a clinical database will enable you to access relevant information needed to design an effective patient education program tailored to each patient's specific needs. Biomedical technologies (
A) may provide some data, but they may not capture all necessary information for patient education. E-mail (
B) and internet sources (
D) may not guarantee the accuracy or completeness of patient data required for a targeted education program.
Question 3 of 5
A nurse manager understands that the typical first step in handling an employee with a disciplinary problem is at:
Correct Answer: D
Rationale: The correct answer is D: Reminder of employment standards. This is the typical first step in handling an employee with a disciplinary problem because it serves as an initial warning to clarify the expected behavior. It allows the employee to understand the standards they are expected to follow and provides an opportunity for corrective action before escalating the issue.
A: Suspension with pay is usually a more severe disciplinary action and is not typically the first step.
B: Written reprimand is usually a follow-up step after the reminder of employment standards.
C: Day off without pay is a form of disciplinary action that is more severe than a reminder of employment standards.
E, F, G: No information provided, so cannot evaluate their correctness.
Question 4 of 5
A nurse manager is planning to request three new infusion pumps at a cost of approximately $1500 each. This item would typically be included in which budget?
Correct Answer: B
Rationale: The correct answer is B: Capital budget. Infusion pumps are considered capital expenditures as they are long-term investments in assets that provide future benefits. Capital budget includes expenses for acquiring or improving long-term assets like equipment. The other choices are incorrect because:
A) Strategic budget focuses on long-term goals and plans, not specific items like infusion pumps.
C) Unit of service budget is for costs related to providing specific services, not for capital investments.
D) Operating budget covers day-to-day expenses, not long-term investments like infusion pumps.
Question 5 of 5
A nurse is providing discharge teaching for a client who has a new prescription for home oxygen. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Refrain from smoking near the oxygen delivery equipment. Smoking near oxygen can cause a fire due to the highly combustible nature of oxygen. Smoking should be avoided completely when using home oxygen to prevent any potential fire hazards.
A: Incorrect - Using a fire extinguisher is not necessary first step in preventing fires caused by smoking near oxygen equipment.
B: Incorrect - Opening windows and doors will not prevent fire caused by smoking near oxygen equipment.
C: Incorrect - Using wool blankets on the bed is not relevant to preventing fires caused by smoking near oxygen equipment.