ATI RN
Endocrinology Exam
1. The healthcare provider is assessing a client before surgery. Which assessments contraindicate the client from having surgery as scheduled? (Select one that does not apply.)
- A. Potassium level of 2.8 mEq/L
- B. International normalized ratio (INR) of 4
- C. Prothrombin time (PT) of 30 seconds
- D. Positive pregnancy test
Correct answer: Prothrombin time (PT) of 30 seconds
Rationale: The correct answer is C: Prothrombin time (PT) of 30 seconds. A low potassium level (choice A) and an elevated INR (choice B) indicate potential bleeding risks during surgery. A positive pregnancy test (choice D) in a female client can lead to complications during surgery. However, a Prothrombin time of 30 seconds is within the normal range and does not contraindicate the client from having surgery as scheduled.
2. What is the primary focus of Lean methodology in healthcare?
- A. Reduce healthcare costs
- B. Enhance patient satisfaction
- C. Increase patient throughput
- D. Standardize care processes
Correct answer: D
Rationale: The correct answer is D: Standardize care processes. Lean methodology in healthcare focuses on standardizing care processes to improve efficiency and reduce waste. While reducing healthcare costs and enhancing patient satisfaction are important goals in healthcare, the primary focus of Lean methodology is to standardize care processes to ensure consistent, high-quality care delivery. Increasing patient throughput may be a byproduct of implementing Lean principles but is not the primary focus.
3. During which step of the nursing process does the nurse analyze data related to the patient's health status?
- A. Assessment
- B. Implementation
- C. Diagnosis
- D. Evaluation
Correct answer: A
Rationale: The correct answer is 'Assessment.' During the assessment phase of the nursing process, the nurse collects and analyzes data related to the patient's health status. This involves gathering information through various means such as patient interviews, physical examinations, and reviewing medical records. Choice B, 'Implementation,' refers to the phase where the nurse carries out the planned interventions. Choices C and D, 'Diagnosis' and 'Evaluation,' come after the assessment phase in the nursing process.
4. How do the automated data processing systems in the medical C4I headquarters aid in various aspects?
- A. Maintaining patient accountability
- B. Tracking patient movement
- C. Managing health service logistics systems
- D. All of the above
Correct answer: D
Rationale: The automated data processing systems in the medical C4I headquarters play a crucial role in maintaining patient accountability by tracking patient movement and aiding in the management of health service logistics systems. Therefore, the correct answer is D. Option A is incorrect because the systems do more than just maintaining patient accountability. Option B is incorrect as it focuses solely on tracking patient movement, missing the broader scope. Option C is also incorrect as it only addresses the management of health service logistics systems and overlooks the other functionalities provided by the systems.
5. of the following serves as the strongest for its enforcement? (a) Advances made in Science and Technology have provided the climate for specialization in almost all aspects of human endeavor; and (b) As necessary consequence, there has emerged a new concept known as globalization which seeks to remove barriers in trade, industry and services imposed by the national laws of countries all over the world; and (c) Awareness of this development should impel the nursing sector to prepare our people in the services sector to meet the above challenge; and (d) Current trends of specialization in nursing practice recognized by the International Council of Nurses (ICN) of which the Philippines is a member for the benefit of the Filipino in terms of deepening and refining nursing practice and enhancing the quality of nursing care.
- A. b & c are strong justifications
- B. a & b are strong justifications
- C. a & c are strong justifications
- D. a & d are strong justifications
Correct answer: A
Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.
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