the patients medical record can work as a double edged sword when can the medical record become the doctorsnurses worst enemy
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Nursing Elites

ATI RN

ATI Nutrition Practice Test A 2019

1. When can a patient's medical record become a potential issue for the doctor or nurse?

Correct answer: D

Rationale: The correct answer is D. A medical record becomes a potential issue for a doctor or a nurse when it is inaccurate, incomplete, or inadequate. This is because a medical record is a key tool for healthcare professionals to track a patient's history, treatment, and progress. If the record is not accurate or complete, it can lead to misdiagnosis, incorrect treatment, or other potential problems in patient care. While missing records (Choice C) could be a problem, they do not directly implicate the doctor or nurse in the same way that inaccurate or inadequate records do. An extensive record (Choice A) or a record being subpoenaed in court (Choice B) are not inherently problematic for healthcare professionals and do not necessarily reflect negatively on their work.

2. Based on the Code of Ethics for Filipino Nurses, what is regarded as the hallmark of nursing responsibility and accountability?

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

3. Diego is undergoing blood transfusion of the first unit. The earliest signs of transfusion reactions are:

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.

4. Each is a portion of the alimentary canal, except one. Which is the exception?

Correct answer: C

Rationale: The correct answer is C, Larynx. The larynx is part of the respiratory system, responsible for voice production and breathing. The alimentary canal is involved in the digestive process and includes structures like the oral cavity (mouth), pharynx, and esophagus. Choices A, B, and D are parts of the alimentary canal, where digestion occurs, making them incorrect answers.

5. Which of the following are the primary bacteria involved in the initiation of dental caries?

Correct answer: A

Rationale: The correct answer is A: Streptococcus mutans and Lactobacillus species. These bacteria are primarily responsible for initiating dental caries by fermenting carbohydrates and producing acids that demineralize enamel. Choice B, Salmonella and Listeria species, are not the primary bacteria involved in dental caries. Choice C includes Salmonella which is not a primary culprit in dental caries. Choice D lists Listeria, Botulinum species, and Escherichia coli, none of which are the primary bacteria associated with initiating dental caries.

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