ATI RN
ATI NURS 252 Leadership Final Exam Questions
Extract:
Question 1 of 5
A recent nursing graduate in a busy Emergency Department triages a patient who has sustained a large, deep puncture wound in his foot while working at a construction site. He is bleeding and is in pain. The nurse enters the triage data that she has obtained from the patient into a computerized, standard emergency patient-classification system. After she enters the assessment data, she notices an alert on the computer screen that prompts her to ask the patient about the status of his tetanus immunization. What system of technology is involved in generating the alert?
Correct Answer: C
Rationale: The correct answer is C: Clinical decision support. In this scenario, the nurse entered the patient's assessment data into a computerized emergency patient-classification system. The alert generated on the screen prompting her to ask about the patient's tetanus immunization status is an example of clinical decision support system technology. This system uses algorithms and guidelines to assist healthcare providers in making clinical decisions. In this case, the alert is triggered based on the type of injury (puncture wound) and the potential need for tetanus immunization due to the nature of the injury.
Other choices are incorrect:
A: Computerized provider order - This system is used for ordering medications, tests, and procedures, not for generating alerts related to patient assessment.
B: Electronic health record - While an EHR stores patient data, it does not actively prompt the nurse to inquire about specific information like tetanus immunization status.
D: WL technology - This term does not relate to the situation described and is not a recognized healthcare
Question 2 of 5
During a performance appraisal, Joanne, the nurse manager, indicates that Alysha has difficulty mentoring students on the unit. Alysha responds that this is not her responsibility. In responding to Alysha, Joanne needs to consider:
Correct Answer: D
Rationale:
Rationale: Answer D is correct because Joanne needs to consider if mentoring is part of Alysha's job responsibilities as outlined in her position description. If it is, then Alysha is accountable for mentoring students. If mentoring is not listed in her job duties, then Joanne may need to reassess the situation and clarify expectations with Alysha.
Other choices are incorrect because:
A: The potential biases of students are irrelevant to the issue of whether mentoring is Alysha's responsibility.
B: The measurability of mentoring does not address whether it is Alysha's duty.
C: Alysha's confidence level is not directly related to her responsibility for mentoring.
E, F, G: These choices are not provided in the question and therefore cannot be assessed.
Question 3 of 5
As part of an information technology implementation team, you are implementing a clinical decision support system. Particular considerations for safe implementation of this project include the following EXCEPT:
Correct Answer: A
Rationale:
Correct Answer: A: Relying solely on health information technology for communication.
Rationale:
1. Communication is a critical aspect of any project implementation.
2. Solely relying on technology for communication can lead to misunderstandings, delays, and inefficiencies.
3. It is important to have a balance between technology and direct human interaction for effective communication.
4. Implementing a clinical decision support system requires clear and effective communication among team members.
5.
Therefore, avoiding sole reliance on health information technology for communication is essential for the safe and successful implementation of the project.
Summary:
B: Establishing training programs for ALL clinical and operations staff - Training is crucial for staff to effectively use the new system.
C: Participating in the planning, selection, design, and improvement of technology - Involving stakeholders in the process ensures alignment with needs.
D: Identifying and resolving problematic work processes and procedures BEFORE technology implementation - Addressing issues beforehand minimizes disruptions during implementation.
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 4 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.
| Options | Data | Knowledge | Wisdom |
|---|---|---|---|
| Admission notes | |||
| Orders | |||
| Laboratory findings | |||
| Patient profile | |||
| Vital signs |
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 5 of 5
After reviewing her monthly budget report, the nurse manager sees that she has a negative variance, which prompts her to change the staffing schedule. Which of the following data is an example of a negative variance?
Correct Answer: A
Rationale: The correct answer is A because a negative variance means there is a shortfall or deficit from the planned amount. In this case, a decrease in actual nursing staffing hours compared to planned hours would result in a negative variance as it indicates a staffing shortage. This prompts the nurse manager to change the staffing schedule to address the deficit.
Choice B, a surplus of available nurses, does not align with a negative variance as it indicates an excess rather than a deficit.
Choice C, a decrease in the cost of medical supplies, is unrelated to the staffing schedule and does not reflect a negative variance.
Choice D, an increase in patient satisfaction scores, is a positive outcome and does not indicate a negative variance in budget planning.