a manager is prioritizing the following issues of the following issues which should be considered urgent and important
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Nursing Elites

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ATI Leadership

1. A manager is prioritizing the following issues. Of the following issues, which should be considered urgent and important?

Correct answer: B

Rationale: The correct answer is B because patient safety is a critical concern in healthcare settings. Malfunctioning IV pumps leading to medication overdosing poses a direct threat to patient safety and must be addressed urgently. Choice A involves interpersonal issues between staff members which are important but can be addressed in a less urgent manner compared to patient safety concerns. Choice C, a staff nurse calling in sick, is important for staffing but can be managed through existing protocols. Choice D, initiating a scheduling committee, is a routine operational matter that can be addressed at a later time and does not pose an immediate risk to patient safety.

2. After receiving change-of-shift report, which patient should the nurse assess first?

Correct answer: B

Rationale: The correct answer is B because the patient with a blood glucose level of 40 mg/dL (hypoglycemia) needs immediate attention. Hypoglycemia is an emergency situation that requires prompt intervention to prevent adverse effects such as seizures or loss of consciousness. Assessing and managing this patient first is crucial to prevent further deterioration. Choices A, C, and D do not present immediate life-threatening situations requiring urgent intervention like severe hypoglycemia does. While a high hemoglobin A1C level (choice A), an abnormal oral glucose tolerance test result (choice C), and acute abdominal pain (choice D) are important issues, they do not pose an immediate threat to the patient's life compared to severe hypoglycemia.

3. What characteristics will you emphasize in a job interview that will positively influence the meeting?

Correct answer: D

Rationale: The correct answer is D because emphasizing your grades on scholarly papers in nursing school during a job interview can demonstrate your motivation, interest in achieving, and potential for professional growth and success. This evidence of academic success is often seen as a predictor of how well you may perform in a professional setting. Choices A, B, and C are incorrect. Choice A focuses on patient diagnoses, which may not directly relate to your academic achievements. Choice B suggests avoiding challenging assignments, which does not demonstrate a willingness to learn and grow. Choice C, regarding the number of times you inserted a nasogastric tube, is too specific and does not provide a broad view of your capabilities and potential as a professional.

4. What is the primary goal of a nursing informatics specialist?

Correct answer: C

Rationale: The primary goal of a nursing informatics specialist is to improve healthcare delivery. While managing patient care, implementing new technology, and supporting clinical decisions are important aspects of their role, the overarching objective is to enhance healthcare delivery by leveraging technology to improve patient outcomes, streamline processes, and optimize care. Therefore, the correct answer is to improve healthcare delivery.

5. As an RN stands in line for the cafeteria cashier, he overhears the staff in front of him talking about a client the RN took care of earlier in the week. The client’s room number is mentioned along with the diagnosis and prognosis. Which of the following actions should the RN take?

Correct answer: B

Rationale: Remind the staff members that they are in a public location and sharing this information is a breach of the Health Insurance Portability and Accountability Act (HIPAA).

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