ATI RN
ATI NURS 252 Leadership Final Exam Questions
Extract:
Question 1 of 5
As the head nurse involved in selecting which patient surveillance systems to acquire for your unit, one of your aims is to avoid adverse events through the implementation of appropriate technology. This particular aim recognizes that:
Correct Answer: D
Rationale: The correct answer is D because physiologic monitoring systems enable the detection of early changes before an adverse event occurs. This is crucial in preventing adverse events as these systems can alert healthcare providers to potential issues, allowing for prompt intervention.
Choice A is incorrect as while human error can contribute to adverse events, the question specifically asks about the role of technology.
Choices B and C are also incorrect as they refer to documentation systems, not surveillance systems for patient monitoring. In summary, physiologic monitoring systems are essential in early detection, while the other choices are not directly related to preventing adverse events through technology.
Question 2 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.
Question 3 of 5
After a major flu vaccination campaign, an agency bills a private insurance company for the administration of each vaccination according to the insurance company's reimbursement guidelines. This is an example of which major payment method?
Correct Answer: A
Rationale: The correct answer is A: Charges. In this scenario, the agency bills the private insurance company based on the charges for administering each vaccination. Charges are the actual amounts billed for services provided. Contractual allowance refers to the negotiated discount between the provider and the insurance company. Prospective reimbursement involves pre-established rates for services. Cost-based reimbursement is based on the actual costs incurred.
Therefore, in this case, the agency billing based on charges aligns with the concept of charging the insurance company for the administration of each vaccination.
Question 4 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 5 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.