ATI RN
ATI NURS 252 Leadership Final Exam Questions
Extract:
Question 1 of 5
The clinic nurse has just accessed a client's chart on the computer. The resident comes over and asks her to stay logged on because he needs to add a note to that client's chart. She should say:
Correct Answer: B
Rationale: The correct answer is B: "I'm sorry, but you will have to enter the information using your own password." This response is appropriate because it upholds the principles of confidentiality and accountability in healthcare. By requiring the resident to enter the information using their own password, the nurse ensures that any actions taken in the client's chart are traceable to the responsible individual. This helps maintain the integrity of the client's medical record and protects the client's privacy.
Choices A, C, and D are incorrect because they involve the nurse either allowing the resident to use her login credentials or inputting information on his behalf. This breaches confidentiality and accountability protocols, as it would be unclear who made the entry and could lead to potential errors or unauthorized access to sensitive information.
Therefore, option B is the most appropriate response in this scenario.
Question 2 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.
Question 3 of 5
A nurse manager understands that the second step in handling an employee with a disciplinary problem is to document the incident. Which of the following features IS NOT descriptive of effective documentation of personnel problems?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Waiting until the end of the work week to document problems is not effective for several reasons. First, it may lead to inaccurate or incomplete documentation due to memory lapses. Second, immediate documentation is crucial for addressing issues promptly. Third, delayed documentation may hinder timely intervention and resolution of conflicts.
Therefore, this option is not descriptive of effective documentation practices.
Summary:
B: Keeping a log of errors, incidents, and accidents is effective for tracking patterns and identifying trends.
C: Advising the recipient to keep personal notes can provide additional perspectives but should not replace official documentation.
D: Including date, time, and a brief description in documentation is essential for clarity and accuracy.
Question 4 of 5
In an ICU, you order new devices to measure heart rhythm and rate, respiratory rate, oxygen levels, and intracranial pressure. These devices describe:
Correct Answer: C
Rationale: The correct answer is C: biomedical technology. Biomedical technology refers to the use of devices and equipment to monitor and assess physiological parameters in healthcare settings. In this scenario, the devices ordered to measure heart rhythm, respiratory rate, oxygen levels, and intracranial pressure are all examples of biomedical technology. These devices are specifically designed to assist in the monitoring and management of critical care patients, making C the most appropriate choice.
Choices A, B, and D are incorrect as they do not accurately describe the purpose or function of the devices mentioned in the question.
Question 5 of 5
A nurse is planning care for a hospitalized client who is immobile and in a continuous mitten restraint. Which of the following interventions should be included in the client's care plan?
Correct Answer: A,,B,D,E
Rationale:
Correct Answer: A, B, D, E
Rationale:
A: Ensuring two fingers can fit between the device and the client prevents constriction and maintains circulation.
B: Performing neurovascular checks every 2 hours helps assess circulation and nerve function, crucial for preventing complications.
D: Obtaining a prescription renewal every 72 hours is necessary to ensure the restraint's continued use is justified.
E: Implementing passive range-of-motion exercises prevents contractures and maintains joint mobility, crucial for an immobile client's well-being.
Summary:
C: Securing the restraint to the bedrail can increase the risk of injury and is not recommended.
F:
G:
Choices C, F, and G are not included in the correct answer as they do not directly address the safety and well-being of the immobile client in a mitten restraint.